HIV practice questions

The nurse is planning care for an AIDS patient admitted with chronic severe diarrhea secondary to adverse effects of the antiviral drugs prescribed. What would be the most appropriate goal for this patient?

A) Patient will show improved nutritional status evidenced by weight gain.

A nurse is assessing the skin integrity of a patient who has AIDS. When performing this inspection, the nurse should prioritize assessment of what skin surfaces?

A) Perianal region and oral mucosa

A patient with HIV has a nursing diagnosis of Risk for Impaired Skin Integrity. What nursing intervention best addresses this risk?

A) Utilize a pressure-reducing mattress.

Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends. Members of what group currently have the greatest risk of contracting HIV?

A) Gay, bisexual, and other men who have sex with men

A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of what complication?

A) HIV encephalopathy

A nurse is addressing the incidence and prevalence of HIV infection among older adults. What principle should guide the nurse's choice of educational interventions?

A) Many older adults do not see themselves as being at risk for HIV infection

A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing the patient, which of the following observations takes immediate priority?

B) Tachypnea and restlessness

A client with acquired immune deficiency syndrome has oral thrush and difficulty eating. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) b. Assist the client with oral care every 2 hours. c. Offer the client frequent sips of cool drinks e. Remind the client to use only a soft toothbrush. A client with acquired immune deficiency syndrome is in the hospital with severe diarrhea. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

BCDE b. Assisting the client to get out of bed to prevent falls c. Obtaining a bedside commode if the client is weak d. Providing gentle perianal cleansing after stools e. Reporting any perianal abnormalities

A nurse is caring for a patient hospitalized with AIDS. A friend comes to visit the patient and privately asks the nurse about the risk of contracting HIV when visiting the patient. What is the nurse's best response?

C) "AIDS isn't transmitted by casual contact."

The mother of two young children has been diagnosed with HIV and expresses fear of dying. How should the nurse best respond to the patient?

C) "Can you tell me what concerns you most about dying?"

Diagnosis of aids

CD4 less than 200

The nurse is addressing condom use in the context of a health promotion workshop. When discussing the correct use of condoms, what should the nurse tell the attendees?

D) Hold the condom by the cuff upon withdrawal.

During the admission assessment of an HIV-positive patient whose CD4+ count has recently fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections. What is the most common life-threatening infection?

D) Pneumocystis pneumonia

A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide based on the patient's medication regimen?

D) Take this medication without regard to meals.

A 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 that antibodies to the AIDS virus are present in the blood, this indicates what?

D) The patient has been infected with HIV.

A client with HIV is admitted to the hospital because of chronic severe diarrhea. the nurse caring for this client should expect the health care provider to prescribe what medication for the management of the client's diarrhea?

Octerotide acetate

A nurse works on a unit that has admitted its first client with acquired immune deficiency syndrome. The nurse overhears other staff members talking about the "AIDS guy" and wondering how the client contracted the disease. What action by the nurse is best?

a. Confront the staff members about unethical behavior.

A client with HIV/AIDS asks the nurse why gabapentin (Neurontin) is part of the drug regimen when the client does not have a history of seizures. What response by the nurse is best?

c. "This drug helps treat the pain from nerve irritation."

Defining characteristic of primary immunodeficiency

genetic origin