A patient with a recent diagnosis of HIV is soon to begin highly active antiretroviral treatment (HAART).
When performing health education related to the patient's new medication regimen, the nurse should prioritize interventions relevant to which of the following nursing diagnoses?
A) Ineffective adherence
B) Delayed growth and development
C) Risk for caregiver role strain
D) Social isolation
Question 2A nurse is caring for a newly admitted patient with a suspected gastrointestinal (GI) bleed. The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color.
The nurse recognizes that the bleeding is likely occurring where?
A) The lower GI tract
B) The upper GI tract
C) The esophagus
D) The anal area
Question 3A female patient with a diagnosis of AIDS has experienced a recent acceleration in the progression of her disease, and the nurse has documented the patient's memory lapses and increasingly slow, uncoordinated movements.
The nurse is justified in suspecting that this patient may be exhibiting the signs and symptoms of what complication of AIDS?
A) Pneumocystis pneumonia (PCP)
B) Kaposi's sarcoma
C) B-cell lymphoma
D) HIV encephalopathy
Question 4The nurse is preparing to perform an abdominal assessment of a newly admitted patient. When performing an abdominal assessment, what examination sequence should the nurse follow?
A) Inspection, auscultation, percussion, and palpation
B) Inspection, auscultation, palpation, and percussion
C) Inspection, percussion, palpation, and auscultation
D) Inspection, palpation, percussion, and auscultation
Question 5A hospice nurse has been providing care for a man who has AIDS. Among the manifestations of the man's disease has been a profound weight loss over the past several weeks.
Consequently, the nurse is adjusting the patient's plan of care to reprioritize this problem. When planning interventions for the patient's weight loss, the nurse should be aware that:
A) The patient should simultaneously receive total parenteral nutrition (TPN) and oral nutritional supplements.
B) The patient's weight loss is a sign of the progression of AIDS but is not a direct threat to his health.
C) Nutritional interventions may not necessarily resolve the patient's weight loss.
D) The patient's weight loss is attributable to psychological factors rather than pathophysiological factors.
Question 6The nurse is caring for a patient who is scheduled for a gastroscopy. What preparation is needed for a gastroscopy?
A) Insert a nasogastric tube.
B) Administer a micro Fleet enema.
C) Have the patient lie in a dorsal position.
D) Spray or gargle the back of the throat with local anesthetic.
Question 7A nurse on a medical unit is caring for a patient who has experienced a recent exacerbation of HIV. The nurse is being vigilant in assessments and preventative measures related to the common complications of HIV infection.
What assessment addresses the most common opportunistic infection related to HIV?
A) Palpating the patient's pedal pulses and monitoring for peripheral edema
B) Inspecting the patient's skin and monitoring for signs of skin breakdown
C) Gauging the patient's orientation, insight, and judgment on a daily basis
D) Auscultating the patient's lungs and monitoring oxygen saturation and respiratory rate
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