Chapter 32: Immunologic Disorders Linton: Medical-
Surgical Nursing, 7th Edition Questions With Complete
Solutions
1. A nurse explains that HIV is introduced to thesystemic
circulation by the_ , which is
found in themucous membranes: Correct Answers ANS:
macrophage
The macrophage introduces HIV into thesystem:
DIF:Cognitive Level: Knowledge REF: p: 578 OBJ: 1 | 2
TOP: Macrophage KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Physiological
Adaptation
10. A nurse is caring for a patient with HIV infection taking
Retrovir, a nucleoside antiviral
that is a reverse transcriptase inhibitor: For what should thenurse
be especially observant?
a. Decreased urine output
b. Hypertensive episodes
c. Jaundice
d. Edema of theface Correct Answers ANS: C
Retrovir has thepotential of causing a fatal hepatotoxic reaction:
Jaundice is a possible
sign of hepatic impairment:
DIF:Cognitive Level: Comprehension REF: p: 578 OBJ: 1
TOP:Drug Side Effects KEY: Nursing Process Step: Assessment
MSC:NCLEX: Physiological Integrity: Pharmacological
Therapies
,11. What indicates that a patient has entered thethird stage of
HIV infection?
a. T-helper CD4 cell count of 500
b. Rise in antibody count
c. Drop in viral load
d. Increase in T4 helper cells Correct Answers ANS: A
In thethird stage of HIV infection, T-helper CD4 cells drop to
approximately 500:
Antibodies are always high throughout theinfection but are
ineffective: theviral count is
high:
DIF:Cognitive Level: Comprehension REF: p: 580 OBJ: 1
TOP:Third Stage of HIV Infection KEY: Nursing Process Step:
Assessment
MSC:NCLEX: Physiological Integrity: Physiological
Adaptation
12. A nurse is preparing a teaching plan for a patient with HIV
who has been diagnosed with
microsporidiosis: Which implementation should be included?
a. Drink 3 quarts of fluid a day to combat dehydration:
b. Include milk products with every meal:
c. Consume liberal amounts of fat for increased energy:
d. Limit protein intake to reduce serum ammonia levels: Correct
Answers ANS: A
The patients need plenty of fluids to combat thediarrhea and
proteins for calories: They
should avoid milk products and fat:
DIF:Cognitive Level: Application REF: p: 587 OBJ: 1
TOP: Microsporidiosis KEY: Nursing Process Step:
Implementation
, MSC:NCLEX: Psychosocial Integrity: Basic Care and Comfort
13. What should a patient be encouraged to do before
theinitiation of any anti-HIVdrug
protocol?
a. Give up sexual activity for several months:
b. Follow thestrict dietary guidelines:
c. Comply with thedrug protocol:
d. Involve thepartner in a support program: Correct Answers
ANS: C
Patients with HIV are assessed for their willingness to comply
with thedrug protocol
because nonadherence causes theHIV organisms to become
resistant to thedrug:
DIF:Cognitive Level: Application REF: p: 587 OBJ: 1
TOP: Compliance KEY: Nursing Process Step: Implementation
MSC:NCLEX: Psychosocial Integrity: Psychosocial Adaptation
14. A patient with HIV complains to thehome health nurse that
he has been havingwatery
diarrhea for thepast 10 days: thenurse suspects toxoplasmosis:
What is themost
significant question for thenurse to ask?
a. "Have you stopped taking your antiviral medication?"
b. "Have you been drinking alcohol?"
c. "Have you been eating aged cheese or organ meats?"
d. "Do you have a cat?" Correct Answers ANS: D
Cat litter boxes and undercooked meats are themajor sources of
toxoplasmosis, which
causes a persistent watery diarrhea:
Surgical Nursing, 7th Edition Questions With Complete
Solutions
1. A nurse explains that HIV is introduced to thesystemic
circulation by the_ , which is
found in themucous membranes: Correct Answers ANS:
macrophage
The macrophage introduces HIV into thesystem:
DIF:Cognitive Level: Knowledge REF: p: 578 OBJ: 1 | 2
TOP: Macrophage KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Physiological
Adaptation
10. A nurse is caring for a patient with HIV infection taking
Retrovir, a nucleoside antiviral
that is a reverse transcriptase inhibitor: For what should thenurse
be especially observant?
a. Decreased urine output
b. Hypertensive episodes
c. Jaundice
d. Edema of theface Correct Answers ANS: C
Retrovir has thepotential of causing a fatal hepatotoxic reaction:
Jaundice is a possible
sign of hepatic impairment:
DIF:Cognitive Level: Comprehension REF: p: 578 OBJ: 1
TOP:Drug Side Effects KEY: Nursing Process Step: Assessment
MSC:NCLEX: Physiological Integrity: Pharmacological
Therapies
,11. What indicates that a patient has entered thethird stage of
HIV infection?
a. T-helper CD4 cell count of 500
b. Rise in antibody count
c. Drop in viral load
d. Increase in T4 helper cells Correct Answers ANS: A
In thethird stage of HIV infection, T-helper CD4 cells drop to
approximately 500:
Antibodies are always high throughout theinfection but are
ineffective: theviral count is
high:
DIF:Cognitive Level: Comprehension REF: p: 580 OBJ: 1
TOP:Third Stage of HIV Infection KEY: Nursing Process Step:
Assessment
MSC:NCLEX: Physiological Integrity: Physiological
Adaptation
12. A nurse is preparing a teaching plan for a patient with HIV
who has been diagnosed with
microsporidiosis: Which implementation should be included?
a. Drink 3 quarts of fluid a day to combat dehydration:
b. Include milk products with every meal:
c. Consume liberal amounts of fat for increased energy:
d. Limit protein intake to reduce serum ammonia levels: Correct
Answers ANS: A
The patients need plenty of fluids to combat thediarrhea and
proteins for calories: They
should avoid milk products and fat:
DIF:Cognitive Level: Application REF: p: 587 OBJ: 1
TOP: Microsporidiosis KEY: Nursing Process Step:
Implementation
, MSC:NCLEX: Psychosocial Integrity: Basic Care and Comfort
13. What should a patient be encouraged to do before
theinitiation of any anti-HIVdrug
protocol?
a. Give up sexual activity for several months:
b. Follow thestrict dietary guidelines:
c. Comply with thedrug protocol:
d. Involve thepartner in a support program: Correct Answers
ANS: C
Patients with HIV are assessed for their willingness to comply
with thedrug protocol
because nonadherence causes theHIV organisms to become
resistant to thedrug:
DIF:Cognitive Level: Application REF: p: 587 OBJ: 1
TOP: Compliance KEY: Nursing Process Step: Implementation
MSC:NCLEX: Psychosocial Integrity: Psychosocial Adaptation
14. A patient with HIV complains to thehome health nurse that
he has been havingwatery
diarrhea for thepast 10 days: thenurse suspects toxoplasmosis:
What is themost
significant question for thenurse to ask?
a. "Have you stopped taking your antiviral medication?"
b. "Have you been drinking alcohol?"
c. "Have you been eating aged cheese or organ meats?"
d. "Do you have a cat?" Correct Answers ANS: D
Cat litter boxes and undercooked meats are themajor sources of
toxoplasmosis, which
causes a persistent watery diarrhea:
