Why do opportunistic diseases develop in an individual with AIDS?

These infections or tumors occur in a pt with an incompetent immune system.

After teaching a pt w/ HIV about antiretroviral drugs, the RN knows that further teaching is needed when the the pt says

If my viral load becomes undetectable, I am no longer able to transmit HIV.

What is the most important nursing intervention for the prevention and treatment of pressure ulcers?

Repositioning the patient frequently

What is one of the most significant factors in determining when to start ART in a patient with HIV infection?

The patient's readiness to commit to a complex, lifelong, drug regimen

When reinforcing health teaching on managing OA, which patient statement indicates additional instruction is needed?

“I should stay standing all day to keep my joints from becoming stiff.”

The nurse obtains a history from a patient with RA. The nurse would follow up on which patient statement?

“I restrict fluids to prevent edema when taking methotrexate (Rheumatrex).”

A young adult patient with SLE tells the nurse “I want to have a baby” Which response by the nurse is most appropriate?

“Infertility can result from some drugs used to control your disease.”

A patient is admitted with a stage II pressure ulcer. What does the nurse expect to observe when they do an assessment?

Red-pink wound bed without slough

The nurse caring for a client who is HIV positive has a needle stick. Which intervention should the nurse preform first?

Flush the skin with water and try to get the area to bleed.

Which patient is at the greatest risk for developing pressure ulcers?

A 30 year old man who is comatose following a head injury

What is a primary reason that the normal immune response fails to contain the HIV infection?

CD4* cells become infected with HIV and are destroyed.

Which characteristic corresponds with the acute stage of HIV infection?

Persistent fevers and night sweats

A nurse is working with a patient with OA. Which description of the disorder would be included in the teaching plan?

Degeneration of articular cartilage in synovial joints

studbud

HIV/Wound

15 termsStudBud Administration112 plays

Imported from external platform

Flashcards15 cardsFPractice quizPHost liveL

Questions 15

Answers

1
Why do opportunistic diseases develop in an individual with AIDS?
They are sexually transmitted to individuals during exposure to HIV.
They are side effects of drug treatment of AIDS.
They are characteristic in individuals with stimulated B and T lymphocytes.
These infections or tumors occur in a pt with an incompetent immune system.
2
After teaching a pt w/ HIV about antiretroviral drugs, the RN knows that further teaching is needed when the the pt says
If I develop a HA with nausea and vomiting, I should report it to my HCP.
I should never skip doses of my medication, even if I develop side effects.
"I should not use any over-the-counter drugs without checking with my HCP."
If my viral load becomes undetectable, I am no longer able to transmit HIV.
3
The rn is providing postop care for a pt with HIV infection after an appendectomy. What precautions would the rn expect?
Droplet precautions
Airborne precautions
Standard precautions
Contact precautions
4
What is the most important nursing intervention for the prevention and treatment of pressure ulcers?
Using lift sheets and trapeze bars to facilitate patient movement
Repositioning the patient frequently
Using pressure reduction devices
Massaging pressure areas with lotion
5
What is one of the most significant factors in determining when to start ART in a patient with HIV infection?
Confirmation that the patient has contracted HIV infection
The patient's readiness to commit to a complex, lifelong, drug regimen
Whether the patient has high levels of HIV antibodies
Whether the pt has a support system to help manage the treatment and costs
6
When reinforcing health teaching on managing OA, which patient statement indicates additional instruction is needed?
“I should take the Naprosyn as prescribed to help control the pain.”
“I should stay standing all day to keep my joints from becoming stiff.”
“I can use a cane to relieve the pressure on my back and hip.”
“A warm shower will help relieve the stiffness I have when I get up.”
7
The nurse obtains a history from a patient with RA. The nurse would follow up on which patient statement?
“I restrict fluids to prevent edema when taking methotrexate (Rheumatrex).”
“I use a heating pad for 20 minutes to reduce morning stiffness.”
“I perform range of motion exercises at least twice a day.”
I take a 20-minute nap in the afternoon even if I sleep 9 hours at night.”
8
A young adult patient with SLE tells the nurse “I want to have a baby” Which response by the nurse is most appropriate?
“Autoantibodies passed to baby during pregnancy will cause heart defects.”
“The baby is at high risk for neonatal lups being diagnosed at birth.”
“Infertility can result from some drugs used to control your disease.”
“Temporary remission of your symptoms is common during pregnancy.”
9
A patient is admitted with a stage II pressure ulcer. What does the nurse expect to observe when they do an assessment?
Red-pink wound bed without slough
Clean, moist granulation tissue
Adherent gray necrotic tissue
Ivory to yellow-green exudate
10
The nurse caring for a client who is HIV positive has a needle stick. Which intervention should the nurse preform first?
Follow up with the infection control nurse to have follow up lab work done.
Notify the charge nurse and complete an incident report.
Flush the skin with water and try to get the area to bleed.
Report to the employee health nurse for prophylactic medication.
11
Which patient is at the greatest risk for developing pressure ulcers?
A 78 year old man who is confused and malnourished
A 65 year old woman who has urge and stress incontinence
A 42 year old obese woman with type 2 diabetes
A 30 year old man who is comatose following a head injury
12
What is a primary reason that the normal immune response fails to contain the HIV infection?
Natural killer cells are destroyed before the immune system is activated.
Monocytes ingest cells, differentiate into macrophages, and shed viruses
CD4* cells become infected with HIV and are destroyed.
The virus inactivates B cells, preventing the production of HIV antibodies.
13
The RN teaches a pt with gout about food that may be consumed on a low-purine diet. The pt’s food choice is appropriate?
Eggs
Salmon
Liver
Beef
14
Which characteristic corresponds with the acute stage of HIV infection?
Temporary fall of CD4* T cells
Pneumocystis (PCP) pneumonia
Burkitt's lymphoma
Persistent fevers and night sweats
15
A nurse is working with a patient with OA. Which description of the disorder would be included in the teaching plan?
Breakdown of tissue in non–weight-bearing joints by enzymes
Degeneration of articular cartilage in synovial joints
Joint destruction caused by an autoimmune process
Overproduction of synovial fluid resulting in joint destruction

HIV/Wound Flashcards | StudBud