Avoiding or modifying risky behaviors is the most effective
prevention tool true or false
a. true
b. false
a.
Those with HIV who take art and get and keep an undetectable viral
load of less than and get and keep an undetectable viral load of less
than 200 copies still pose a small percent risk for transmitting HIV
to their HIV negative sexual partners true or false (lewis
224)
a. true
b. false
b.
What type of program would the healthcare provider suggests to a
patient with HIV who has high risk behaviors?(Lewis p.224 EBP)
a.
Partner program
b. AA
c. HIV for dummies 101
d.
Behavior change program
d.
A nurse observes a nursing student educate a patient with HIV stating "tell a patient with worried about HIV is
...
the new nurse who just started working on a pediatric floor knows
that ASD, VSD, and PDA all have what in common?
a. inc. blood
flod to pulm arteries
b. Dec blood flow to pum art
a.
a nurse is assessing the knowledge of a nursing student, she may need
to re-educate them when they state "tet, tricuspid atresia
results in.."
a. inc. blood flod to pulm arteries
b.
Dec blood flow to pum art
b.
the nurse is trying to determine the severity of VSD in a pediatric
patient what diagnostic method test is she most likely using?
a.
US
b. ECG
c. ct
d. chest xray
b.
Significant interactions with Arts occur with over-the-counter drugs
such as
a. Antacids, proton pump inhibitors, SSRIs, herbal
therapies,
b. Antacids, proton pump inhibitors, certain types of
Supplements
c. Antacids, proton pump inhibitors, certain types
of Supplements, herbal therapies
d. Antacids, proton pump
inhibitors, certain types of Supplements, SSRI
d.
A nurse is educating a client on their new medication cobicista. The
nurse knows the patient understands the medications purpose when they
state...
a. "I shouldn't take this medication at the same
time as my other HIV medications"
b. "I should only use
this medication when I'm actively engaging in sexual
intercourse"
c."this medication doesn't directly affect
my HIV"
d. "this medication works by binding to CD4
cells and inhibiting the ability of HIV to attach to the cell"
c.
The nurse is reviewing the best preferred approach to preventing
opportunistic diseases, which of the following is the best
approach?
a. vaccines, education and regular yearly
screenings
b. Triple prophylactic therapy, CBC CMP and Elsa
assay
c. Adequate art vaccines and disease specific prevention measures
c.
The new graduate nurse who works in a community clinic knows that
preventing transmission of HIV can be done with this comprehensive HIV
prevention strategy to reduce risk for sexually acquired HIV infection
and adults at high risk
a. Preventative retroviral Entry
Pharmacologics (PrEP)
b. Prevention & risk Education
Practices (PrEP)
c. Pre-exposure prophylaxis (PrEP
d.
Primary retroviral education and prevention PrEP
c.
A person who is living without HIV is prescribed antiretroviral
tenofovir DF in combination with emtricitabine what is the best course
of action by the nurse
a. Educate the client on ways to reduce
high risk behavior and a non -accusatory manner
b. Notify the hcp
and suggest lamivudine
c. Question the patient using inclusive
language and therapeutic communication about when and why they were
prescribed this medication
d. Inform the patient with a calm
educational demeanor to rinse with a gentle alcohol based rinse if
they experience any white patches in the mouth and continue taking the
medication as normal
a.
Nursing diagnosis for the patient with HIV may include risk for
infection lack of knowledge difficulty coping and...
a.
Anemia
b. Mods
c. Impaired nutritional status
d.
Ineffective thinking
c.
The most effective healthcare strategies for a disease as complex as
HIV is...
a. Pre-exposure prophylaxis (PrEP)
b. Community
outreach programs and prophylactic pharmacological therapy
c.
Abstinence until marriage and supplemental chastity belt
d.
Primary prevention and health promotion
d.
a client worried about acquiring HIV ask the nurse can I receive HIV
from drug use what is a nurse's best response?
a. Yes you can
acquire HIV from drug use
b. No you cannot acquire HIV from drug
use or needle stick injuries
c. Yes and you can acquire it from
alcohol use
d. No you cannot acquire HIV from drug use.
d.
You were working at a community clinic when a patient Admits they
cannot stop using drugs but they still don't want to acquire HIV what
is the best response (Lewis,p. 224)
a. Eliminating drugs is the
best way to prevent acquiring HIV I'd recommend na
b. Avoided
sharing equipment with others this will help eliminate your risk for
acquiring HIV from bloodborne pathogens.
c. Needle and syringe
Exchange program
d. Cleaning your shared equipment in sterile
solution or boiling hot water
c.
