Which findings are AIDS-defining characteristics? (Select all that apply.)
a. CD4+ cell count less than 200/mm3 or less than 14
b. Infection with Pneumocystis jiroveci
c. Positive enzyme-linked immunosorbent assay (ELISA) test for human immune deficiency virus (HIV)
d. Presence of HIV wasting syndrome
e. Taking antiretroviral medications
Question 2A client with HIV/AIDS asks the nurse why gabapentin (Neurontin) is part of the drug regimen when the client does not have a history of seizures. What response by the nurse is best?
a. Gabapentin can be used as an antidepressant too.
b. I have no idea why you should be taking this drug.
c. This drug helps treat the pain from nerve irritation.
d. You are at risk for seizures due to fungal infections.
Question 3An HIV-negative client who has an HIV-positive partner asks the nurse about receiving Truvada (emtricitabine and tenofovir). What information is most important to teach the client about this drug?
a. Truvada does not reduce the need for safe sex practices.
b. This drug has been taken off the market due to increases in cancer.
c. Truvada reduces the number of HIV tests you will need.
d. This drug is only used for postexposure prophylaxis.
Question 4A nurse is caring for four clients who have immune disorders. After receiving the hand-off report, which client should the nurse assess first?
a. Client with acquired immune deficiency syndrome with a CD4+ cell count of 210/mm3 and a temp of 102.4 F (39.1 C)
b. Client with Bruton's agammaglobulinemia who is waiting for discharge teaching
c. Client with hypogammaglobulinemia who is 1 hour post immune serum globulin infusion
d. Client with selective immunoglobulin A deficiency who is on IV antibiotics for pneumonia
Question 5A client with acquired immune deficiency syndrome has been hospitalized with suspected cryptosporidiosis. What physical assessment would be most consistent with this condition?
a. Auscultating the lungs
b. Assessing mucous membranes
c. Listening to bowel sounds
d. Performing a neurologic examination
Question 6A client with human immune deficiency virus infection is hospitalized for an unrelated condition, and several medications are prescribed in addition to the regimen already being used. What action by the nurse is most important?
a. Consult with the pharmacy about drug interactions.
b. Ensure that the client understands the new medications.
c. Give the new drugs without considering the old ones.
d. Schedule all medications at standard times.
Question 7A client has been hospitalized with an opportunistic infection secondary to acquired immune deficiency syndrome. The client's partner is listed as the emergency contact, but the client's mother insists that she should be listed instead.
What action by the nurse is best?
a.
Contact the social worker to assist the client with advance directives.
b.
Ignore the mother; the client does not want her to be involved.
c.
Let the client know, gently, that nurses cannot be involved in these disputes.
d.
Tell the client that, legally, the mother is the emergency contact.
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