Chapter 36- Management of Patients With Immune Deficiency Disorders PrepU (CC3 Immunity 2)

A nurse educator is preparing to discuss immunodeficiency disorders with a group of fellow nurses. What would the nurse identify as the most common secondary immunodeficiency disorder? a. AIDS b. CVID c. DAF d. SCID

a. AIDS

Which is usually the most important consideration in the decision to initiate antiretroviral therapy? a. HIV RNA b. Western blotting assay c. ELISA d. CD4+ counts

d. CD4+ counts

A patient had unprotected sex with an HIV-infected person and arrives in the clinic requesting HIV testing. Results determine a negative HIV antibody test and an increased viral load. What stage does the nurse determine the patient is in? a. Secondary infection b. Tertiary infection c. Latent infection d. Primary infection

d. Primary infection

A majority of clients with CVID (Common variable immune deficiency) develop which type of anemia? a. Macrocytic b. Pernicious c. Sickle cell d. Hemolytic

b. Pernicious

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? a. "Your child's condition is extremely serious. Like AIDS, it will most likely be fatal." b. "We need to do some more testing before we will know if your child's condition is AIDS." c. "Although AIDS is an immune deficiency, your child's condition is different from AIDS." d. "Your child does not have AIDS but this condition puts your child at risk for it later in life."

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

A client calls the clinic and asks the nurse if using oxymetazoline nasal spray would be alright to relieve the nasal congestion he is experiencing due to seasonal allergies. What instructions should the nurse provide to the client to avoid complications? a. Report white patches in the mouth because the medication can cause a fungal infection. b. Do not operate machinery or drive while using the medication. c. Do not overuse the medication as rebound congestion can occur. d. Taper the dose when discontinuing the medication.

c. Do not overuse the medication as rebound congestion can occur.

Ataxia refers to a. inability to understand spoken words. b. vascular lesions caused by dilated blood vessels. c. difficulty swallowing. d. uncoordinated muscle movement.

d. Uncoordinated muscle movement

A client taking abacavir has developed fever and rash. What is the priority nursing action? a. Report to the health care provider. b. Document the information. c. Administer lidocaine cream for the rash. d. Administer acetaminophen.

a. Report to the health care provider

A nurse is assessing a client with Kaposi's sarcoma. What initial sign does the nurse know to look for during assessment? a. Venous stasis and phlebitis formation b. Deep purple cutaneous lesions c. Severe joint pain d. Lymphedema of the lower extremities

b. Deep purple cutaneous lesions

The nurse is caring for a client whose most recent laboratory values reveal a neutrophil level of 21,000 mm3. When preparing to assess the client, the nurse should prioritize what assessment? a. Assessing the client's activity level and functional status b. Assessing the client for signs of venous thromboembolism c. Assessing the client for signs and symptoms of infection d. Assessing the client for indications of internal or external hemorrhage

c. Assessing the client for signs and symptoms of infection

A client who is HIV positive is experiencing severe diarrhea. Which laboratory test result would the nurse expect to find? a. Urine specific gravity of 1.010 b. Proteinuria c. Hypokalemia d. Hypernatremia

c. Hypokalemia

A male patient has come into the free clinic asking to be tested for HIV infection. The patient asks the nurse how the test works. The nurse responds that if the testing shows antibodies to the AIDS virus are present in the blood, this indicates what? a. AIDS is inactive in the body. b. The patient is immune to HIV. c. The patient has been infected with HIV. d. The patient may have unprotected intercourse because he is not infected with HIV.

c. The patient has been infected with HIV.

A client is prescribed antihistamines, and asks the nurse about administration and adverse effects. The nurse should advise the client to avoid: a. exposure to sunlight. b. alcohol. c. applying skin moisturizers. d. seafood.

b. Alcohol

Which allergic reaction is potentially life threatening? a. None of the listed allergic reactions is potentially life threatening. b. angioedema c. contact dermatitis d. urticaria

b. Angioedema

A client with a primary immunodeficiency is undergoing genetic testing. This testing would be of least benefit in identifying which condition? a. Common variable immunodeficiency (CVID) b. DiGeorge syndrome c. Severe combined immunodeficiency disease (SCID) d. Wiskott-Aldrich syndrome

a. Common variable immunodeficiency (CVID)

Which substance may be used to lubricate a condom? a. K-Y jelly b. Petroleum jelly c. Baby oil d. Skin lotion

a. K-Y jelly

A client with acquired immune deficiency syndrome (AIDS) reports diarrhea after every meal. What is the nurse's best response? a. Reduce food intake. b. Increase the intake of iron and zinc. c. Avoid residue, lactose, fat, and caffeine. d. Encourage large, high-fat meals.

c. Avoid residue, lactose, fat, and caffeine

A parent brings a young child to the clinic for an evaluation of an infection. The parent states, "my child has been taking antibiotics now for more than 2 months and still doesn't seem any better." During the history and physical examination, what would alert the nurse to suspect a primary immunodeficiency? a. Superficial wound on the child's left leg b. Weight within age-appropriate parameters c. History of fungal diaper rash d. Ten ear infections in the past year

d. Ten ear infections in the past year

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? a. The client's T4-cell count has decreased due to the Pneumocystis pneumonia. b. The client has another infection present that is causing a decrease in the T4-cell count. c. The client has advanced HIV infection. d. The client has converted from HIV infection to AIDS.

d. The client has converted from HIV infection to AIDS

T-cell deficiency occurs when which gland fails to develop normally during embryogenesis? a. Thyroid b. Pituitary c. Thymus d. Adrenal

c. Thymus