A woman comes into the clinic and says that she desires to have a
child she asked is this possible
what is the nurse's best
response
a. Yes but only if you have HIV counseling
b. Yes
but only if you access voluntary HIV antibody testing
c. Yes but
only if you are on optimal Art therapy
d.all of the above
d.
The OSHA Occupational Safety and Health Administration requires all
employees to be screened for HIV false a blood test
a.
true
b. false
b.
What is the current guidelines recommendation for normalizing HIV
testing decreasing the stigma related to testing and finding hidden
cases getting infected people into care and preventing new cases of
infection ( Lewis 225)
a. Standard OSHA STD screenings
b.
Universal voluntary testing
c. STD voluntary testing
d. CDC
STD screenings
b.
Which statement made by the patient demonstrates their understanding
of Antiretroviral therapy? ( Lewis 225)
a. "ART is
relatively affordable, so I shouldn't have problems getting my
medication"
b. "my anxiety has significantly decreased
since I started art because I know that it works for everyone with
HIV"
c. "I'm not worried about side effects because I
know I'll stick to my treatments"
d. "there are some
barriers to obtaining and complying with art that might put me at risk
for developing drug resistance"
d.
Upon receiving report you learned that patient in room 6 has
cryptococcal meningitis and keep saying he needs to go home and make
sure he takes the potatoes out of the oven what is your most important
concern regarding the patient(Lewis 226)
a. Ensuring a steady
flow of humidified O2 via nasal cannula is in place
b. Obtaining
abgs
c. Keeping the side rails up and making sure his call light
within reach
d. Performing a Halo test
c.
Upon receiving report you learned that patient in room 6 has
Pneumocystitis jiroveci pneumonia (PCP) and keep saying he needs to go
home and make sure he takes the potatoes out of the oven what is your
most important concern regarding the patient(Lewis 226)
a.
Ensuring adequate oxygenation
b. Obtaining abgs
c. Keeping
the side rails up and making sure his call light within reach
d.
Performing a Halo test
a.
Okay so in regards to antiretroviral drugs you're going to want to follow these instructions when teaching the patient or caregiver to decrease the risk of developing follow these instructions when teaching the patient or caregiver to decrease the risk of developing resistance which is a major problem in treating HIV infection I have a Jolly Rancher in and while the sounds annoying it's better than my dry Mountain Sounds okay one discussed options with your hcp to find the best regimen for you easy done to know the drugs you're taking and how to take them like some have to be taken with food some might need to be taken on an empty stomach and some cannot be taken together some might need to be taken on an empty stomach and some cannot be taken together these are things that you for sure are going to want to teach the patient so you'll have to know that and then you'll have to teach them and help them figure out the best regimen to follow this therapy and we'll get to that in a second all right take the full f****** dose as prescribed and take it on got them time and if there's like a side effect or a problem okay that is so valid I and if there's like a side effect or a problem okay that is so valid I get it like there are some meds where it's like you know you take them and they immediately make you feel nauseous and you're like okay f*** that I don't want to take anymore you have to report that to your hcp have to have to because okay I won't go I won't get on my soapbox but next thing is take him as prescribed follow the rules simple to the point. Don't stop taking one of them and continue taking the rest of them and be like no it's fine like that one was making me feel sick anyway but I'm taking the rest of my meds it's not like that all the meds together equal one man and that's the best way and take this out I'm just like Jesus Christ? Okay again you can't take one of the meds tell your doctor immediately don't take any new drugs without checking with your doctor he like this you know triple therapy or art therapy is all like think of it as like a hair shampoo that's tailored to you like that curology brand where you go on you take like is your hair wav hair shampoo that's tailored to you like that curology brand where you go on you take like is your hair wavy is it straight is it really is it dry like this is your regimen that is specifically for you and you're therapy these medications hair shampoo that's tailored to you like that curology brand
...
You're receiving report on a patient newly admitted to the rehab unit
he's 68 year old male who had hip replacement 3 days ago the nurse
giving the report casually mentions oh by the way he has AIDS can you
believe that an old man like that has HIV how would you
respond
a. Yeah that is pretty curious since older people are at
lower risk for getting infected with HIV
b. I don't think it's
professional to talk about his diagnosis and we should refrain any
further comments outside of his care
c. Well I don't think it's
professional to talk about a patient in a stigmatized manner I will
re-educate you and say that Currently there is a high rate of older
adults infected with HIV due to the fact that treatment has been
effective and reducing death from HIV from treatment has been
effective and reducing death from HIV from opportunistic infections
and people 16 older are being infected at increasing rate and expected
to grow
d. I don't know you should Google it
c.
