Question 1

A patient who uses injectable illegal drugs asks the nurse about preventing acquired immunodeficiency syndrome (AIDS) .Which response by the nurse is best?

Accepted Answer

A)   "Avoid sexual intercourse when using injectable drugs."
B)   "It is important to participate in a needle-exchange program."
C)   "You should ask those who share equipment to be tested for HIV."
D)   "I recommend cleaning drug injection equipment before each use."E) A) and D)
F) B) and C)

Question 2

The nurse designs a program to decrease the incidence of human immunodeficiency virus (HIV) infection in the adolescent and young adult populations.Which information should the nurse assign as the highest priority?

Accepted Answer

A)   Methods to prevent perinatal HIV transmission
B)   Ways to sterilize needles used by injectable drug users
C)   Prevention of HIV transmission between sexual partners
D)   Means to prevent transmission through blood transfusionsE) B) and C)
F) A) and D)

Question 3

The nurse plans a presentation for community members about how to decrease the risk for antibiotic-resistant infections.Which information will the nurse include in the teaching plan (select all that apply) ?

Accepted Answer

A)   Continue taking antibiotics until all the medication is gone.
B)   Antibiotics may sometimes be prescribed to prevent infection.
C)   Unused antibiotics that are more than a year old should be discarded.
D)   Antibiotics are effective in treating influenza associated with high fevers.
E)   Hand washing is effective in preventing many viral and bacterial infections.F) A) and B)
G) B) and E)

Question 4

The nurse cares for a patient who is human immunodeficiency virus (HIV) positive and taking antiretroviral therapy (ART) .Which information is most important for the nurse to address when planning care?

Accepted Answer

A)   The patient's blood glucose level is 142 mg/dL.
B)   The patient complains of feeling "constantly tired."
C)   The patient is unable to state the side effects of the medications.
D)   The patient states, "Sometimes I miss a dose of zidovudine (AZT) ."E) A) and C)
F) A) and D)

Question 5

The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient?

Accepted Answer

A)   Patient who is currently HIV negative but has unprotected sex with multiple partners
B)   Patient who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL
C)   HIV-positive patient with a CD4+ count of 160/µL who drinks a fifth of whiskey daily
D)   Patient who tested positive for HIV 2 years ago and now has cytomegalovirus (CMV)  retinitisE) B) and D)
F) A) and D)

Question 6

A young adult female patient who is human immunodeficiency virus (HIV) -positive has a new prescription for efavirenz (Sustiva) .Which information is most important to include in the medication teaching plan?

Accepted Answer

A)   Driving is allowed when starting this medication.
B)   Report any bizarre dreams to the health care provider.
C)   Continue to use contraception while on this medication.
D)   Take this medication in the morning on an empty stomach.E) A) and B)
F) A) and C)

Question 7

Which patient exposure by the nurse is most likely to require postexposure prophylaxis when the patient's human immunodeficiency virus (HIV) status is unknown?

Accepted Answer

A)   Needle stick with a needle and syringe used to draw blood
B)   Splash into the eyes when emptying a bedpan containing stool
C)   Contamination of open skin lesions with patient vaginal secretions
D)   Needle stick injury with a suture needle during a surgical procedureE) A) and C)
F) None of the above

Question 8

Which information would be most important to help the nurse determine if the patient needs human immunodeficiency virus (HIV) testing?

Accepted Answer

A)   Patient age
B)   Patient lifestyle
C)   Patient symptoms
D)   Patient sexual orientationE) A) and C)
F) A) and B) A

Question 9

A patient who is human immunodeficiency virus (HIV) -infected has a CD4+ cell count of 400/µL.Which factor is most important for the nurse to determine before the initiation of antiretroviral therapy (ART) for this patient?

Accepted Answer

A)   HIV genotype and phenotype
B)   Patient's social support system
C)   Potential medication side effects
D)   Patient's ability to comply with ART scheduleE) A) and B)
F) None of the above

Question 10

To evaluate the effectiveness of antiretroviral therapy (ART) ,which laboratory test result will the nurse review?

