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week 3 Sherpaths
Week 3 Concepts of Nursing 246
| Question | Answer |
|---|---|
| A patient presents to the clinic and asks the nurse about human immunodeficiency virus (HIV) infection to determine her risk for contracting the disease. What should the nurse ask the patient? | - “Have you ever had unprotected sexual contact?” - “Do you use intravenous drugs and share needles?” - “How many sexual partners do you currently have?” |
| Which statement best describes the transmission of the human immunodeficiency virus (HIV)? | HIV is transmitted through blood and bodily fluids. |
| Which new findings by the nurse may indicate a patient’s human immunodeficiency virus (HIV) infection is no longer in the incubation stage and is progressing? | - Rash - Fatigue - Muscle aches - Photophobia |
| A patient with a negative rapid antibody human immunodeficiency virus (HIV) test result asks the nurse why the health care provider scheduled another HIV test in 2 months. What is the nurse’s best response? | “There is a period during which the virus is present in the body but not detected in blood tests.” |
| The nurse is caring for a patient who has been receiving antiretroviral treatment for human immunodeficiency virus (HIV) infection. Which finding in the medical record indicates the treatment has been effective? | A CD4 T-cell count of 900 cells/µL |
| The health care provider prescribes a combination drug for a patient with human immunodeficiency virus (HIV) infection who has had a progressive increase in viral load. The patient asks the nurse why there is a change to the medication regimen. What is th | “Combination antiretroviral drugs are more effective because each drug attacks HIV in different stages.” |
| A patient presents to the clinic and asks the nurse about human immunodeficiency virus (HIV) infection to determine her risk for contracting the disease. What should the nurse ask the patient? | - “Have you ever had unprotected sexual contact?” - “Do you use intravenous drugs and share needles?” - “How many sexual partners do you currently have?” |
| Which statement best describes the transmission of the human immunodeficiency virus (HIV)? | HIV is transmitted through blood and bodily fluids. |
| The nurse is teaching a patient with human immunodeficiency virus (HIV) infection ways to decrease the risk of infecting other people. Which statement made by the patient indicates effective teaching? | “I should refrain from sharing needles with anyone else.” |
| The nurse is talking with an HIV+ patient about managing the disease. The patient admits to being depressed about the diagnosis and does not feel like going out because of the medication side effects. What is the nurse’s best response? | “Have you discussed these side effects with your health care provider? |
| Which dietary choice made by a patient with human immunodeficiency virus (HIV) infection indicates a need for further education? | Raw cookie dough |
| Which finding in the patient’s medical record indicates that the patient with human immunodeficiency virus (HIV) infection has developed acquired immunodeficiency syndrome (AIDS)? | Onset of wasting syndrome |
| The nurse is caring for an HIV+ patient whose laboratory reports indicate a normal CD4 T-cell count and no physical symptoms. What should the nurse infer from this finding? | The patient is in the incubation stage of HIV infection. |
| Which manifestation would the nurse expect to find when assessing the gastrointestinal tract of an HIV+ patient in the crisis stage? | Diarrhea |
| The nurse is caring for a patient who is HIV+ and has been admitted to the hospital for treatment of community-acquired pneumonia. Which intervention will prevent complications related to the patient’s HIV infection? | Administer antiretroviral drugs on time |
| The nurse is reviewing the laboratory test results for a patient who is HIV+. The results show no viral load. Which information should the nurse include in patient education? | “Use barrier contraception during sexual contact.” |
| A patient with a new diagnosis of human immunodeficiency virus (HIV) infection begins receiving antiretroviral therapy. Which finding indicates the patient is having complications related to the treatment regimen? | Weight loss |
| The school nurse is preparing to discuss HIV and AIDS with a group of teenagers. Which aspects of disease prevention would be best suited for this age group? | - Modes of transmission - Avoiding exposure to sexually transmitted diseases - Not assuming that HIV affects only certain groups |
| A patient with HIV comes to the health care provider’s office for a check-up, and the nurse notices the patient has lost 10 pounds since the last visit. Which factors should the nurse assess next? | - Oral cavity - CD4 T-cell count - Nutritional status - Gastrointestinal (GI) function |
| Which intervention would be most appropriate for the nurse to include in the plan of care for a patient having side effects from the antiretroviral drugs? | Administer antiemetics |
Created by:
Brandi Sizemore
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