Ch 36 Management of Patients with Immune Deficiency Disorders

The nurse is caring for a client whose most recent laboratory values reveal a neutrophil level of 21,000mm. When preparing to assess the client, the nurse should prioritize what assessment?

Assessing the client for signs and symptoms of infection.

A client taking abacavir has developed fever and rash. What is the priority nursing action?

Report to the health care provider

Need for follow up for viral load testing at which time?

6 weeks

A child has just been diagnosed with a primary immune deficiency. The parents state, "Oh, no. Our child has AIDS." Which response by the nurse would be most appropriate?

Although AIDS is an immune deficiency, your child's condition is different from AIDS

A client with AIDS reports diarrhea after every meal. What is the nurse's best response?

Avoid residue, lactose, fat, and caffeine

A client is prescribed didanosine as part of a highly active antiretroviral therapy (HAART). Which instruction would the nurse emphasize with this client?

Be sure to take this drug about 1/2 hour before or 2 hours after you eat

What treatment option does the nurse anticipate for the patient with severe combined immunodeficiency disease (SCID)

Bone marrow transplantation

In an adult client, which stage of HIV infection is indicated when the results are more than 500 CD4 lumphocytes/mm?

CDC stage 1: Acute HIV infection

What debilitating gastrointestinal condition found in up to 90% of all AIDS clients should the nurse be aware of?

Chronic diarrhea

More than 50% of individuals with this disease develop pernicious anemia;

Common variable immunodeficiency (CVID)

A client with cytomegalovirus infection reports difficulty seeing. What medication does the nurse anticipate the client will receive for this?

Forscarnet

Which of the following would a nurse be least likely to identify as a cause of secondary immunodeficiency?

Genetics

A secondary immunodeficiency is characterized by the following?

It usually occurs as a result of underlying disease processes. It may be caused by certain viruses. It frequently is caused by certain autoimmune disorders.

The nurse is aware that the most prevalent cause of immunodeficiency worldwide is ..

Malnutrition

A client taking fosamprenavir reports "getting fat". What is the nurse's best action?

Teach the client about medication side effects

What medication does the nurse expect that the client will take for Pneumocystis pneumonia cause by P.jiroveci?

Trimethoprim-sulfamethoxazole

Telangiectasia is the term that refers to..

Vascular lesions caused by dilated blood vessels

HIV is harbored within which type of cell?

lymphocyte