Accepted Answer

A)   Viral load testing
B)   Enzyme immunoassay
C)   Rapid HIV antibody testing
D)   Immunofluorescence assayE) None of the above
F) A) and D)

Question 11

A patient who has vague symptoms of fatigue,headaches,and a positive test for human immunodeficiency virus (HIV) antibodies using an enzyme immunoassay (EIA) test.What instructions should the nurse give to this patient?

Accepted Answer

A)   "The EIA test will need to be repeated to verify the results."
B)   "A viral culture will be done to determine the progression of the disease."
C)   "It will probably be 10 or more years before you develop acquired immunodeficiency syndrome (AIDS) ."
D)   "The Western blot test will be done to determine whether acquired immunodeficiency syndrome (AIDS)  has developed."E) B) and C)
F) All of the above

Question 12

The registered nurse (RN) caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP) ?

Accepted Answer

A)   Teach the patient about how to use tissues to dispose of respiratory secretions.
B)   Stock the patient's room with all the necessary personal protective equipment.
C)   Interview the patient to obtain the names of family members and close contacts.
D)   Tell the patient's family members the reason for the use of airborne precautions.E) A) and C)
F) B) and C) B

Question 13

A patient with human immunodeficiency virus (HIV) infection has developed Mycobacterium avium complex infection.Which outcome would be appropriate for the nurse to include in the plan of care?

Accepted Answer

A)   The patient will be free from injury.
B)   The patient will receive immunizations.
C)   The patient will have adequate oxygenation.
D)   The patient will maintain intact perineal skin.E) A) and D)
F) All of the above

Question 14

Which of these patients being seen at the human immunodeficiency virus (HIV) clinic should the nurse assess first?

Accepted Answer

A)   Patient whose latest CD4+ count is 250/µL
B)   Patient whose rapid HIV-antibody test is positive
C)   Patient who has had 10 liquid stools in the last 24 hours
D)   Patient who has nausea from prescribed antiretroviral drugsE) None of the above
F) A) and B)

Question 15

A patient who has a positive test for human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and a CD4 T-cell count of less than 200 cells/ìL.Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC) ,which statement by the nurse is correct?

Accepted Answer

A)   "The patient meets the criteria for a diagnosis of an acute HIV infection."
B)   "The patient will be diagnosed with asymptomatic chronic HIV infection."
C)   "The patient has developed acquired immunodeficiency syndrome (AIDS) ."
D)   "The patient will develop symptomatic chronic HIV infection in less than a year."E) C) and D)
F) B) and C)

Question 16

The nurse prepares to administer the following medications to a hospitalized patient with human immunodeficiency (HIV) .Which medication is most important to administer at the right time?

Accepted Answer

A)   Oral acyclovir (Zovirax) 
B)   Oral saquinavir (Invirase) 
C)   Nystatin (Mycostatin)  tablet
D)   Aerosolized pentamidine (NebuPent) E) B) and C)
F) B) and D)

Question 17

A patient with a positive rapid antibody test result for human immunodeficiency virus (HIV) is anxious and does not appear to hear what the nurse is saying.What action by the nurse is most important at this time?

Accepted Answer

A)   Teach the patient about the medications available for treatment.
B)   Inform the patient how to protect sexual and needle-sharing partners.
C)   Remind the patient about the need to return for retesting to verify the results.
D)   Ask the patient to notify individuals who have had risky contact with the patient.E) C) and D)
F) A) and B)

Question 18

A patient who is diagnosed with acquired immunodeficiency syndrome (AIDS) tells the nurse,"I feel obsessed with thoughts about dying.Do you think I am just being morbid?" Which response by the nurse is best?

Accepted Answer

A)   "Thinking about dying will not improve the course of AIDS."
B)   "It is important to focus on the good things about your life now."
C)   "Do you think that taking an antidepressant might be helpful to you?"
D)   "Can you tell me more about the kind of thoughts that you are having?"E) B) and D)
F) B) and C)

Question 19

A pregnant woman with a history of asymptomatic chronic human immunodeficiency virus (HIV) infection is seen at the clinic.The patient states,"I am very nervous about making my baby sick." Which information will the nurse include when teaching the patient?

