Chapter 32: Management of Patients With Immune Deficiency Disorders
Study online at https://quizlet.com/_jtmsl0
1. Since the emergence of HIV/AIDS, there Ans: A
have been significant changes in epidemi- Feedback:
ologic trends. Gay, bisexual, and other men who have sex
Members of what group currently have with men remain the population most affect-
the greatest risk of contracting HIV? ed by HIV and
A) Gay, bisexual, and other men who have account for 2% of the population but 61% of
sex with men the new infections. This exceeds the incidence
B) Recreational drug users among drug
C) Blood transfusion recipients users, health care workers, and transfusion
D) Health care providers recipients.
2. 2. A clinic nurse is caring for a patient ad- Ans: A
mitted with AIDS. The nurse has assessed Feedback:
that the patient is HIV encephalopathy is a clinical syndrome
experiencing a progressive decline in cog- characterized by a progressive decline in cog-
nitive, behavioral, and motor functions. nitive,
The nurse recognizes behavioral, and motor functions. The oth-
that these symptoms are most likely relat- er listed complications do not normally have
ed to the onset of what complication? cognitive and
A) HIV encephalopathy behavioral manifestations.
B) B-cell lymphoma
C) Kaposis sarcoma
D) Wasting syndrome
3. A nurse is assessing a 28-year-old man Ans: B
with HIV who has been admitted with Feedback:
pneumonia. In assessing In prioritizing care, the pneumonia would be
the patient, which of the following obser- assessed first by the nurse. Tachypnea and
vations takes immediate priority? restlessness are
NURSINGTB.COMBRUNNER AND SUD- symptoms of altered respiratory status and
DARTHS TEXTBOOK OF MEDICAL SURGI- need immediate priority. Weight loss of 1
CAL NURSING 14TH EDITION HINKLE TEST pound is probably
, Chapter 32: Management of Patients With Immune Deficiency Disorders
Study online at https://quizlet.com/_jtmsl0
BANK fluid related; frequent loose stools would not
T est Bank - Brunner & Suddarth's T take short-term precedence over a tempera-
extbook of Medical-Surgical Nursing 14e ture or
(Hinkle 2017) 694 tachypnea and restlessness. An oral temper-
A) Oral temperature of 100F ature of 100F is not considered a fever and
B) Tachypnea and restlessness would not be the
C) Frequent loose stools first issue addressed.
D) Weight loss of 1 pound since yesterday
4. 4. A patient has come into the free clinic Ans: D
asking to be tested for HIV infection. The Feedback:
patient asks the nurse Positive test results indicate that antibodies
how the test works. The nurse responds to the AIDS virus are present in the blood. The
that if the testing shows that antibodies to presence of
the AIDS virus are antibodies does not imply an intact immune
present in the blood, this indicates what? system or specific immunity to HIV. This find-
A) The patient is immune to HIV. ing does not
B) The patients immune system is intact. indicate the presence of AIDS-related compli-
C) The patient has AIDS-related complica- cations.
tions.
D) The patient has been infected with HIV.
5. 5. A hospital patient is immunocompro- Ans: A
mised because of stage 3 HIV infection Feedback:
and the physician has A patient who is immunocompromised is at
ordered a chest radiograph. How should an increased risk of contracting nosocomial
the nurse most safely facilitate the test? infections due
A) Arrange for a portable x-ray machine to to suppressed immunity. The safest way the
be used. test can be facilitated is to have a portable
B) Have the patient wear a mask to the x-ray machine in
x-ray department. the patients room. This confers more protec-
C) Ensure that the radiology department tion than disinfecting the radiology depart-
, Chapter 32: Management of Patients With Immune Deficiency Disorders
Study online at https://quizlet.com/_jtmsl0
has been disinfected prior to the test. ment or using
D) Send the patient to the x-ray depart- masks.
ment, and have the staff in the depart-
ment wear masks.
6. 6. The mother of two young children has Ans: C
been diagnosed with HIV and expresses Feedback:
fear of dying. How The nurse can help the patient verbalize feel-
should the nurse best respond to the pa- ings and identify resources for support. The
tient? nurse should
A) Would you like me to have the chaplain respond with an open-ended question to
come speak with you? help the patient to identify fears about being
B) Youll learn much about the promise of diagnosed with a
a cure for HIV. life-threatening chronic illness. Immediate
C) Can you tell me what concerns you deferral to spiritual care is not a substitute for
most about dying? engaging with
D) You need to maintain hope because the patient. The nurse should attempt to fos-
you may live for several years ter hope, but not in a way that downplays the
patients
expressed fears.
