Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management

Chapter 42–Immunodeficiency and HIV Infection/AIDS: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A pregnant client diagnosed with human immunodeficiency virus (HIV) is asking about her baby’s risk of infection. Which of the following does put the newborn at risk?

ANS:  4

Breastfeeding and vaginal birth put the newborn at risk for HIV. HIV cannot be transmitted by changing diapers (feces) or kissing the baby (saliva).

PTS:   1                    DIF:    Apply

REF:   Human Immunodeficiency Virus Infection: Etiology

2. A health care provider has accidentally been stuck with a used needle. The health care provider is going to be tested for human immunodeficiency virus (HIV). Which of the following would be the testing schedule for the health care provider?

ANS:  3

The health care provider should be tested immediately to show if any preexisting infection exists. Seroconversion usually occurs in 1 to 3 months but can take up to 6 months. Testing at 2 months is too late to discover a preexisting infection and can be too early to detect a new infection. Testing at 6 months or 1 year would not detect a preexisting infection.

PTS:   1                    DIF:    Apply

REF:   Human Immunodeficiency Virus Infection: Etiology

3. Which of the following CD4+ count would be used to confirm the diagnosis of acquired immunodeficiency syndrome (AIDS)?

ANS:  1

A CD4+ count of less than 200 cells/mcL is used as a criterion to establish the diagnosis of AIDS. In cell counts less than 500 to 600 cells/mcL, antiviral therapy should be initiated. Cell counts greater than 600 cells/mcL are in the normal range.

PTS:   1                    DIF:    Analyze

REF:   Human Immunodeficiency Virus Infection: Pathophysiology

4. The nurse, planning care for a client diagnosed with human immunodeficiency virus, realizes that the most common infection that occurs in clients with this health problem is:

ANS:  3

As the immune system becomes overpowered, opportunistic infections can occur. The most common infection is Pneumocystis carinii pneumonia. The other infections can also occur, but they occur less frequently.

PTS:   1                    DIF:    Analyze

REF:   Human Immunodeficiency Virus Infection: Assessment with Clinical Manifestations

5. A client diagnosed with acquired immunodeficiency syndrome (AIDS) 6 years ago has a purple lesion located on the inner thigh. This lesion is most likely to be:

ANS:  4

Kaposi’s sarcoma presents as abnormal lesions that appear purple or blue-red in color. They can be found anywhere but are common on the feet, arms, thighs, perineal area, and face. Cachexia is tissue wasting. Burkitt’s lymphoma is characterized by enlarged lymph nodes. AIDS-related syndrome is a collection of symptoms and infections resulting from the specific damage to the immune system caused by the HIV virus.

PTS:   1                    DIF:    Analyze

REF:   Human Immunodeficiency Virus Infection: Assessment with Clinical Manifestations