Study sets, textbooks, questions
Upgrade to remove ads
Chapter 20. Nursing Care of Patients With HIV Disease and AIDS
Terms in this set (34)
The nurse is caring for a patient who has AIDS. Which outcome should receive priority?
Maintain baseline weight.
A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?
HIV is now considered a chronic disease with treatment
The nurse is caring for a patient with HIV. For which common opportunistic infection should the nurse observe when caring for this patient?
The nurse contributed to a staff education program about transmission precautions to use when caring for a patient who has AIDS. Which statement by a staff member indicates a correct understanding of the teaching?
Wear clean gloves for body fluid contact.
The nurse is reinforcing teaching on transmission of HIV for a family of a patient diagnosed with HIV. Which explanation by the nurse would be correct?
HIV enters the body through breaks in the skin or mucous membranes.
The nurse is monitoring a patient with AIDS. Which manifestation should the nurse expect to observe in this patient?
The nurse is assisting in a teaching plan for the family of a patient with HIV. Which explanation about the transmission of HIV should the nurse include in this plan?
HIV spreads by contact with infected blood.
A patient who has AIDS expresses concern about telling others about the illness. Which response would be appropriate by the nurse?
You should tell those who have a reason to know.
The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?
Viral load testing
The nurse is preparing to care for a patient who is HIV positive. Which action should the nurse take when following standard precautions for protection from HIV exposure?
Put on gloves before touching body fluids.
A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response
should the nurse make to the patient?
CD4+ lymphocyte counts are monitored to determine the progression of the disease.
The nurse is contributing to a teaching plan. What should the nurse emphasize as being the most effective method known to control the spread of HIV infection?
Education about preventive behaviors
The nurse is collecting data for a patient with suspected exposure to HIV. Which symptoms would be most concerning in this patient?
Fever, diarrhea, sore throat
The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?
CD4+ = 180/L
A patient asks, What is the main purpose of these medications I take for my HIV? Which response should the nurse make?
They inhibit enzymes to interfere with viral production.
The nurse is participating in the planning of care for a patient who has HIV. Which therapeutic action should the nurse recognize as the treatment goal for HIV?
Keeping the virus from replicating
The nurse provides teaching on nevirapine (Viramune) for a patient who is HIV positive. Which patient statement indicates that teaching has been effective?
observe urine color
The family of a patient with AIDS has been instructed on patient manifestations to report to the health care provider (HCP). Which manifestation should be reported indicating that teaching has been effective?
The nurse is reviewing the use of a condom to prevent the transmission of HIV with a young adult patient seeking testing for HIV. Which patient statement indicates an understanding of how to use a condom?
Apply condom before penile erection occurs.
A patient with AIDS-related wasting syndrome is very weak, lies listlessly in bed, has an intravenous (IV) drip, and receives antiretroviral medications via injection. What should be the priority nursing diagnosis for this patient?
Risk for Infection due to weak immune system and parenteral therapy
An HIV-infected patient reports being a cat lover and says, I always get my pets from a known sanitary source. What should the nurse instruct the patient about cats and the risk of infection?
Be sure all the cats have up-to-date immunizations, and avoid their feces.
The nurse is caring for a patient who has AIDS. For which opportunistic lung infection caused by a fungus should the nurse monitor in this patient?
Pneumocystis jiroveci pneumonia
The nurse is caring for the newborn of a mother who is HIV positive. What treatment should the nurse expect to be prescribed for the infant?
A health care worker is exposed to blood from a patient who has HIV. What action should the worker take after the exposure?
Cleanse the site with soap and water.
The nurse notes that a patient with AIDS is prescribed trimethoprim-sulfamethoxazole (Bactrim). For which opportunistic infection should the nurse realize that is this medication indicated?
Pneumocystis jiroveci pneumonia
The nurse is preparing to read the Mantoux tuberculin skin test placed on the forearm of a patient with HIV. Which finding should the nurse report as a positive test for this patient?
A patient who has AIDS has been instructed on foods to eat to reduce the risk of infection. Which foods should the patient select that indicates correct understanding of this teaching? (Select all that apply.)
(d.) Pasteurized milk
(e.) Well-cooked meat
The nurse is contributing to a teaching plan. What information should the nurse include that identifies the methods in which HIV can be transmitted? (Select all that apply.)
(e.) Breast milk
(f.) Vaginal secretions
The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)
(a.) Eat a low-residue diet.
(d.) Numb painful oral sores with ice or popsicles.
(e.) Eat three high-calorie, high-protein meals a day, plus snacks.
The nurse is contributing to a nutrition and hydration teaching plan for a patient who has AIDS. What recommendations should the nurse include in this plan? (Select all that apply.)
A.Avoid soft cheeses
B.avoid Caesar salad
C. Avoid public drinking fountains
E.avoid leftovers or heat until steaming
F.read me until internal temperature is 165 with no trace of pink
The nurse is reinforcing teaching on the rising incidence of HIV in adults over the age of 50 with a group of senior community members. Which factors should the nurse include? (Select all that apply.)
A.Older adults are less likely to use condoms then younger at risk adults
B.at risk individuals over the age of 50 or less likely to be tested for HIV
C.Society continues to age with larger numbers of people entering this age group
D.A decline in the function of immune system increases the risk of HIV infection
F. Treatments for erectile dysfunction have increase the number of older individuals who are sexually active
A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
(b.) Report any yellowing of the skin.
(c.) Report any change in urine output.
(d.) Report any symptoms similar to having the flu.
(e.) Report any numbness or tingling of the hands or feet.
A patient with AIDS is planning a trip to Mexico. What teaching should the nurse provide to this patient to prevent the development of an opportunistic infection? (Select all that apply.)
B.do not walk barefoot
C. Dont eat raw fruits or vegetables
E.take an antimicrobial agent if diarrhea occurs
While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV- associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
(b.) Inappropriate laughter
(c.) Inability to state home address
(d.) Knee buckling while walking
(e.) Asking if the bugs could be removed from the walls
Students also viewed
Chapter 7 Nursing management of pain during labor…
Chapter 51 & 52
8 Antibacterial Drugs That Interfere With Protein…
Other sets by this creator
Chapter 19 Nursing Care of Patients with Immune Di…
Chapter 18 Immune System Function, Assessment and…
Other Quizlet sets
Accounting 2: Chapter 20 "Incremental Analysis"
Anatomy: Digestive System Part 2
ITC 471 Linux Admin Midterm (Ch. 1-4)
Agr 550 Exam 4