Adult Health Care 7th edition By Cooper
Adult Health Care 7th edition By Cooper
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Chapter 16: Care of the Patient with HIV/AIDS
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “This patient would not be a risk for your baby if you use standard precautions and avoid direct contact with blood or body fluids.” |
| b. | “You should ask for a transfer to another unit because contact with this patient would put you and your baby at risk for AIDS.” |
| c. | “Wear a mask, gown, and gloves every time you go into his room and use disposable trays, plates, and utensils to serve his meals.” |
| d. | “We should recommend that this patient be transferred to an isolation unit.” |
ANS: A
HIV is transmitted from human to human through infected blood, semen, cervicovaginal secretions, and breast milk. The use of Standard Precautions by all staff members for all patients all the time simplifies this issue.
DIF: Cognitive Level: Application REF: Pages 769-770,Box 16–6
OBJ: 6 TOP: Transmission of AIDS
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
| a. | “There really is not an option, you will need to get the Western blot test first.” |
| b. | “There is an FDA-approved home test called OraQuick.” |
| c. | “The rapid test Reveal can identify all the HIV strains.” |
| d. | “You can be tested anonymously for ELISA. If you are seronegative, your concerns are over.” |
ANS: B
The OraQuick is a home OTC test approved by the FDA. One seronegative on the ELISA is not evidence because seroconversion may not have taken place. The Western blot test follows if the ELISA is positive.
DIF: Cognitive Level: Application REF: Page 783 OBJ: 6
TOP: HIV testing KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | Sexual history, risk reduction measures, and testing for HIV |
| b. | Getting an appointment at a family planning clinic |
| c. | Testing for HIV and what the test results mean |
| d. | Abstinence and a monogamous relationship |
ANS: A
Chlamydia is considered a sexually transmitted disease (STD). As such it requires further testing and a sexual history to advise the sexual partners.
DIF: Cognitive Level: Analysis REF: Page 783 OBJ: 6
TOP: Risk for infection KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance
| a. | “Most people get AIDS within 3 to 12 weeks after they are infected with HIV.” |
| b. | “Don’t worry. You may never get AIDS if you eat properly, exercise, and get plenty of rest.” |
| c. | “It varies with every individual, but the average time is 8 to 10 years from the time a person is infected, and some go much longer.” |
| d. | “You can expect to develop signs and symptoms of AIDS within 6 months.” |
ANS: C
Typical progress of HIV includes a period of relative clinical latency, occurring immediately after the primary infection, which can last for several years. Long-term nonprogressors remain symptom-free for 8 to10 years.
DIF: Cognitive Level: Analysis REF: Page 763 OBJ: 4
TOP: Progression of disease KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | Increase in viral load |
| b. | Decreased ratio of CD8 to CD4 |
| c. | Increase in white blood cells |
| d. | Increased reactivity to skin tests |
ANS: A
AIDS is the end stage of an HIV infection. The CDC has developed criteria for the diagnosis of AIDS, which are: increase in viral load even with pharmacologic interventions, increase in the ratio of CD8 to CD4, decline in the WBCs, and a decreased reactivity to skin tests.
DIF: Cognitive Level: Analysis REF: Page 764 OBJ: 7
TOP: AIDS diagnostic criteria KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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