Brunner HIV quiz Coursepoint plus

A client seen in the outpatient clinic has common variable immunodeficiency. It is important for the nurse to teach the client about the need for more frequent screening for which complication?

Malignancy

As part of HAART therapy, a client is prescribed a non-nucleoside reverse transcriptase inhibitor (NNRTI). What would be an example of a drug from this class? Select all that apply.

Delavirdine Efavirenz

Phagocytic dysfunction is characterized by the following. Choose all that apply.

Increased incidence of bacterial infections Chronic eczematoid dermatitis

A protease inhibitor, an antiretroviral agent that can be taken without regard to meals is:

Lexiva.

When reviewing the laboratory test results of a client with X-linked agammaglobulinemia, which of the following would be most likely? Select all that apply.

Low levels of IgM

A client with AIDS is having a recurrence of 10 to 12 loose stools a day. What medication may help this client with controlling the chronic diarrhea?

Octreotide

A nurse is completing a nutritional status of a client who has been admitted with AIDS-related complications. What components should the nurse include in this assessment? Select all that apply.

Serum albumin level Weight history Body mass index Blood urea nitrogen (BUN) level

A nursing student assists a registered nurse to admit a client with a primary immunodeficiency. The nurse explains to the student that primary immunodeficiencies predispose people to three conditions. Which of the following three are those conditions?

Severe infections Autoimmunity Cancer

Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be consistent with cryptococcus meningitis? Select all that apply.

Stiff neck Seizures

What intervention is appropriate before the client begins taking efavirenz therapy?

Testing for Stevens-Johnson syndrome

The nurse is teaching the client with HIV about therapy. Which elements are essential for the nurse to include in the teaching plan? Select all that apply.

The CD4 count is the major indicator of immune function and guides therapy. Antiretroviral therapy targets different stages of the HIV life cycle.

Which tests tell the physician what the viral load is in a client with HIV/AIDS? Select all that apply.

polymerase chain reaction p24 antigen test

A patient with HIV has been on antiretroviral therapy (ART) for 6 months. The patient comes to the clinic with home medications and the nurse observes that there are too many pills in the container. What does the nurse know about the factors associated with nonadherence to ART? (Select all that apply.)

Active substance abuse Depression Lack of social support

A nurse works in an employee health department of a hospital. She was asked to treat a staff nurse who was exposed to blood from a patient with an HIV infection. The nurse practitioner instituted a PEP protocol that includes which of the following actions? Select all that apply.

Continue HIV medications for 4 weeks postexposure. Initiate postexposure testing after 4 weeks. Finish postexposure testing at 6 months.

A client with AIDS has developed cytomegalovirus (CMV) retinitis and is receiving treatment with foscarnet. The nurse would monitor for which possible adverse drug effects? Select all that apply.

Hyperphosphatemia Hypomagnesemia Seizures

A client with common variable immunodeficiency disease (CVID) has an order for an IVIG infusion. What actions should the nurse perform before beginning the infusion? Select all that apply.

Measure the client's height and weight. Premedicate with acetaminophen and diphenhydramine. Assess baseline vital signs. Assess for history of migraine headaches.

What severe complication does the nurse monitor for in a patient with ataxia-telangiectasia?

Overwhelming infection

A nurse is preparing a presentation about human immunodeficiency virus (HIV) for a local community group. What would the nurse include in the presentation about HIV transmission? Select all that apply.

The risk of acquiring HIV through the transfusion of blood products is almost nonexistent. The amount of HIV contained in body fluids on exposure is associated with the risk for infection. HIV can be found in seminal fluid, vaginal secretions, and breast milk. Sharing of infected equipment used to inject drugs increases the risk for infection.

What are the characteristics of a B-cell deficiency, such as common variable immune deficiency (CVID)? Select all that apply.

There is a disappearance of germinal centers from lymphatic tissue. There is complete lack of antibody production. Disease onset occurs most often in the second decade of life.

The nurse is caring for a client with a T-cell disorder. What clinical manifestation does the nurse determine will be present?

Lymphopenia is usually present. Chronic mucocutaneous candidiasis is an associated disorder.