Med-Surg CH 35: HIVAIDS, Study Guide and NCLEX

Med-Surg CH 35: HIV/AIDS, Study Guide and NCLEX

Questions 4.8 (12 reviews) Students also studied Terms in this set (35) Science MedicineNursing Save HIV/AIDS NCLEX Questions 59 terms Jackie_Lambert3 Preview Med-Surg HIV and AIDS Exam Qs 52 terms dw_cherryPreview

NCLEX Style Questions: Hypersensit...

20 terms kjking2101Preview Med-Su 12 terms osu When herpes zoster virus (HZV) is reactivated in an immunocompromised patient, it can cause which painful and serious condition?

• Measles
• Shingles
• Genital sores
• Mouth ulcers
• Shingles

The nurse is participating in a care-planning conference for a patient who prefers to avoid taking more medications to treat Kaposi sarcoma. What option might be offered?

A. HAART

• Radiotherapy
• Chemotherapy
• Topical ointments
• Radiotherapy

A patient with AIDS states that several purple and white "spots" have appeared on the arm and the chest; they are not painful and are nonpruritic. Several days after the appearance of these spots, the patient believes there is also some blood in the stool. What might be the cause of the skin lesions and the blood in the stool?

• Kaposi sarcoma
• Herpes simplex
• Herpes zoster
• Basal cell carcinoma
• Kaposi sarcoma

The caregiver for a patient with AIDS requires some input on maximizing calorie and nutrient intake. The caregiver states that the patient tolerates liquids better than solid food. The nurse can suggest which nutrient-dense liquid supplement?

• Homemade eggnog
• One or two soft-cooked eggs
• Applesauce with a crushed multivitamin
• Meal replacement beverages, such as Ensure or

Carnation Instant Breakfast

• Meal replacement beverages, such as Ensure or Carnation Instant Breakfast

A public health nurse is participating in a community health forum for World AIDS Day. Which statement by a community member indicates the need for additional teaching?

• "AIDS was recognized as a new pathogen in the early

1980s."

• "Men who have sex with men were the first group to be

affected by AIDS."

• "Scientists believe the original source of HIV infection

in humans was from gorillas."

• "In 1986, the HIV-1 and HIV-2 viruses were isolated as

the viruses that cause AIDS."

• "Scientists believe the original source of HIV infection in humans was from

gorillas." The nurse is explaining the need to protect an immunocompromised HIV patient from infection to the patient's family. The nurse explains that the patient is immunocompromised because the pathophysiology of HIV centers on which process?

• Destruction of the T4 cells
• Insufficient number of neutrophils
• Inhibition of the inflammatory response
• An abnormal increase of immature white blood cells
• Destruction of the T4 cells

A college student presents to the campus health clinic 2 days after unprotected sexual intercourse. The student is requesting an HIV test. After the initial test is negative result, the nurse provides which advice to the student?

• Return to the clinic as needed.
• Obtain a repeat test in 3 months.
• Begin an intense regimen of antibiotics.
• Visually inspect the body daily for dark skin spots.
• Obtain a repeat test in 3 months.

A patient has recently had CD4 level testing, and the result was found to be 98 cells/mm3. The nurse realizes which condition has developed?

• The patient has AIDS.
• The patient is HIV positive.
• The patient has leukopenia.
• The patient has neutropenia.
• The patient has AIDS.

The nurse has been asked to present information regarding HIV risks to a group of young adults. Which populations are at risk for HIV infection? (Select all that apply.)

• Injection drug users
• Adolescents who engage in athletics (e.g. baseball,

soccer, gymnastics)

• Patients who receive a transfusion with HIV-infected

blood or blood products

• Neonates and breastfed infants of HIV-infected

mothers (perinatal transmission)

• Laboratory technicians who use appropriate protocols

for handling blood products F.Partners, including heterosexuals, who have unprotected sex with those infected with HIV

• Injection drug users
• Patients who receive a transfusion with HIV-infected blood or blood products
• Neonates and breastfed infants of HIV-infected mothers (perinatal

transmission) F.Partners, including heterosexuals, who have unprotected sex with those infected with HIV Medication that interferes with the maturation of viral particles Protease inhibitor Retrovirus that causes AIDSHIV Disease that is now viewed less as a fatal illness than as a manageable chronic condition AIDS Medication regimen or combo of drugs recommended when viral load reaches certain levels HAART What 4 cancers occur in 40% of pts with HIV?KS non-Hodgkin Lymphoma Anal cancer Cervical cancer

Why are pts with HIV infection at increased risk for cancer?The immune system is unable to identify and destroy cells that undergo malignant changes How is HIV transmitted? Select all that apply

• Saliva
• Breast milk
• Semen
• Urine
• Blood
• Vaginal fluids
• Tears
• Sweat
• Breast milk
• Semen
• Blood
• Vaginal fluids

Which 4 types of diagnostic blood work may aid in the diagnosis of HIV infection? Select all that apply?

1. ELISA

• Western blot

3. PIT

• T cell count
• Viral load count
• Lipid profile

1. ELISA

• Western blot
• T cell count
• Viral load count

What is the leading cause of death in ppl with AIDS?

1. KS

• Malnutrition
• Infection
• Encephalopathy
• Infection

About how long after infection does the body produce enough antibodies to be detected by standard HIV testing?

• 2-3 days
• 1 week
• 12 weeks
• 6 months
• 12 weeks

Which substances remain at high levels throughout the course of HIV infection?

• HIV antibodies
• CD8 cells
• CD4 cells
• Red blood cells
• HIV antibodies