Question 1

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV).The patient reports night sweats.Which is the most likely reason for this clinical manifestation?

Accepted Answer

Night sweats in patients with HIV are often associated with mycobacterial infections, such as tuberculosis or Mycobacterium avium complex, which are common opportunistic infections in these patients.

Question 2

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV),with a CD4+ count of 500 cells/$\mu$L.Which classification of HIV should the nurse document for this patient?

Accepted Answer

A CD4+ count of 500 cells/μL indicates the patient is in stage 1 of HIV, which is characterized by a CD4+ count greater than 500 cells/μL and no AIDS-defining conditions.

Question 3

The nurse is providing care to a pediatric patient who is HIV-positive.The patient's mother is describing the child's current condition and activities to the nurse.Which parental statement indicates that the child may require further intervention?

Accepted Answer

The statement "My child seems somewhat isolated and doesn't have any real friends" indicates a potential concern for the child's emotional and social well-being. This may require further intervention to address the child's social needs and promote a sense of belonging and support. The other statements indicate positive aspects of the child's condition and activities.

Question 4

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV).The patient presents with a fever without other notable symptoms.Which is the most likely cause of this data?

Accepted Answer

Fever is a common symptom of infection, and patients with HIV are at increased risk for infections due to their compromised immune system. Without any other notable symptoms, infection is the most likely cause of the fever. However, further assessment and testing may be necessary to determine the specific cause of the infection.

Question 5

The nurse is caring for a patient with acquired immunodeficiency syndrome (AIDS)who is in antiretroviral therapy.The patient reports nausea,fever,severe diarrhea,and anorexia.Which prescribed medication does the nurse anticipate in order to relieve the anorexia and to stimulate the patient's appetite?

Accepted Answer

Dronabinol (Marinol) is a medication that can help relieve anorexia and stimulate the appetite in patients with AIDS. It is a synthetic form of THC, the active ingredient in marijuana, and has been shown to be effective in helping patients gain weight and improve their nutritional status. Abacavir (Ziagen) is an antiretroviral medication used to treat HIV infection, but it does not have any appetite-stimulating properties. Ciprofloxacin (Cipro) is an antibiotic used to treat infections, but it would not be indicated for the symptoms that the patient is experiencing. Zidovudine (Retrovir, AZT) is also an antiretroviral medication used to treat HIV infection, but it does not have any appetite-stimulating properties.

Question 6

The nurse is discharging a pediatric patient who was recently diagnosed with acquired immunodeficiency syndrome (AIDS).When discussing appropriate health promotion activities for this child,which immunization is contraindicated?

Accepted Answer

The varicella vaccine is contraindicated for individuals with HIV/AIDS due to the risk of viral dissemination and severe disease. The other vaccines mentioned are not contraindicated for patients with HIV/AIDS.

Question 7

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV),with a CD4+ count of 300 cells/$\mu$L.Which classification of HIV should the nurse document for this patient?

Accepted Answer

A CD4+ count of 300 cells/$\mu$L falls within the range for Stage 2 HIV, which is defined by a CD4+ count of 200-499 cells/$\mu$L.

Question 8

A nurse is performing an admission assessment on a patient with symptoms that indicate human immunodeficiency virus (HIV).Which question from the nurse addresses a major risk factor for contracting HIV?

Accepted Answer

Intravenous drug use is a major risk factor for contracting HIV as the virus can be transmitted through sharing needles or other injection equipment. Asking if the patient has ever experimented with intravenous drugs can provide important information about their risk for HIV. The other questions are not specific to HIV risk factors.

Question 9

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV).The patient has lost 15% of body weight since the last appointment.Which reason should the nurse include in a teaching session for this patient regarding this occurrence?

Accepted Answer

Significant weight loss is a common symptom of HIV disease progression. As the immune system is compromised, the body becomes less able to fight off infections and disease, leading to a loss of appetite and weight loss. While infections such as mycobacterial infection and pneumocystis carinii pneumonia may contribute to weight loss, the primary reason for the patient's weight loss in this case is likely due to the progression of HIV disease.

Question 10

The nurse is assessing a patient who is diagnosed with human immunodeficiency virus (HIV)who presents with a rash.Which assessment question is most appropriate?

Accepted Answer

The patient's rash could be a side effect of the medication Bactrim, which is commonly prescribed for people with HIV to prevent infections. Asking if the patient is taking Bactrim is the most appropriate assessment question in this scenario. The other options are not directly related to the patient's HIV diagnosis or the development of a rash.

Question 11

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV),with a CD4+ count of less than 200 cells/$\mu$L.Which classification of HIV should the nurse document for this patient?

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), a CD4+ count of less than 200 cells/μL is classified as Stage 3 HIV, also known as acquired immunodeficiency syndrome (AIDS).

Question 12

A nurse working in an intensive care unit (ICU)is assigned a patient diagnosed with acquired immunodeficiency syndrome (AIDS).Based on this data,which type of precaution does the nurse implement when providing direct care?

