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Chapter 14: HIV Infection and Infections

Quiz by Bella Correa

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15 questions
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  • Q1
    The nurse is caring for a patient newly diagnosed with human immunodeficiency virus (HIV). The patient asks what would determine the actual development of acquired immunodeficiency syndrome (AIDS). The nurse's response is based on the knowledge that what is a diagnostic criterion for AIDS?
    CD4 +T cell count below 200/µL
    White blood cell (WBC) count below 5000/µL
    Presence of HIV antibodies
    Presence of oral hairy leukoplakia
  • Q2
    A patient receiving long-term antiretroviral therapy (ART) for HIV has developed lipodystrophy, hyperlipidemia, insulin resistance, and bone disease. Which should be the first intervention?
    Change antiretroviral medications
    Promote weight loss through exercise
    Suggest dietary changes to lower lipid levels
    Advocate use of calcium supplements
  • Q3
    During an assessment, the nurse finds that a patient who is HIV-positive has whitish yellow patches in the mouth, GI tract, and esophagus. Which opportunistic infection is the patient likely experiencing?
    Cryptococcus neoformans
    Cryptosporidium muris
    Candida albicans
    Coccidioides immitis
  • Q4
    A patient with human immunodeficiency virus (HIV) taking antiretroviral therapy reports they are starting to feel like they did before starting the therapy. What test should the nurse prepare the patient for?
    White blood cell count lab tes6t
    Standard antibody test
    Western Blot test
    Phenotype assay
  • Q5
    A patient with human immunodeficiency virus (HIV) comes into the clinic with a temperature of 102. Which statement would be of most concern to the nurse?
    "I started coughing up some clear mucous when I woke up this morning."
    "I have a rash that appeared on my stomach this morning."
    "I vomited once this morning."
    "I woke up this morning with a mild headache."
  • Q6
    The nurse is preparing to disconnect IV fluid tubing from the access port so the patient can ambulate to the bathroom. What will the nurse wear to prevent the spread of pathogens?
    Shoe covers
    A cap
    An isolation gown
  • Q7
    Which patient factor has contributed to the development of antibiotic-resistant superinfections?
    Compliance regarding dosing intervals
    Finishing the full course of antibiotics
    Skipping doses of antibiotics
    Adherence to prescribed course of treatment
  • Q8
    An HIV patient is on long-term antiretroviral therapy (ART). Of what side effects of the antiretroviral therapy should the nurse instruct the patient to be aware?
  • Q9
    The nurse is caring for a patient who is human immunodeficiency virus (HIV)-positive. The nurse is educating the patient about CD4 T cells. Which statement will be a part of the nurse’s teaching?
    "HIV produces CD4 cells to cause your infections."
    "HIV will destroy your CD4 cells and overwhelm your body."
    "Your immune system is healthy as long as you have CD4 cells."
    "Immune problems occur when your CD4 level is greater than 500 CD4 T cells/uL."
  • Q10
    A patient with phlebitis due to prolonged intravenous cannulation develops a fever, chills, and an elevated white blood cell count. Blood cultures are drawn and reveal staphylococcus aureus. Of which type of infection is this an example?
  • Q11
    The nurse is providing education to parents to prepare their children for school. Which infection is preventable with vaccines?
    Human immunodeficiency virus (HIV)
    Avian flu
    West Nile virus
  • Q12
    A patient with human immunodeficiency virus (HIV) is educated about health promotion activities. What should the nurse inform the patient the importance of these activities is?
    Helping to cure the HIV infection
    Delaying disease progression
    Enabling an increase in self-care activities
    Preventing disease transmission
  • Q13
    The nurse is caring for a group of assigned patients on the acute care unit. Which nursing action is a priority for preventing healthcare-associated infections (HAIs)?
    Wash hands before and after patient care
    Avoid direct contact with patients
    Treat all patients as if they are infected with mycobacterium tuberculosis
    Wear sterile gloves when working with patients
  • Q14
    What bacteria live in the large intestine and act to protect the body by preventing the overgrowth of other microorganisms?
    Clostridium difficile
    Normal flora
  • Q15
    A patient has developed West Nile virus after being bitten by a mosquito. What type of infection does the nurse recognize the patient has contracted?

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