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?
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 transfusions
Question 2The 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)?
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.
Question 3Which of these patients being seen at the human immunodeficiency virus (HIV) clinic should the nurse assess first?
a. Patient whose latest CD4+ count is 250/L
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 drugs
Question 4The 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?
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).
Question 5An older adult who takes medications for coronary artery disease has just been diagnosed with asymptomatic chronic human immunodeficiency virus (HIV) infection. Which information will the nurse include in patient teaching?
a. Many medications have interactions with antiretroviral drugs.
b. Less frequent CD4+ level monitoring is needed in older adults.
c. Hospice care is available for patients with terminal HIV infection.
d. Progression of HIV infection occurs more rapidly in older patients.
Question 6Eight years after seroconversion, a human immunodeficiency virus (HIV)-infected patient has a CD4+ cell count of 800/L and an undetectable viral load. What is the priority nursing intervention at this time?
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).
Question 7The registered nurse (RN) caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP)?
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.
Question 8A patient treated for human immunodeficiency virus (HIV) infection for 6 years has developed fat redistribution to the trunk, with wasting of the arms, legs, and face. What instructions will the nurse give to the patient?
a. Review foods that are higher in protein.
b. Teach about the benefits of daily exercise.
c. Discuss a change in antiretroviral therapy.
d. Talk about treatment with antifungal agents.
Question 9A 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?
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.
Question 10The 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?
a. Oral acyclovir (Zovirax)
b. Oral saquinavir (Invirase)
c. Nystatin (Mycostatin) tablet
d. Aerosolized pentamidine (NebuPent)
Quick Reply