Accepted Answer

Standard precautions are implemented for all patients, regardless of their diagnosis, to prevent the spread of infection. For a patient with AIDS, standard precautions are essential to protect both the healthcare worker and the patient from infections. AIDS does not require droplet, contact, or reverse precautions unless the patient has an additional infection that requires these specific precautions.

Question 13

Which patient should the nurse offer the opportunity for human immunodeficiency virus (HIV)testing during an annual physical examination?

Accepted Answer

Human immunodeficiency virus (HIV) testing is recommended for all individuals aged 13-64 at least once as a part of routine healthcare. Given that the ages of the other patients fall outside of this range, the nurse should offer HIV testing to the 18-year-old young adult patient during their annual physical examination.

Question 14

A home health nurse is conducting home visits for several patients who are diagnosed with acquired immunodeficiency syndrome (AIDS).Which patient would the nurse see first?

Accepted Answer

A patient with Pneumocystis carinii pneumonia (PCP) who reports a new onset of fever, cough, and shortness of breath should be seen first as this could indicate worsening of the condition and the need for urgent medical intervention. PCP is a serious opportunistic infection that can rapidly progress in immunocompromised patients.

Question 15

The nurse is caring for a patient who is newly diagnosed with human immunodeficiency virus (HIV).The patient asks the nurse if there are ways to protect the patient's life partner from getting the HIV virus.After educating the patient,which statement indicates the need for further education?

Accepted Answer

While the patient correctly identifies the need to use a latex condom during sexual encounters to prevent the spread of HIV, using an oil-based lubricant can actually increase the risk of the condom breaking or slipping off. Water-based lubricants should be used instead. The other options are correct ways to prevent transmission of HIV.

Question 16

Which immunization should the nurse encourage for a patient who is diagnosed with Stage 2 human immunodeficiency virus?

Accepted Answer

Patients with HIV are at increased risk of developing severe complications from the flu, and the influenza vaccine is recommended for all individuals with HIV. The other vaccines listed are live vaccines, which are contraindicated in patients with compromised immune systems like those with Stage 2 HIV.

Question 17

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV).The patient has shortness of breath when walking,but no problems breathing at rest.Which is the most likely cause for this clinical manifestation?

Accepted Answer

Shortness of breath when walking is a classic symptom of Pneumocystis carinii pneumonia (PCP) in patients with HIV. PCP is an opportunistic infection that occurs in patients with weakened immune systems, such as those with HIV. The fact that the patient does not experience shortness of breath at rest suggests that the problem may be related to increased demand for oxygen during activity, rather than a chronic or longstanding issue related to their HIV status.

Question 18

The nurse is providing care to a patient diagnosed with human immunodeficiency virus (HIV).The patient's CD4+ count is currently 480 cells/$\mu$L.Which complication is this patient at risk for developing?

Accepted Answer

A CD4+ count of 480 cells/μL puts the patient at risk for developing herpes zoster virus (shingles), which is a viral infection that is more common and severe in patients with HIV. Toxoplasmosis is a parasitic infection that typically occurs when the CD4+ count drops below 100 cells/μL. Vaginal candidiasis and severe bacterial infections are not directly related to the patient's CD4+ count.

Question 19

Which is the priority action for a nurse who is exposed to a needle-stick injury while providing patient care?

Accepted Answer

Washing the injury under running water is the priority action as it helps to reduce the risk of infection. Squeezing the site to remove the patient's blood should be avoided as it can increase the risk of transmission. Taking two or three drugs for 28 days and consenting to a human immunodeficiency virus (HIV) test can be done after seeking medical attention and consulting with a healthcare provider.

Question 20

A nurse is developing a plan of care for a patient diagnosed with human immunodeficiency virus (HIV).The patient states,"I don't plan on giving up sex just because I am HIV positive." Based on this data,which is the priority nursing diagnosis for this patient?

Accepted Answer

The priority nursing diagnosis is "Deficient Knowledge" because the patient may not fully understand the importance of safe sex practices to prevent the transmission of HIV to others. Educating the patient on safe sex practices is crucial.

Quiz 22: Coordinating Care for Patients With Hiv

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient reports night sweats.Which is the most likely reason for this clinical manifestation?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of 500 cells/ $\mu$ L.Which classification of HIV should the nurse document for this patient?

The nurse is providing care to a pediatric patient who is HIV-positive.The patient's mother is describing the child's current condition and activities to the nurse.Which parental statement indicates that the child may require further intervention?

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient presents with a fever without other notable symptoms.Which is the most likely cause of this data?

The nurse is discharging a pediatric patient who was recently diagnosed with acquired immunodeficiency syndrome (AIDS) .When discussing appropriate health promotion activities for this child,which immunization is contraindicated?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of 300 cells/ $\mu$ L.Which classification of HIV should the nurse document for this patient?

A nurse is performing an admission assessment on a patient with symptoms that indicate human immunodeficiency virus (HIV) .Which question from the nurse addresses a major risk factor for contracting HIV?

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient has lost 15% of body weight since the last appointment.Which reason should the nurse include in a teaching session for this patient regarding this occurrence?