Accepted Answer

A)   The antiretroviral medications used to treat HIV infection are teratogenic.
B)   Most infants born to HIV-positive mothers are not infected with the virus.
C)   Because she is at an early stage of HIV infection, the infant will not contract HIV.
D)   It is likely that her newborn will become infected with HIV unless she uses antiretroviral therapy (ART) .E) A) and B)
F) A) and C) B

Question 20

Eight years after seroconversion,a human immunodeficiency virus (HIV) -infected patient has a CD4+ cell count of 800/µL and an undetectable viral load.What is the priority nursing intervention at this time?

Accepted Answer

A)   Teach about the effects of antiretroviral agents.
B)   Encourage adequate nutrition, exercise, and sleep.
C)   Discuss likelihood of increased opportunistic infections.
D)   Monitor for symptoms of acquired immunodeficiency syndrome (AIDS) .E) B) and C)
F) A) and D)

Exam 11: Nursing Management: Infection and Human Immunodeficiency Virus Infection

A patient who uses injectable illegal drugs asks the nurse about preventing acquired immunodeficiency syndrome (AIDS) .Which response by the nurse is best?

Correct Answer
verified

The nurse designs a program to decrease the incidence of human immunodeficiency virus (HIV) infection in the adolescent and young adult populations.Which information should the nurse assign as the highest priority?

Correct Answer
verified

The nurse plans a presentation for community members about how to decrease the risk for antibiotic-resistant infections.Which information will the nurse include in the teaching plan (select all that apply) ?

Correct Answer
verified

The nurse cares for a patient who is human immunodeficiency virus (HIV) positive and taking antiretroviral therapy (ART) .Which information is most important for the nurse to address when planning care?

Correct Answer
verified

The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient?

Correct Answer
verified

A young adult female patient who is human immunodeficiency virus (HIV) -positive has a new prescription for efavirenz (Sustiva) .Which information is most important to include in the medication teaching plan?

Correct Answer
verified

Which patient exposure by the nurse is most likely to require postexposure prophylaxis when the patient's human immunodeficiency virus (HIV) status is unknown?

Correct Answer
verified

Which information would be most important to help the nurse determine if the patient needs human immunodeficiency virus (HIV) testing?

Correct Answer
verified
A

A patient who is human immunodeficiency virus (HIV) -infected has a CD4⁺ cell count of 400/µL.Which factor is most important for the nurse to determine before the initiation of antiretroviral therapy (ART) for this patient?

Correct Answer
verified

To evaluate the effectiveness of antiretroviral therapy (ART) ,which laboratory test result will the nurse review?

Correct Answer
verified

A patient who has vague symptoms of fatigue,headaches,and a positive test for human immunodeficiency virus (HIV) antibodies using an enzyme immunoassay (EIA) test.What instructions should the nurse give to this patient?

Correct Answer
verified

The registered nurse (RN) caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP) ?

Correct Answer
verified
B

A patient with human immunodeficiency virus (HIV) infection has developed Mycobacterium avium complex infection.Which outcome would be appropriate for the nurse to include in the plan of care?

Correct Answer
verified

Which of these patients being seen at the human immunodeficiency virus (HIV) clinic should the nurse assess first?

Correct Answer
verified

Correct Answer
verified

The nurse prepares to administer the following medications to a hospitalized patient with human immunodeficiency (HIV) .Which medication is most important to administer at the right time?

Correct Answer
verified

A patient with a positive rapid antibody test result for human immunodeficiency virus (HIV) is anxious and does not appear to hear what the nurse is saying.What action by the nurse is most important at this time?

Correct Answer
verified

A patient who is diagnosed with acquired immunodeficiency syndrome (AIDS) tells the nurse,"I feel obsessed with thoughts about dying.Do you think I am just being morbid?" Which response by the nurse is best?

Correct Answer
verified

A pregnant woman with a history of asymptomatic chronic human immunodeficiency virus (HIV) infection is seen at the clinic.The patient states,"I am very nervous about making my baby sick." Which information will the nurse include when teaching the patient?

Correct Answer
verified
B

Eight years after seroconversion,a human immunodeficiency virus (HIV) -infected patient has a CD4⁺ cell count of 800/µL and an undetectable viral load.What is the priority nursing intervention at this time?

