Ricci Chapter 5 - Test Bank - 4th Edition || 100% Accurate
Answers.
1. The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for
treatment of HIV. The goal of this therapy is to:
A. promote the progression of disease.
B. intervene in late-stage AIDS.
C. improve survival rates.
D. conduct additional drug research. Correct Answer: C
Rationale: Aggressive anti-retroviral therapy aims to reduce HIV morbidity and mortality,
thereby improving survival rates. Drug therapy also aims to decrease the HIV viral load, restore
the body's ability to fight off infection, and improve the quality of life. Drug therapy does not
promote the progression of the disease. It is started at the time of the first infection, not in
latestage
AIDS. Treatment advances have been based on research, but drug therapy is not prescribed
to conduct additional research.
2. A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is
having difficulty with adherence. To promote adherence, which area would be most important
for the nurse to assess?
A. beliefs and education
B. financial situation and insurance
C. activity level and nutrition
D. family and living arrangements Correct Answer: A
Rationale: The most important area to assess initially would be the client's beliefs and knowledge
about the disease and its treatment. A common barrier is a lack of understanding about the link
between drug resistance and nonadherence. Once this area is assessed, the nurse can assess for
other barriers, such as finances and insurance, nutrition and activity level, and family issues,
including living arrangements (for example, the client may be afraid that his or her HIV status
would be revealed if others see the client taking medication).
3. When developing a teaching plan for a community group about HIV infection, which group
would the nurse identify being most vulnerable for HIV infection?
A. Native American/First Nations people
B. heterosexual women
C. new health care workers
D. Asian immigrants Correct Answer: B
Rationale: The number of women with HIV infection and AIDS has been increasing steadily
worldwide. Today, women account for one in four (25%) new HIV infections in the United
States. Women of color have been especially hard hit and represent the majority of women living
with the disease and newly infected ones. African American women suffer disproportionately
from the HIV/AIDS epidemic. New health care workers, Native American/First Nations
members, and Asian immigrants are not among those considered at high risk.
4. After teaching a group of adolescents about HIV, the nurse asks them to identify the primary
means by which adolescents are exposed to the virus. The nurse determines that the teaching was
, successful when the group identifies which means of exposure?
A. sexual intercourse
B. sharing needles for IV drug use
C. perinatal transmission
D. blood transfusion Correct Answer: A
Rationale: HIV infections are increasing in adolescents and young adults aged 13 to 24 years
predominantly trasmitted by sexual intercourse. Millions of US adolescents between the ages of
10 and 19 are living with HIV, and many do not receive the care and support they need to stay in
good health. This is particularly significant because the risk of HIV transmission increases
substantially if either partner is infected with an STI. Sharing of needles, perinatal transmission,
and blood transfusions are less often means of transmission in adolescents.
5. The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which
count would indicate to the nurse that the client has AIDS?
A. 1,000 cells/mm3
B. 700 cells/mm3
C. 450 cells/mm3
D. 200 cells/mm3 Correct Answer: D
Rationale: When the CD4 T-cell count reaches 200 or less, the person has reached the stage of
AIDS per the CDC. A CD4 T-cell count between 450 and 1,200 is considered normal.
6. When obtaining the health history from an adolescent client, which factor would lead the
nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?
A. hive-like rash for the past 2 days
B. five different sexual partners
C. weight gain of 5 lb (2.3 kg) in 1 year
D. clear vaginal discharge Correct Answer: B
Rationale: The number of sexual partners is a risk factor for the development of STIs. A rash
could be related to numerous underlying conditions. A weight gain of 5 lb (2.3 kg) in 1 year is
not a factor increasing one's risk for STIs. A change in the color of vaginal discharge such as
yellow, milky, or curd-like, not clear, would suggest an STI.
7. Assessment of a female client reveals a thick, white vaginal discharge. The client also reports
intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client
has:
A. trichomoniasis.
B. bacterial vaginosis.
C. candidiasis.
D. genital herpes simplex. Correct Answer: C
Rationale: A thick, white vaginal discharge accompanied by intense itching and dyspareunia
suggest vulvovaginal candidiasis. Trichomoniasis is characterized by a heavy yellow, green, or
gray frothy or bubbly discharge. Bacterial vaginosis is manifested by a thin, white homogenous
vaginal discharge with a characteristic stale fish-like odor. Genital herpes simplex involves
genital ulcers.