7. 7. The nurse is addressing condom use in Ans: D
the context of a health promotion work- Feedback:
shop. When discussing the The condom should be unrolled over the hard
correct use of condoms, what should the penis before any kind of sex. The condom
nurse tell the attendees? should be held
A) Attach the condom prior to erection. by the tip to squeeze out air. Skin lotions, baby
B) A condom may be reused with the same oil, petroleum jelly, or cold cream should not
partner if ejaculation has not occurred. be used
C) Use skin lotion as a lubricant if alterna- with condoms because they cause latex de-
tives are unavailable. terioration/condom breakage. The condom
should be held
Study online at https://quizlet.com/_jtmsl0
1. Since the emergence of HIV/AIDS, there Ans: A
have been significant changes in epidemi- Feedback:
ologic trends. Gay, bisexual, and other men who have sex
Members of what group currently have with men remain the population most affect-
the greatest risk of contracting HIV? ed by HIV and
A) Gay, bisexual, and other men who have account for 2% of the population but 61% of
sex with men the new infections. This exceeds the incidence
B) Recreational drug users among drug
C) Blood transfusion recipients users, health care workers, and transfusion
D) Health care providers recipients.
2. 2. A clinic nurse is caring for a patient ad- Ans: A
mitted with AIDS. The nurse has assessed Feedback:
that the patient is HIV encephalopathy is a clinical syndrome
experiencing a progressive decline in cog- characterized by a progressive decline in cog-
nitive, behavioral, and motor functions. nitive,
The nurse recognizes behavioral, and motor functions. The oth-
that these symptoms are most likely relat- er listed complications do not normally have
ed to the onset of what complication? cognitive and
A) HIV encephalopathy behavioral manifestations.
B) B-cell lymphoma
C) Kaposis sarcoma
D) Wasting syndrome
3. A nurse is assessing a 28-year-old man Ans: B
with HIV who has been admitted with Feedback:
pneumonia. In assessing In prioritizing care, the pneumonia would be
the patient, which of the following obser- assessed first by the nurse. Tachypnea and
vations takes immediate priority? restlessness are
NURSINGTB.COMBRUNNER AND SUD- symptoms of altered respiratory status and
DARTHS TEXTBOOK OF MEDICAL SURGI- need immediate priority. Weight loss of 1
CAL NURSING 14TH EDITION HINKLE TEST pound is probably
, Chapter 32: Management of Patients With Immune Deficiency Disorders
Study online at https://quizlet.com/_jtmsl0
BANK fluid related; frequent loose stools would not
T est Bank - Brunner & Suddarth's T take short-term precedence over a tempera-
extbook of Medical-Surgical Nursing 14e ture or
(Hinkle 2017) 694 tachypnea and restlessness. An oral temper-
A) Oral temperature of 100F ature of 100F is not considered a fever and
B) Tachypnea and restlessness would not be the
C) Frequent loose stools first issue addressed.
D) Weight loss of 1 pound since yesterday
4. 4. A patient has come into the free clinic Ans: D
asking to be tested for HIV infection. The Feedback:
patient asks the nurse Positive test results indicate that antibodies
how the test works. The nurse responds to the AIDS virus are present in the blood. The
that if the testing shows that antibodies to presence of
the AIDS virus are antibodies does not imply an intact immune
present in the blood, this indicates what? system or specific immunity to HIV. This find-
A) The patient is immune to HIV. ing does not
B) The patients immune system is intact. indicate the presence of AIDS-related compli-
C) The patient has AIDS-related complica- cations.
tions.
D) The patient has been infected with HIV.
5. 5. A hospital patient is immunocompro- Ans: A
mised because of stage 3 HIV infection Feedback:
and the physician has A patient who is immunocompromised is at
ordered a chest radiograph. How should an increased risk of contracting nosocomial
the nurse most safely facilitate the test? infections due
A) Arrange for a portable x-ray machine to to suppressed immunity. The safest way the
be used. test can be facilitated is to have a portable
B) Have the patient wear a mask to the x-ray machine in
x-ray department. the patients room. This confers more protec-
C) Ensure that the radiology department tion than disinfecting the radiology depart-
, Chapter 32: Management of Patients With Immune Deficiency Disorders
Study online at https://quizlet.com/_jtmsl0
has been disinfected prior to the test. ment or using
D) Send the patient to the x-ray depart- masks.
ment, and have the staff in the depart-
ment wear masks.
6. 6. The mother of two young children has Ans: C
been diagnosed with HIV and expresses Feedback:
fear of dying. How The nurse can help the patient verbalize feel-
should the nurse best respond to the pa- ings and identify resources for support. The
tient? nurse should
A) Would you like me to have the chaplain respond with an open-ended question to
come speak with you? help the patient to identify fears about being
B) Youll learn much about the promise of diagnosed with a
a cure for HIV. life-threatening chronic illness. Immediate
C) Can you tell me what concerns you deferral to spiritual care is not a substitute for
most about dying? engaging with
D) You need to maintain hope because the patient. The nurse should attempt to fos-
you may live for several years ter hope, but not in a way that downplays the
patients
expressed fears.
7. 7. The nurse is addressing condom use in Ans: D
the context of a health promotion work- Feedback:
shop. When discussing the The condom should be unrolled over the hard
correct use of condoms, what should the penis before any kind of sex. The condom
nurse tell the attendees? should be held
A) Attach the condom prior to erection. by the tip to squeeze out air. Skin lotions, baby
B) A condom may be reused with the same oil, petroleum jelly, or cold cream should not
partner if ejaculation has not occurred. be used
C) Use skin lotion as a lubricant if alterna- with condoms because they cause latex de-
tives are unavailable. terioration/condom breakage. The condom
should be held
