NR 464 Exam 3 Part 1( HIV) With Complete Solutions
5 Collaborative care interventions for HIV Correct Answers 1.
monitor disease progression, immune function, and manage
symptoms
2. initiate and monitor ART
3. prevent and/or treat opportunistic infections
4. prevent or decrease complications of therapies
5. prevent further transmission
A 13-year-old was brought to the emergency department,
unconscious, after being hit in the head by a baseball. When the
child regains consciousness, 5 hours after being admitted, he
cannot remember the traumatic event. MRI shows no structural
sign of injury. What injury would the nurse suspect the patient
has? Correct Answers Classic concussion
Feedback: A classic concussion is an injury that results in a loss
of consciousness; characteristically, this usually lasts less than 6
hours. This loss of consciousness is always accompanied by
some degree of posttraumatic amnesia.
A college student presents to the campus health clinic 2 days
after unprotected sexual intercourse. The student is requesting
an HIV test. After the initial test is negative result, the nurse
provides which advice to the student? Correct Answers Obtain
a repeat test in 3 months.
A diagnosis of AIDS can be made for a patient with HIV from
what 4 test or symptoms? Correct Answers 1. CD4+ T Cell
count
2. WBC count <3000
,t3. hrush ( bronchi, trachea, lungs)
4. onset of opportunistic infection (pneumonia)
A nurse is caring for a patient with autonomic dysreflexia. What
clinical manifestations would the nurse expect in this patient and
when does it typically occur? Correct Answers Autonomic
dysreflexia is characterized by a pounding headache, profuse
sweating, nasal congestion, piloerection ("goose bumps"),
bradycardia, and hypertension.
It occurs in cord lesions above T6 after spinal shock has
resolved.
A nurse is precepting a student nurse on the Neuro ICU. The
nurse is explaining to the student about using the Glasgow Coma
Scale (GCS) to gather information regarding what parameter?
Correct Answers Feedback: The Glasgow Coma Scale (GCS)
examines three responses related to level of consciousness: eye
opening, best verbal response, and best motor response.
A patient has recently had CD4 level testing, and the result was
found to be 98 cells/mm3. The nurse realizes which condition
has developed? Correct Answers The patient has AIDS.
A patient has recently tested positive for HIV and asks the nurse
about drug therapy for HIV infection. The nurse informs the
patient that Correct Answers Treatment is individualized based
on CD4+ counts, the amount of virus in the blood, and the
patient's wishes.
A patient is admitted to the Neuro ICU with a spinal cord injury.
When assessing the patient the nurse notes there is a sudden
, depression of reflex activity in the spinal cord below the level of
injury. What does the nurse suspect? Correct Answers In
spinal shock, the reflexes are absent, blood pressure and heart
rate fall, and respiratory failure can occur.
A patient is admitted to the Neuro ICU with a suspected diffuse
axonal injury. What would be the primary neuroimaging
diagnostic tool used on this patient to evaluate the brain
structure? Correct Answers CT and MRI scans are the primary
neuroimaging diagnostic tools and are useful in evaluating the
brain structure.
A patient is brought to the emergency department after being
involved in a motorcycle accident. He is found to have a T1
spinal cord injury. What is this patient at increased risk for
because of his injury? Correct Answers With injuries to the
cervical and upper thoracic spinal cord, innervation to the major
accessory muscles of respiration is lost and respiratory problems
develop. These include decreased vital capacity, retention of
secretions, increased PaCO2 levels, decreased oxygen levels,
respiratory failure, and pulmonary edema.
A patient who has been treated for HIV infection for 7 years has
developed fat redistribution to the trunk, with wasting of the
arms, legs, and face. The nurse will anticipate teaching the
patient about Correct Answers A change in antiretroviral
therapy.
Rationale: A frequent first intervention for metabolic disorders
is a change in ART.
5 Collaborative care interventions for HIV Correct Answers 1.
monitor disease progression, immune function, and manage
symptoms
2. initiate and monitor ART
3. prevent and/or treat opportunistic infections
4. prevent or decrease complications of therapies
5. prevent further transmission
A 13-year-old was brought to the emergency department,
unconscious, after being hit in the head by a baseball. When the
child regains consciousness, 5 hours after being admitted, he
cannot remember the traumatic event. MRI shows no structural
sign of injury. What injury would the nurse suspect the patient
has? Correct Answers Classic concussion
Feedback: A classic concussion is an injury that results in a loss
of consciousness; characteristically, this usually lasts less than 6
hours. This loss of consciousness is always accompanied by
some degree of posttraumatic amnesia.
A college student presents to the campus health clinic 2 days
after unprotected sexual intercourse. The student is requesting
an HIV test. After the initial test is negative result, the nurse
provides which advice to the student? Correct Answers Obtain
a repeat test in 3 months.
A diagnosis of AIDS can be made for a patient with HIV from
what 4 test or symptoms? Correct Answers 1. CD4+ T Cell
count
2. WBC count <3000
,t3. hrush ( bronchi, trachea, lungs)
4. onset of opportunistic infection (pneumonia)
A nurse is caring for a patient with autonomic dysreflexia. What
clinical manifestations would the nurse expect in this patient and
when does it typically occur? Correct Answers Autonomic
dysreflexia is characterized by a pounding headache, profuse
sweating, nasal congestion, piloerection ("goose bumps"),
bradycardia, and hypertension.
It occurs in cord lesions above T6 after spinal shock has
resolved.
A nurse is precepting a student nurse on the Neuro ICU. The
nurse is explaining to the student about using the Glasgow Coma
Scale (GCS) to gather information regarding what parameter?
Correct Answers Feedback: The Glasgow Coma Scale (GCS)
examines three responses related to level of consciousness: eye
opening, best verbal response, and best motor response.
A patient has recently had CD4 level testing, and the result was
found to be 98 cells/mm3. The nurse realizes which condition
has developed? Correct Answers The patient has AIDS.
A patient has recently tested positive for HIV and asks the nurse
about drug therapy for HIV infection. The nurse informs the
patient that Correct Answers Treatment is individualized based
on CD4+ counts, the amount of virus in the blood, and the
patient's wishes.
A patient is admitted to the Neuro ICU with a spinal cord injury.
When assessing the patient the nurse notes there is a sudden
, depression of reflex activity in the spinal cord below the level of
injury. What does the nurse suspect? Correct Answers In
spinal shock, the reflexes are absent, blood pressure and heart
rate fall, and respiratory failure can occur.
A patient is admitted to the Neuro ICU with a suspected diffuse
axonal injury. What would be the primary neuroimaging
diagnostic tool used on this patient to evaluate the brain
structure? Correct Answers CT and MRI scans are the primary
neuroimaging diagnostic tools and are useful in evaluating the
brain structure.
A patient is brought to the emergency department after being
involved in a motorcycle accident. He is found to have a T1
spinal cord injury. What is this patient at increased risk for
because of his injury? Correct Answers With injuries to the
cervical and upper thoracic spinal cord, innervation to the major
accessory muscles of respiration is lost and respiratory problems
develop. These include decreased vital capacity, retention of
secretions, increased PaCO2 levels, decreased oxygen levels,
respiratory failure, and pulmonary edema.
A patient who has been treated for HIV infection for 7 years has
developed fat redistribution to the trunk, with wasting of the
arms, legs, and face. The nurse will anticipate teaching the
patient about Correct Answers A change in antiretroviral
therapy.
Rationale: A frequent first intervention for metabolic disorders
is a change in ART.
