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N4127
Exam II Communicable & Infectious Disease Risk (HIV/AIDS)
| Question | Answer |
|---|---|
| What is the estimate if poeple livinf with HIV/AIDS in U.S.? | 1 million |
| What populaion are at risk with HIV/AIDS? | Men who have sex with men. Injection drug users. Ethnic minorities. Young . Women. |
| The primary infections of HIV | Is within about 1 month of contracting the virus. |
| Clincial latency means what? | When the body shows no symptoms. |
| Transmission is through what? | Oral or anal Sex, coming in cantact with bodily fuild of infected person and from blood. |
| What is the final stage of symptomatic disease? | Full blown AIDS |
| HIV Test Counseling? | Assess risk. Discuss risk behaviors and how to avoid engaging in them. Develop with the client a risk-reduction plan. Establish the follow-up appointment and posttest counseling. |
| Posttest Counseling: What do you tell those who showed a negative result? | Counsel on risk-reduction activities; make sure client understands test may not be truly negative (6-12 weeks before evidence of HIV antibody). |
| Posttest Counseling: What do you tell those who showed a positive result? | Counsel about the need for reducing his or her risks and notifying past partners |
| Epidemiology and Surveillance of HIV/AIDS indicates what about newly infected persons? | Decline in number |
| What is shown about the prevalence of AIDS | Increasing |
| What is the primary transmission mode in women? | Heterosexual |
| HIV in older adults? | Increasing |
| Perinatal cases od HIV? | Decreasing |
| Who is affected most my AIDS? | Minorities. |
| At the end of 2004, how many adulescents were living with AIDS? | 459,078 adults and adulescents |
| Of the 459,078 adults and adulescents, what is the percentage for males? | 73% |
| Of the 459,078 adults and adulescents, what is the percentage for females | 27% |
| Areas with the highest prevalence rates in 2004 were? | The US Virgin Islands, New York, Florida, New Jersey, Louisiana, and South Carolina. |
| How do we Caring for AIDS Patients in the Community? | Identifying resources such as social and financial support services. Interpreting school and work policies. |
| What else can nurses to cre for AIDS patienes in the community? | Assisting employers by educating managers about how to deal with ill or infected workers to reduce the risk of breaching confidentiality or wrongful actions such as termination. |
| What is the STD Scope of the Problem? | > 12 million Americans infected every year. |
| What other STD scope of problem are we seeing? | Emergence of new STDs. Subpopulation variability. Geographic variability. |
| What is the HP 2020 goal for HIV Pts? | Prevent human immunodeficiency virus (HIV) infection and its related illness and death. |
| What is the HP 2020 goal for STD Pts? | Promote responsible sexual behaviors, strengthen community capacity, and increase access to quality services to prevent STDs and their complications. |
| Name some Common STDs? | Gonorrhea. Syphilis. Chlamydia. Hepatitis B. Genital herpes. HPV. & Herpes Simplex. |
| How can nurses treat bacterial STDs? | Usually treatable with antibiotic |
| What are the emerging problem with bacterial STDs? | Antibiotic-resistant strains of gonorrhea are emerging |
| Give some example of Antibiotic-resistant strains of gonorrhea? | Gonorrhea, syphilis, Chlamydia. |
| What are some factors associated with the risk of STDs? | Younger than 25 years. Member of minority group. Residing in an urban setting. Being impoverished. Using crack cocaine. |
| What other Factors are Contributing to the Problem of STDs? | Periods when Pt sod not know the have STD hence they unknowingly transmit it to others. poverty, lack of access to healthcare, sexuallity, secrecy, substance abuse. |
| Identify the following as either bacterial or viral STDs: Gonorrhea? | Bacterial. |
| Identify the following as either bacterial or viral STDs: Syphilis? | Bacterial. |
| Identify the following as either bacterial or viral STDs: Chlamydia? | Bacterial. |
| Identify the following as either bacterial or viral STDs: Hepatitis B | Viral. |
| Identify the following as either bacterial or viral STDs: Genital herpes? | Viral. |
| Identify the following as either bacterial or viral STDs: HPV? | Viral. |
| Identify the following as either bacterial or viral STDs: Herpes Simplex? | Viral. |
| Wha are the S/S of gonorrhea in males? | Purulent & corpious urethral dischard, dysuria, or asymptomatic. |
| What are the S/S of gonorrhea in females? | None; they are asymptomatic. |
| Other types of gonorrhea are? | Gonococcal cervicitis (Of the Cervix). & Gonococcal ophthalmia (of the eyes). |
| What causes syphillis? | Spirochete Treponema pallidum. |
| Syphillis incedence is? | Declining |
| Clinical manifestation of syphillis are divied into what? | Divided into early and late stages. Latency, a period when there are no clinical signs of infection, may occur during the early and late stages, but the client has historical or serological evidence of infection. |
| Clinical manifestation of syphillis: late stage? | May be asymptomatic, ulcerating gumma, Congenital syphilis – mucous patches |
| What is known about pts with Chlamydia? | Pts often don’t know they have it since the disease often has no symptoms. |
| Cases of chlamydia is reported to the CDC from where? | 50 states of the U. S. and the District of Columbia. |
| Chlamydia can have what impact on women if left untreated? | Impact on woman’s ability to have children |
| How hard is the treament of chlamydia? | Easy to cure |
| What is the national results on Herpes? | Show that genital herpes infection is common in the United States. |
| What treatment for herpes? | No cure or treament - viral |
| S/S of Herpes? | Painful lessions |
| How many types of HPV do we have that infect genital areas of males and females? | 40 HPV |
| Which other area can HPV affect? | Mouth and throat. |
| Gaurdicell for girls of what age? | 9 - 26 yo |
| Gaurdicell protects how many types of HPVs? | 4 types |
| Chlamydia rate in the U.S is? | Rising |
| Gonorrhea rate in the U.S is? | Declinig |
| Primary and secondary syphilis — Rates | Declining |
| Hepatitis A Virus is often transmitted via what? | Fecal-oral route |
| What other sourses of Hep. A? | Water, food, sexual contact |
| Hep.A is often silent in whom? | Children |
| Hepatitis B Virus is spread via? | Blood and body fluids |
| How long can Hepatitis B Virus survive in room temperature | At least 1 week |
| S/S of Hepatitis A Virus? | Jaundice, dark colored urine, fever, nausea, tiredness, loss of appettite, vomitting. |
| Hepatitis A Virus incubation period is? | 1 - 2 weeks |
| Any vaccine availble for Hepatitis A Virus? | Yes, since 1995. |
| Prevention of Hepatitis A Virus? | Vaccine, hygiene, appropriate sanitation. |
| How infecious is Hepatitis B Virus? | 100 times more infectious than HIV |
| Vaccine avaible for Hepatitis B Virus? | Yes |
| Prevention of Hepatitis B Virus? | Vaccination, immunization, prevention of nosocomial infection, avoid sexuall contacts with infected person and avoid injection drug users. |
| Hepatitis C Virus is spread via? | Blood or body fluids. |
| Hepatitis C Virus is the most common what in the U.S.? | Chronic blood-borne infection . |
| Hepatitis C Virus is the leading cause of what? | Chronic liver disease, end-stage liver disease, liver cancer, and liver transplants in the U.S. |
| Hepatitis C Virus prevention? | Screen blood and blood products. |