Exam 20: Nursing Care of Patients With Hiv Disease and Aids

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is watching a nursing student administer medications to a patient with HIV. Which action by the student requires correction by the nurse?

A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)

The nurse is caring for a patient in the symptomatic stage of HIV. Which clinical manifestations can the nurse expect to document? (Select all that apply.)

The nurse is caring for a group of patients. Which patient is at highest risk for contracting HIV?

The nurse is teaching a patient about antiretroviral therapy. Which statement made by the patient indicates an understanding of the teaching?

The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)

The nurse is caring for a patient receiving abacavir sulfate (Ziagen). For which complication should the nurse monitor the patient?

The nurse is caring for a group of patients with HIV. Which patient is at highest risk for developing CMV?

The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?

A patient diagnosed with HIV asks the nurse how soon the virus can be transmitted to others. Which time frame should the nurse inform the patient?

The nurse is caring for a patient with AIDS who develops oral candidiasis. Which action should the nurse take?

The nurse is contributing to a teaching plan. What should the nurse emphasize as being the most effective method known to control the spread of HIV infection?

The nurse is teaching a group of individuals about HIV prevention. Which statements indicate an understanding of the teaching? (Select all that apply.)

The nurse is preparing to administer acyclovir (Zovirax) to a patient with HIV who also has a diagnosis of herpes zoster. The prescribed dose is 10 mg/kg to a patient who weighs 60 kg. Available are 200-mg tablets. How many tablets will the nurse administer?

Place in order, from 1 to 7, the steps of the HIV replication process. A)____ After fusion, the HIV capsid is released into the host cell. B)____ Packaging of HIV RNA and IV proteins within a viral envelope created from part of the cell membrane occurs. C)____ Immature, noninfectious HIV buds from the host cell. D)____ HIV uses the machinery of the host cell to replicate long chains of HIV proteins for building more HIV. E)____ Attachment to the CD4 receptor of the host cell occurs. F)____ Binding leads to fusion of the HIV envelope and host cell membrane. G)____ HIV releases integrase, which incorporates its HIV DNA into the host cell's DNA.

The nurse is preparing to care for a patient who is HIV positive. Which action should the nurse take when following standard precautions for protection from HIV exposure?

The nurse is reviewing the CD4 count results of a patient with AIDS. What can the nurse expect to find?

A patient asks, "What is the main purpose of these medications I take for my HIV?" Which response by the nurse is most appropriate?

A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response should the nurse make to the patient?

The nurse is administering fluconazole (Diflucan) 100 mg in 50 mL of normal saline to run over 30 minutes using a 30 gtt/mL drop factor. Calculate the flow rate. Round to the nearest whole number. Enter the numeral only.