The nurse is assessing a patient who is diagnosed with human immunodeficiency virus (HIV) who presents with a rash.Which assessment question is most appropriate?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of less than 200 cells/ $\mu$ L.Which classification of HIV should the nurse document for this patient?

A nurse working in an intensive care unit (ICU) is assigned a patient diagnosed with acquired immunodeficiency syndrome (AIDS) .Based on this data,which type of precaution does the nurse implement when providing direct care?

Which patient should the nurse offer the opportunity for human immunodeficiency virus (HIV) testing during an annual physical examination?

A home health nurse is conducting home visits for several patients who are diagnosed with acquired immunodeficiency syndrome (AIDS) .Which patient would the nurse see first?

The nurse is caring for a patient who is newly diagnosed with human immunodeficiency virus (HIV) .The patient asks the nurse if there are ways to protect the patient's life partner from getting the HIV virus.After educating the patient,which statement indicates the need for further education?

Which immunization should the nurse encourage for a patient who is diagnosed with Stage 2 human immunodeficiency virus?

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient has shortness of breath when walking,but no problems breathing at rest.Which is the most likely cause for this clinical manifestation?

The nurse is providing care to a patient diagnosed with human immunodeficiency virus (HIV) .The patient's CD4+ count is currently 480 cells/ $\mu$ L.Which complication is this patient at risk for developing?

Which is the priority action for a nurse who is exposed to a needle-stick injury while providing patient care?

A nurse is developing a plan of care for a patient diagnosed with human immunodeficiency virus (HIV) .The patient states,"I don't plan on giving up sex just because I am HIV positive." Based on this data,which is the priority nursing diagnosis for this patient?

Quiz 22: Coordinating Care for Patients With Hiv

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient reports night sweats.Which is the most likely reason for this clinical manifestation?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of 500 cells/ μ\muμ L.Which classification of HIV should the nurse document for this patient?

The nurse is providing care to a pediatric patient who is HIV-positive.The patient's mother is describing the child's current condition and activities to the nurse.Which parental statement indicates that the child may require further intervention?

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient presents with a fever without other notable symptoms.Which is the most likely cause of this data?

The nurse is discharging a pediatric patient who was recently diagnosed with acquired immunodeficiency syndrome (AIDS) .When discussing appropriate health promotion activities for this child,which immunization is contraindicated?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of 300 cells/ μ\muμ L.Which classification of HIV should the nurse document for this patient?

A nurse is performing an admission assessment on a patient with symptoms that indicate human immunodeficiency virus (HIV) .Which question from the nurse addresses a major risk factor for contracting HIV?

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient has lost 15% of body weight since the last appointment.Which reason should the nurse include in a teaching session for this patient regarding this occurrence?

The nurse is assessing a patient who is diagnosed with human immunodeficiency virus (HIV) who presents with a rash.Which assessment question is most appropriate?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of less than 200 cells/ μ\muμ L.Which classification of HIV should the nurse document for this patient?

A nurse working in an intensive care unit (ICU) is assigned a patient diagnosed with acquired immunodeficiency syndrome (AIDS) .Based on this data,which type of precaution does the nurse implement when providing direct care?

Which patient should the nurse offer the opportunity for human immunodeficiency virus (HIV) testing during an annual physical examination?

A home health nurse is conducting home visits for several patients who are diagnosed with acquired immunodeficiency syndrome (AIDS) .Which patient would the nurse see first?

The nurse is caring for a patient who is newly diagnosed with human immunodeficiency virus (HIV) .The patient asks the nurse if there are ways to protect the patient's life partner from getting the HIV virus.After educating the patient,which statement indicates the need for further education?

Which immunization should the nurse encourage for a patient who is diagnosed with Stage 2 human immunodeficiency virus?

The nurse is providing care to a patient who is diagnosed with human immunodeficiency virus (HIV) .The patient has shortness of breath when walking,but no problems breathing at rest.Which is the most likely cause for this clinical manifestation?

The nurse is providing care to a patient diagnosed with human immunodeficiency virus (HIV) .The patient's CD4+ count is currently 480 cells/ μ\muμ L.Which complication is this patient at risk for developing?

Which is the priority action for a nurse who is exposed to a needle-stick injury while providing patient care?

A nurse is developing a plan of care for a patient diagnosed with human immunodeficiency virus (HIV) .The patient states,"I don't plan on giving up sex just because I am HIV positive." Based on this data,which is the priority nursing diagnosis for this patient?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of 500 cells/ $\mu$ L.Which classification of HIV should the nurse document for this patient?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of 300 cells/ $\mu$ L.Which classification of HIV should the nurse document for this patient?

The nurse is providing care to a patient,diagnosed with human immunodeficiency virus (HIV) ,with a CD4+ count of less than 200 cells/ $\mu$ L.Which classification of HIV should the nurse document for this patient?

The nurse is providing care to a patient diagnosed with human immunodeficiency virus (HIV) .The patient's CD4+ count is currently 480 cells/ $\mu$ L.Which complication is this patient at risk for developing?