Correct Answer
verified

Exam 11: Nursing Management: Infection and Human Immunodeficiency Virus Infection

A patient who uses injectable illegal drugs asks the nurse about preventing acquired immunodeficiency syndrome (AIDS) .Which response by the nurse is best?

Correct AnswerverifiedShow Answer

The nurse designs a program to decrease the incidence of human immunodeficiency virus (HIV) infection in the adolescent and young adult populations.Which information should the nurse assign as the highest priority?

Correct AnswerverifiedShow Answer

The nurse plans a presentation for community members about how to decrease the risk for antibiotic-resistant infections.Which information will the nurse include in the teaching plan (select all that apply) ?

Correct AnswerverifiedShow Answer

The nurse cares for a patient who is human immunodeficiency virus (HIV) positive and taking antiretroviral therapy (ART) .Which information is most important for the nurse to address when planning care?

Correct AnswerverifiedShow Answer

The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient?

Correct AnswerverifiedShow Answer

A young adult female patient who is human immunodeficiency virus (HIV) -positive has a new prescription for efavirenz (Sustiva) .Which information is most important to include in the medication teaching plan?

Correct AnswerverifiedShow Answer

Which patient exposure by the nurse is most likely to require postexposure prophylaxis when the patient's human immunodeficiency virus (HIV) status is unknown?

Correct AnswerverifiedShow Answer

Which information would be most important to help the nurse determine if the patient needs human immunodeficiency virus (HIV) testing?

Correct AnswerverifiedA

A patient who is human immunodeficiency virus (HIV) -infected has a CD4+ cell count of 400/µL.Which factor is most important for the nurse to determine before the initiation of antiretroviral therapy (ART) for this patient?

Correct AnswerverifiedShow Answer

To evaluate the effectiveness of antiretroviral therapy (ART) ,which laboratory test result will the nurse review?

Correct AnswerverifiedShow Answer

A patient who has vague symptoms of fatigue,headaches,and a positive test for human immunodeficiency virus (HIV) antibodies using an enzyme immunoassay (EIA) test.What instructions should the nurse give to this patient?

Correct AnswerverifiedShow Answer

The registered nurse (RN) caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP) ?

Correct AnswerverifiedB

A patient with human immunodeficiency virus (HIV) infection has developed Mycobacterium avium complex infection.Which outcome would be appropriate for the nurse to include in the plan of care?

Correct AnswerverifiedShow Answer

Which of these patients being seen at the human immunodeficiency virus (HIV) clinic should the nurse assess first?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse prepares to administer the following medications to a hospitalized patient with human immunodeficiency (HIV) .Which medication is most important to administer at the right time?

Correct AnswerverifiedShow Answer

A patient with a positive rapid antibody test result for human immunodeficiency virus (HIV) is anxious and does not appear to hear what the nurse is saying.What action by the nurse is most important at this time?

Correct AnswerverifiedShow Answer

A patient who is diagnosed with acquired immunodeficiency syndrome (AIDS) tells the nurse,"I feel obsessed with thoughts about dying.Do you think I am just being morbid?" Which response by the nurse is best?

Correct AnswerverifiedShow Answer

A pregnant woman with a history of asymptomatic chronic human immunodeficiency virus (HIV) infection is seen at the clinic.The patient states,"I am very nervous about making my baby sick." Which information will the nurse include when teaching the patient?

Correct AnswerverifiedB

Eight years after seroconversion,a human immunodeficiency virus (HIV) -infected patient has a CD4+ cell count of 800/µL and an undetectable viral load.What is the priority nursing intervention at this time?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

A patient who is human immunodeficiency virus (HIV) -infected has a CD4⁺ cell count of 400/µL.Which factor is most important for the nurse to determine before the initiation of antiretroviral therapy (ART) for this patient?

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
verified
B

Eight years after seroconversion,a human immunodeficiency virus (HIV) -infected patient has a CD4⁺ cell count of 800/µL and an undetectable viral load.What is the priority nursing intervention at this time?

Correct Answer
verified