Exam 15: Infection and Human Immunodeficiency Virus Infection

A pregnant woman with a history of early chronic HIV infection is seen at the clinic. Which information will the nurse include when teaching the patient?

A patient who is diagnosed with AIDS tells the nurse, "I have lots of thoughts about dying. Do you think I am just being morbid?" Which response by the nurse is best?

After having a positive rapid-antibody test for HIV, a patient is anxious and does not appear to hear what the nurse is saying. At this time, it is most important that the nurse

Which action can the nurse delegate to nursing assistive personnel (NAP) who help with the care of a patient admitted with tuberculosis and placed on airborne precautions?

Which of these patients will the nurse working in an HIV testing and treatment clinic anticipate teaching about antiretroviral therapy (ART)?

Antiretroviral therapy (ART) is being considered for an HIV-infected patient who has a CD4+ cell count of 400/µl. Which factor is most important to consider when determining whether ART will be started for this patient?

A patient who has vague symptoms of fatigue and headaches is found to have a positive enzyme immunoassay ( EIA ) for human immunodeficiency virus ( HIV ) antibodies. In discussing the test results with the patient, the nurse informs the patient that

When assessing an individual who has been diagnosed with early chronic HIV infection and has a normal CD4+ count, the nurse will

A patient is admitted to the hospital with Pneumocystis jiroveci pneumonia ( PCP ) and HIV testing is positive. Based on diagnostic criteria established by the Centers for Disease Control and Prevention ( CDC ), the patient is diagnosed as having

The nurse is preparing to give the following medications to an HIV-positive patient who is hospitalized with Pneumocystis jiroveci pneumonia (PCP). Which is most important to administer at the right time?

To evaluate the effectiveness of ART, the nurse will schedule the patient for

The nurse is reviewing the chart for a patient who is scheduled for an annual physical exam. Which information will be most important in determining whether the patient needs HIV testing?

A 20-year-old female patient who is HIV-positive has a new prescription for efavirenz ( Sustiva ). Which information about the patient is most important to communicate to the prescribing physician before administering the efavirenz?

When designing a program to decrease the incidence of HIV infection in the community, the nurse will prioritize teaching about

A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is to

Ten years after seroconversion, an HIV-infected patient has a CD4+ cell count of 800/µl and an undetectable viral load. What is the priority nursing intervention at this time?

When caring for a patient who has just been diagnosed with early chronic HIV infection, which prophylactic measures will the nurse anticipate being included in the plan of care (select all that apply)?

When the nurse is caring for a patient whose HIV status in unknown, which of these patient exposures is most likely to require postexposure prophylaxis?

Which information about an HIV-positive patient who is taking antiretroviral medications is most important for the nurse to address when planning care?

Which nursing action will be most useful in assisting a 21-year-old college student to adhere to a newly prescribed antiretroviral therapy (ART) regimen?