Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management

Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management MULTIPLE CHOICE 1. A pregnant client diagnosed with human immunodeficiency virus (HIV) is asking about her baby’s risk of infection. Which of ...

Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management MULTIPLE CHOICE 1. A pregnant client diagnosed with human immunodeficiency virus (HIV) is asking about her baby’s risk of infection. Which of the following does put the newborn at risk? 1. Bottle-feeding 2. Changing diapers 3. Kissing the baby 4. Vaginal birth PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Etiology 2. A health care provider has accidentally been stuck with a used needle. The health care provider is going to be tested for human immunodeficiency virus (HIV). Which of the following would be the testing schedule for the health care provider? 1. Tested at 2 months, 4 months, and then at 6 months 2. Tested immediately and then again at 2 months 3. Tested immediately and then again at 6 months 4. Tested in 6 months and then again in 1 year PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Etiology 3. Which of the following CD4+ count would be used to confirm the diagnosis of acquired immunodeficiency syndrome (AIDS)? 1. 155 cells/mcL 2. 255 cells/mcL 3. 455 cells/mcL 4. 755 cells/mcL PTS: 1 DIF: Analyze REF: Human Immunodeficiency Virus Infection: Pathophysiology 4. The nurse, planning care for a client diagnosed with human immunodeficiency virus, realizes that the most common infection that occurs in clients with this health problem is: 1. cytomegalovirus infection. 2. Mycobacterium tuberculosis. 3. Pneumocystis carinii pneumonia. 4. Streptococcus pneumoniae. PTS: 1 DIF: Analyze REF: Human Immunodeficiency Virus Infection: Assessment with Clinical Manifestations 5. A client diagnosed with acquired immunodeficiency syndrome (AIDS) 6 years ago has a purple lesion located on the inner thigh. This lesion is most likely to be: 1. AIDS-related syndrome. 2. Burkitt’s lymphoma. 3. cachexia. 4. Kaposi’s sarcoma. PTS: 1 DIF: Analyze REF: Human Immunodeficiency Virus Infection: Assessment with Clinical Manifestations 6. The nurse realizes that which of the following tests can be used to initially identify the presence of human immunodeficiency virus (HIV) antibodies in a client? 1. Enzyme-linked immunosorbent assay (ELISA) 2. Platelet count 3. Red blood cell count 4. Western blot PTS: 1 DIF: Analyze REF: Human Immunodeficiency Virus Infection: Diagnostic Tests 7. A client diagnosed with acquired immunodeficiency syndrome (AIDS) is sitting alone crying. Which of the following is an appropriate response for the nurse to give? 1. “Everything will be okay.” 2. “Let me call your doctor about your depression.” 3. “What’s wrong now?” 4. “Would you like to talk?” PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Planning and Implementation 8. The nurse is instructing a client on ways to reduce the risk of exposure to the human immunodeficiency virus. Which of the following activities would present the least risk of exposure to this virus? 1. Exposure to used needles 2. Multiple sex partners 3. Perinatal exposure 4. Teeth cleaning PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Epidemiology 9. The nurse is teaching a small group of clients about human immunodeficiency virus (HIV) at a health clinic. Which of the following statements by a group member will need further clarification? 1. “Condoms should be used during sexual contact.” 2. “Exposure can occur to a baby during pregnancy.” 3. “HIV-infected mothers can breastfeed their babies.” 4. “Needles should never be reused or shared.” PTS: 1 DIF: Analyze REF: Human Immunodeficiency Virus Infection: Epidemiology 10. The nurse is caring for a client diagnosed with human immunodeficiency virus (HIV). Which of the following precautions is best in the care of the client? 1. Gloves and an N-95 mask 2. Gown, gloves, and mask if splashing with body fluids is likely 3. Gown, gloves, mask, and placement into a negative-pressure room 4. Only handwashing is needed PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Planning and Implementation 11. A client receiving treatment for human immunodeficiency virus infection is demonstrating signs of resistance to the medication. Which of the following does this suggest to the nurse? 1. The medication dosages need to be increased. 2. The client needs to be taken off all medication. 3. The client needs additional medication to treat side effects. 4. The client is not adhering to the prescribed medication schedule. PTS: 1 DIF: Analyze REF: Human Immunodeficiency Virus Infection: Pharmacology 12. A client diagnosed with rheumatoid arthritis receives a prescription for indomethacin. Which of the following statements by the client would indicate the need for further instruction about this medication? 1. “I have to let my doctor know if I need to start blood pressure medications.” 2. “I have to make sure I get my kidneys tested as scheduled.” 3. “I need to get my eyes checked regularly.” 4. “This medication shouldn’t upset my stomach.” PTS: 1 DIF: Analyze REF: Table 42-2 Examples of Drugs Used for RA Therapy 13. The nurse is providing discharge instructions to a client diagnosed with systemic lupus erythematosus (SLE). Which of the following would not be including in these instructions? 1. “Activity will need to be decreased during an exacerbation.” 2. “Body temperature should be monitored.” 3. “Corticosteroid treatment must be slowly tapered off.” 4. “Sunbathing decreases symptoms.” PTS: 1 DIF: Apply REF: Systemic Lupus Erythematosus: Planning and Implementation 14. A client is scheduled for a bone marrow transplant from cells that were donated by his identical twin. The nurse realizes that the type of transplant this client is planning would be: 1. syngeneic. 2. autologous. 3. allograft. 4. apheresis PTS: 1 DIF: Analyze REF: Graft-versus-Host Disease MULTIPLE RESPONSE 1. The nurse is instructing a client on the modes of transmitting the human immunodeficiency virus infection. Which of the following can transmit this infection? (Select all that apply.) 1. Blood 2. Breast milk 3. Emesis 4. Saliva 5. Semen 6. Sweat PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Epidemiology 2. A client diagnosed with human immunodeficiency virus infection is prescribed antiretroviral Group 1 medications. Which medications are included in Group 1? (Select all that apply.) 1. Enfuvirtide (Fuzeon) 2. Ziduvudine (AZT) 3. Didanosine (Videx) 4. Abacavir (Ziagen) 5. Ritonavir (Norvir) 6. Saquinavir (Fortovase) PTS: 1 DIF: Analyze REF: Box 42-3 Antiretroviral Drug Classifications 3. The nurse suspects a client is experiencing rheumatoid arthritis when which of the following are assessed? (Select all that apply.) 1. Morning stiffness lasting more than 1 hour 2. Arthritis of three or more joint areas 3. Arthritis of the hand joints 4. Symmetrical arthritis 5. Nodules over bony prominences 6. Bruising PTS: 1 DIF: Analyze REF: Box 42-4 The American College of Rheumatology Criteria for Diagnosis of RA 4. The nurse is planning care for a client diagnosed with rheumatoid arthritis. Which of the following should be included in this plan of care? (Select all that apply.) 1. Muscle strengthening exercises 2. Range-of-motion exercises 3. Application of heat 4. Application of cold 5. Joint massage 6. Yoga PTS: 1 DIF: Apply REF: Rheumatoid Arthritis: Planning and Implementation 5. A client is diagnosed with progressive systemic sclerosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Telangiectasia 2. Sclerodactyly 3. Difficulty swallowing 4. Painful cold hands and fingers 5. Small white calcium deposits under the skin 6. Hematuria PTS: 1 DIF: Apply REF: Progressive Systemic Sclerosis: Assessment with Clinical Manifestations