Missing a few doses of Art is okay as long as you double up your dose
and continue taking your therapy as scheduled true or false? (Lewis 225)
a.true
b. false
b.
Promoting healthy immune system whether the patient chooses to take
art or not May delay the progression of HIV true or false? (Lewis 225)
a. true
b. fale
a.
In regards to early intervention after the detection of HIV infection
what would you assess for other than symptoms opportunistic and
diseases
b. Contractions
b. Anemia and excessive
bruising
c. psychosocial problems
d. onset of new tick and treors
c.
When it comes to delaying the disease progression for a patient with
HIV useful interventions would include maintaining
a. BMI
30%
b. H1C above 6.4
c. lean body mass & adequate
nutrition/vitamins &mineral
d. Assessing interpersonal
crisis or violence related to psychosocial behaviors
c.
When will your hcp test your viral load
after
you've started art therapy
a. 1 to 2 weeks
b. 2 to 4
weeks
c. 4 to 6 weeks
d. 3 months
b.
A patient wants to know how they can have sex with their partner who
has HIV and remain safe they are aware of the fact that abstinence is
the clearest way to reduce transmission of HIV but they still want to
be sexually intimate with their partner what advice can you
offer(Lewis 224)
a. Oral, sex, fingering, and rubbing is
considered safe sex when it comes to HIV transmission.
b. Your
partner and you could attempt mutual masturbation, where both parties
engage in solo masturbation together as a means of pleasure.
c.
Insertive sex, as long as you have a condom, is considered a safe sex
activity.
d. Showering before and after sexual intercourse can
ensure safe sexual activity
b.
Which diagnostic finding indicates HIV in a patient
a. High CD4
cell count
b. Increase WBC count
c. Decrease blood
glucose
d.Increase cholesterol and triglycerides
d.
retro sternal pain is considered what type of subjective Functional
Health pattern
a. Cardiovascular
b. Respiratory
c.
Cognitive- perceptual
a. Activity- exercise
c.
Objective data is assessed by the nurse and HIV is most likely
suspected which of the following is not included in objective
data?
a. Hyperactive bowel sounds
b.
Hepatosplenomegaly
c. Rectal pain
d. Harry leukoplakia
c.
A patient with HIV would patients infected with HIV generally show
Finding such as hyperglycemia thrombocytopenia neutropenia lymphopenia
anemia altered liver function, what other finding might be missing
from this statement
a. decrease CD4 cell count
b.
Scoliosis
c. peptic ulcers
d. Increased RBC
a.
The window. Most tests to detect HIV infection is about how many
weeks (Lewis 219, diagnostic studies)
a. 1
b. 3
c.
2-4
d. 2
b.
when text is formatted like this it means that I need to complete this note card: Vaccines needed for the patient with HIV or to prevent HIV
...
About blank after someone becomes newly infected with HIV the person
typically develops acute HIV infection where during this. Have
mononucleosis like syndrome of fever small lymph nose sore throat
headache mal aise nausea muscle and joint pain diary and or diffuse
rash some people have neurological complications such as aseptic
meningitis peripheral neuropathy facial palsy or goalie bear syndrome
a. 1 weeks
b. 3 weeks
c. 2-4 weeks
d. 2 weeks
c.
The nurse knows that for HIV screening she needs to collect what from
the patient
a. Semen and blood
b. Blood and saliva
c.
Blood and Urine
d. Semen urine and saliva
b.
A patient in the community clinic has developed recurrent pneumonia
and cytomegalovirus a nursing student asked the RN "does this
mean that they meet the diagnostic criteria for AIDS outlined by the
CDC?" (Lewis 219, table 14.10)
a. Yes,, you are correct we
should also assess them for CD cell can't below 200 and opportunistic
cancer such as carpozy sarcoma or burkitt's lymphoma and a loss of 10%
or more of ideal body mass
b. No, because the patient has no
indications or diagnosis of HIV to be diagnosed with AIDS a person has
to have HIV and develop at least one of four conditions that is
outlined by the CDC
c. I'm not really sure I'm on my
break
d. You can call IT and ask them to help you get a meditech
password so you can look at their chart.
b.
The higher the viral load the less active the disease
a.
yer
b. nah
b.
Opportunistic infections include bacterial fungal protozoal and
viral
a. yeet
b. Knaurrrr not quite
a.
Cervical cancer is considered an opportunistic cancer that if someone
had HIV and cervical cancer they would meet the diagnostic criteria
for AIDS
a. yes chef
b. chef i dont know if you like the
dish or not
a.
Wasting syndrome is defined as a loss of 15% or more of ideal body
mass (lewis 219 table 14.10)
a. uh huu hunnyy
b. thats that shit i dont likeee
b.