8. A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the
Answers.
1. The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for
treatment of HIV. The goal of this therapy is to:
A. promote the progression of disease.
B. intervene in late-stage AIDS.
C. improve survival rates.
D. conduct additional drug research. Correct Answer: C
Rationale: Aggressive anti-retroviral therapy aims to reduce HIV morbidity and mortality,
thereby improving survival rates. Drug therapy also aims to decrease the HIV viral load, restore
the body's ability to fight off infection, and improve the quality of life. Drug therapy does not
promote the progression of the disease. It is started at the time of the first infection, not in
latestage
AIDS. Treatment advances have been based on research, but drug therapy is not prescribed
to conduct additional research.
2. A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is
having difficulty with adherence. To promote adherence, which area would be most important
for the nurse to assess?
A. beliefs and education
B. financial situation and insurance
C. activity level and nutrition
D. family and living arrangements Correct Answer: A
Rationale: The most important area to assess initially would be the client's beliefs and knowledge
about the disease and its treatment. A common barrier is a lack of understanding about the link
between drug resistance and nonadherence. Once this area is assessed, the nurse can assess for
other barriers, such as finances and insurance, nutrition and activity level, and family issues,
including living arrangements (for example, the client may be afraid that his or her HIV status
would be revealed if others see the client taking medication).
3. When developing a teaching plan for a community group about HIV infection, which group
would the nurse identify being most vulnerable for HIV infection?
A. Native American/First Nations people
B. heterosexual women
C. new health care workers
D. Asian immigrants Correct Answer: B
Rationale: The number of women with HIV infection and AIDS has been increasing steadily
worldwide. Today, women account for one in four (25%) new HIV infections in the United
States. Women of color have been especially hard hit and represent the majority of women living
with the disease and newly infected ones. African American women suffer disproportionately
from the HIV/AIDS epidemic. New health care workers, Native American/First Nations
members, and Asian immigrants are not among those considered at high risk.
4. After teaching a group of adolescents about HIV, the nurse asks them to identify the primary
means by which adolescents are exposed to the virus. The nurse determines that the teaching was
, successful when the group identifies which means of exposure?
A. sexual intercourse
B. sharing needles for IV drug use
C. perinatal transmission
D. blood transfusion Correct Answer: A
Rationale: HIV infections are increasing in adolescents and young adults aged 13 to 24 years
predominantly trasmitted by sexual intercourse. Millions of US adolescents between the ages of
10 and 19 are living with HIV, and many do not receive the care and support they need to stay in
good health. This is particularly significant because the risk of HIV transmission increases
substantially if either partner is infected with an STI. Sharing of needles, perinatal transmission,
and blood transfusions are less often means of transmission in adolescents.
5. The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which
count would indicate to the nurse that the client has AIDS?
A. 1,000 cells/mm3
B. 700 cells/mm3
C. 450 cells/mm3
D. 200 cells/mm3 Correct Answer: D
Rationale: When the CD4 T-cell count reaches 200 or less, the person has reached the stage of
AIDS per the CDC. A CD4 T-cell count between 450 and 1,200 is considered normal.
6. When obtaining the health history from an adolescent client, which factor would lead the
nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?
A. hive-like rash for the past 2 days
B. five different sexual partners
C. weight gain of 5 lb (2.3 kg) in 1 year
D. clear vaginal discharge Correct Answer: B
Rationale: The number of sexual partners is a risk factor for the development of STIs. A rash
could be related to numerous underlying conditions. A weight gain of 5 lb (2.3 kg) in 1 year is
not a factor increasing one's risk for STIs. A change in the color of vaginal discharge such as
yellow, milky, or curd-like, not clear, would suggest an STI.
7. Assessment of a female client reveals a thick, white vaginal discharge. The client also reports
intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client
has:
A. trichomoniasis.
B. bacterial vaginosis.
C. candidiasis.
D. genital herpes simplex. Correct Answer: C
Rationale: A thick, white vaginal discharge accompanied by intense itching and dyspareunia
suggest vulvovaginal candidiasis. Trichomoniasis is characterized by a heavy yellow, green, or
gray frothy or bubbly discharge. Bacterial vaginosis is manifested by a thin, white homogenous
vaginal discharge with a characteristic stale fish-like odor. Genital herpes simplex involves
genital ulcers.
8. A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the
