NSG 231 Exam #5-Questions with Correct Answers/
Verified/ Latest Update
What are the Cs of the prodrome of rubeola? - ✔✔cough
coryza
conjuntivitis
What viral infection is characterized by sudden high fevers for 3-4days but is otherwise
asymptomatic? A rash will often appear when the fever dissipates. - ✔✔Roseola infantum
(HHV-6)
What finding is a leading AIDS indicator? - ✔✔CD4 counts of less than 200 cells/mm3
What are the potential benefits of early initiation of antiretroviral therapy in the
asymptomatic HIV-infected client? - ✔✔Control of viral replication, decreased risk of drug
toxicity, prevention of progressive immunodeficiency
During the time that a client is taking zidovudine, frequent monitoring of which lab value is
required? - ✔✔CBC, renal function, hepatic function
The nurse is assessing a client taking zidovudine. What should the nurse expect to see if the
client is experiencing side effects? - ✔✔numbness and pain in lower extremities, headache,
difficulty swallowing
During the time that a client is taking efavirenz, periodic moitoring of which lab values is
required? - ✔✔renal function
What should the nurse assess in a client taking efavirenz if he appears to be experiencing
side effects? - ✔✔CNS effects, diarrhea, rash
A client is being discharged on efavirenz. What priority teaching info should be given to this
client? - ✔✔Don't take St Johns Wort, it will decrease the effectiveness.
Avoid alcohol and this drug can cause convulsions and possible liver damage.
,At what intervals is lopinavir generally scheduled to be taken? - ✔✔twice a day
What lab values are priorities for the nurse to monitor in a pt taking lopinavir? - ✔✔liver
function, triglycerides, cholesterol, blood glucose
the client is being discharged on lopinavir. what priority teaching info should this client
receive? - ✔✔you cannot take St johns wort, you should take this med w/ food, you will
need to learn to measure your blood gluc level, you may experience an allergic reaction and
should contact your health care provider
In the pregnant client, zidovudine monotherapy is begun at how many week of gestation? -
✔✔14 wks
What side effects would the nurse expect to see in a client taking lopinavir? - ✔✔vomiting,
diarrhea, nausea
What are some AIDS defining conditions? - ✔✔CD4 <200
How is HIV transmitted? - ✔✔blood, semen, vaginal secretions, breast milk
Dx for HIV - ✔✔rapid
HIV Elisa
What does an acute primary HIV infection look like? - ✔✔2-4 wks after exposure
flu-like sympt lasting 1.5-2wks
What are frequent symptoms of an acute HIV infection? - ✔✔fever
fatigue
rash
headache
, lymphadenopathy
pharyngitis
arthalgias
oral ulcers
When does the HIV-1 antibodies kick in during an acute primary HIV case? - ✔✔14-21 days
after exposure, when HIV RNA is over 1million
What is CD4 used for? - ✔✔when to initiate therapy
response to therapy
need for prophylaxis
HIV Plasma RNA - ✔✔measure levels of HIV in blood
determines response to therapy
results (copies/ml) or log10
What does undetectable viral load mean? - ✔✔refers to the lower limit of detection.
<20 copies/ml
*doesn't mean cured*
Resistance assays: - ✔✔Genotype: IDs drug resistance mutations
Phenotype: measures virus' ability to grow in various concentrations of drugs
What do integrase inhibitors do? - ✔✔blocks integrase from inserting the viral genome into
the DNA of the host cell
eg: isentress
Verified/ Latest Update
What are the Cs of the prodrome of rubeola? - ✔✔cough
coryza
conjuntivitis
What viral infection is characterized by sudden high fevers for 3-4days but is otherwise
asymptomatic? A rash will often appear when the fever dissipates. - ✔✔Roseola infantum
(HHV-6)
What finding is a leading AIDS indicator? - ✔✔CD4 counts of less than 200 cells/mm3
What are the potential benefits of early initiation of antiretroviral therapy in the
asymptomatic HIV-infected client? - ✔✔Control of viral replication, decreased risk of drug
toxicity, prevention of progressive immunodeficiency
During the time that a client is taking zidovudine, frequent monitoring of which lab value is
required? - ✔✔CBC, renal function, hepatic function
The nurse is assessing a client taking zidovudine. What should the nurse expect to see if the
client is experiencing side effects? - ✔✔numbness and pain in lower extremities, headache,
difficulty swallowing
During the time that a client is taking efavirenz, periodic moitoring of which lab values is
required? - ✔✔renal function
What should the nurse assess in a client taking efavirenz if he appears to be experiencing
side effects? - ✔✔CNS effects, diarrhea, rash
A client is being discharged on efavirenz. What priority teaching info should be given to this
client? - ✔✔Don't take St Johns Wort, it will decrease the effectiveness.
Avoid alcohol and this drug can cause convulsions and possible liver damage.
,At what intervals is lopinavir generally scheduled to be taken? - ✔✔twice a day
What lab values are priorities for the nurse to monitor in a pt taking lopinavir? - ✔✔liver
function, triglycerides, cholesterol, blood glucose
the client is being discharged on lopinavir. what priority teaching info should this client
receive? - ✔✔you cannot take St johns wort, you should take this med w/ food, you will
need to learn to measure your blood gluc level, you may experience an allergic reaction and
should contact your health care provider
In the pregnant client, zidovudine monotherapy is begun at how many week of gestation? -
✔✔14 wks
What side effects would the nurse expect to see in a client taking lopinavir? - ✔✔vomiting,
diarrhea, nausea
What are some AIDS defining conditions? - ✔✔CD4 <200
How is HIV transmitted? - ✔✔blood, semen, vaginal secretions, breast milk
Dx for HIV - ✔✔rapid
HIV Elisa
What does an acute primary HIV infection look like? - ✔✔2-4 wks after exposure
flu-like sympt lasting 1.5-2wks
What are frequent symptoms of an acute HIV infection? - ✔✔fever
fatigue
rash
headache
, lymphadenopathy
pharyngitis
arthalgias
oral ulcers
When does the HIV-1 antibodies kick in during an acute primary HIV case? - ✔✔14-21 days
after exposure, when HIV RNA is over 1million
What is CD4 used for? - ✔✔when to initiate therapy
response to therapy
need for prophylaxis
HIV Plasma RNA - ✔✔measure levels of HIV in blood
determines response to therapy
results (copies/ml) or log10
What does undetectable viral load mean? - ✔✔refers to the lower limit of detection.
<20 copies/ml
*doesn't mean cured*
Resistance assays: - ✔✔Genotype: IDs drug resistance mutations
Phenotype: measures virus' ability to grow in various concentrations of drugs
What do integrase inhibitors do? - ✔✔blocks integrase from inserting the viral genome into
the DNA of the host cell
eg: isentress
