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Kayla1 Kayla1
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Posts: 597
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6 years ago
A client with acquired immune deficiency syndrome is in the hospital with severe diarrhea. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Assessing the client's fluid and electrolyte status
  b. Assisting the client to get out of bed to prevent falls
  c. Obtaining a bedside commode if the client is weak
  d. Providing gentle perianal cleansing after stools
  e. Reporting any perianal abnormalities

Question 2

A client with acquired immune deficiency syndrome (AIDS) is hospitalized with Pneumocystis jiroveci pneumonia and is started on the drug of choice for this infection. What laboratory values should the nurse report to the provider as a priority?
 
  (Select all that apply.)
  a.
  Aspartate transaminase, alanine transaminase: elevated
  b.
  CD4+ cell count: 180/mm3
  c.
  Creatinine: 1.0 mg/dL
  d.
  Platelet count: 80,000/mm3
  e.
  Serum sodium: 120 mEq/L

Question 3

A nurse is traveling to a third-world country with a medical volunteer group to work with people who are infected with human immune deficiency virus (HIV). The nurse should recognize that which of the following might be a barrier to the prevention of
 
  perinatal HIV transmission? (Select all that apply.)
  a.
  Clean drinking water
  b.
  Cultural beliefs about illness
  c.
  Lack of antiviral medication
  d.
  Social stigma
  e.
  Unknown transmission routes

Question 4

A student nurse is learning about human immune deficiency virus (HIV) infection. Which statements about HIV infection are correct? (Select all that apply.)
 
  a. CD4+ cells begin to create new HIV virus particles.
  b. Antibodies produced are incomplete and do not function well.
  c. Macrophages stop functioning properly.
  d. Opportunistic infections and cancer are leading causes of death.
  e. People with stage 1 HIV disease are not infectious to others.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: B, C, D, E
The UAP can assist the client with getting out of bed, obtain a bedside commode for the client's use, cleanse the client's perianal area after bowel movements, and report any abnormal observations such as redness or open areas. The nurse assesses fluid and electrolyte status.

The answer to question 2

ANS: A, D, E
The drug of choice to treat Pneumocystis jiroveci pneumonia is trimethoprim with sulfamethoxazole (Septra). Side effects of this drug include hepatitis, hyponatremia, and thrombocytopenia. The elevated liver enzymes, low platelet count, and low sodium should all be reported. The CD4+ cell count is within the expected range for a client with an AIDS-defining infection. The creatinine level is normal.

The answer to question 3

ANS: A, B, C, D
Treatment and prevention of HIV is complex, and in third-world countries barriers exist that one might not otherwise think of. Mothers must have access to clean drinking water if they are to mix formula. Cultural beliefs about illness, lack of available medications, and social stigma are also possible barriers. Perinatal transmission is well known to occur across the placenta during birth, from exposure to blood and body fluids during birth, and through breast-feeding.

The answer to question 4

ANS: A, B, C, D
In HIV, CD4+ cells begin to create new HIV particles. Antibodies the client produces are incomplete and do not function well. Macrophages also stop functioning properly. Opportunistic infections and cancer are the two leading causes of death in clients with HIV infection. People infected with HIV are infectious in all stages of the disease.
Kayla1 Author
wrote...
6 years ago
Amazing, correctly answered
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