Prepu chapter 32

The nurse is preparing to infuse gamma-globulin intravenously (IV). When administering this drug, the nurse knows the speed of the infusion should not exceed what rate?

3

When do most perinatal HIV infections occur?

After exposure during delivery

A client is given a nursing diagnosis of social isolation related to withdrawal of support systems and stigma associated with AIDS. Which outcomes would indicate that the nurse's plan of care was effective? Select all that apply.

Client verbalizes feelings related to the changes imposed by the disease. Client identifies appropriate sources of assistance and support. Client demonstrates beginning participation in events and activities.

Which microorganism is known to cause retinitis in people with HIV/AIDS?

Cytomegalovirus

Which condition is an early manifestation of HIV encephalopathy?

Headache

Which term means a lack of one or more of the five immunoglobulins?

Hypogammaglobulinemia

A client with ataxia-telangiectasia approaches the nurse with many questions and concerns. The client asks what the primary cause of death is for this disease. The nurse's best response would be:

Overwhelming infection

The nurse is gathering data from laboratory studies for a client who has HIV. The client's CD4+ cell count is 200/mm³, and the client has been diagnosed with pneumocystis pneumonia. What does this indicate to the nurse?

The client has converted from HIV infection to AIDS.

A nurse knows that more than 50% of clients with CVID develop the following disorder.

Pernicious anemia

The nurse is caring for a client with an autoimmune disease. What is a characteristic of autoimmune disorders?

Progressive tissue damage without any verifiable etiology

The nurse is gathering data from laboratory studies for a client who has HIV. The clients T4-cell count is 200/mm3, and the client has been diagnosed with Pneumocystis pneumonia. What does this indicate to the nurse?

The client has converted from HIV infection to AIDS.

What test will the nurse assess to determine the client's response to antiretroviral therapy?

Viral load

A client is scheduled to receive an intravenous immunoglobulin (IVIG) infusion. The client asks the nurse about the infusion's administration and its adverse effects. Which condition should the nurse instruct this client to report immediately?

Tickle in the throat

The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for Impaired Skin Integrity Related to candidiasis. What nursing intervention best addresses this risk?

Administering prophylactic antibiotics

A client with paroxysmal hemoglobinuria, a deficiency of complement proteins, reports headache and weakness of the right arm and leg. Based on these symptoms, for which health complication should the nurse assess?

Cerebral venous thrombosis

A nurse is preparing to administer an antiretroviral medication to a client who is positive for HIV. The nurse identifies the drug as a nucleoside reverse transcriptase inhibitor (NRTI). What drug will the nurse administer?

Lamivudine

A patient with common variable immunodeficiency (CVID) is extremely fatigued and not feeling well. What lab test does the nurse anticipate the patient will have to detect a common development related to the disease?

b12 level

The nurse is caring for a client who has a diagnosis of human immunodeficiency virus (HIV). Part of this client's teaching plan is educating the client about his or her medications. What is essential for the nurse to include in the teaching of this client regarding medications?

drug side effects

A woman infected with HIV comes into the clinic. What symptoms may be the focus of a medical complaint in women infected with HIV?

Gynecologic problems

A client is to self-administer intravenous immunoglobulin (IVIG) in the home. What is the client's first action?

Check the IV device patency.

A client is suspected of having an immune system disorder. The health care provider wants to perform a diagnostic test to confirm the diagnosis. What test should the nurse prepare the client for?

Enzyme-linked immunosorbent assay

A home health nurse will soon begin administering IVIG to a new client on a regular basis. What teaching should the nurse provide to the client?

Expected benefits and outcomes of the treatment

When describing the effects of treatment for phagocytic cell disorders, which of the following would the nurse include as being the most successful?

Hematopoietic stem cell transplantation

Which term defines the balance between the amount of HIV in the body and the immune response?

Viral set point

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

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

A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe complication should the nurse be alert for with cytomegalovirus?

blindness

The nurse is caring for a patient with an immunodeficiency disorder. What cardinal symptoms of immunodeficiency does the nurse recognize while caring for this patient? (Select all that apply.)

Chronic diarrhea Chronic or recurrent severe infections Poor response to the treatment with antibiotics

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

Psychomotor slowing Stiff neck Seizures

A hospital client is immunocompromised because of stage 3 HIV infection and the physician has ordered a chest radiograph. How should the nurse most safely facilitate the test?

portable xray

What does the nurse understand will result if the patient has a deficiency in the normal level of complement?

Increased susceptibility to infection

A nurse is preparing an in-service presentation about primary immunodeficiencies. When describing these conditions, what would the nurse need to integrate into the presentation?

Most cases are typically diagnosed in infancy.

A client is receiving ganciclovir as part of the treatment for cytomegalovirus retinitis. What would the nurse monitor the results of the client's laboratory tests for?

Neutropenia

A client with common variable immunodeficiency (CVID) comes to the ED reporting tingling and numbness in the hands and feet, muscle weakness, fatigue, and chronic diarrhea. An assessment reveals abdominal tenderness, weight loss, and loss of reflexes. A gastric biopsy shows lymphoid hyperplasia of the small intestine and spleen as well as gastric atrophy. Based on these findings, what common secondary problem has this client developed?

Pernicious anemia