HIV & TB HESI CASE STUDY GUIDE EXAM 2025 -2026
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How should the nursing "I understand you want to protect your children. Please
supervisor tell me your concerns regarding caring for a client w/
respond to the staff LPN
HIV"
who does not want to
care for Raymond?
The nurse creates a POC for - "I realize my helper T cells are diminished from HIV.
Raymond. The nsg dx of Those are the cells needed to fight TB"
Knowledge Deficit is used
to describe what is needed - "I
guess living in that homeless shelter increased my chances of
getting TB"
during client
education sessions w/
Raymond. Which stmts by
Raymond indicates that he
understands why he is at risk
for TB?
After 3 days, the nurse That is not always true. A 5 mm induration is considered positive
receives the results from for a person w/ HIV
Raymond's TB skin test
that was administered at
his HCP's office. Even
though Raymond's reaction
to the TB skin test
measures only 5mm, the
HCP documents a positive
test result. A new
graduate nurse finds this
confusing. The new graduate
nurse thought that a 10mm
induration was the
minimum size for a
positive reading and asks
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the nurse
preceptor for clarification.
How should the
nurse preceptor respond?
Before breakfast, the "To be most effective, HIV meds are prescribed on different
nurse brings Raymond the schedules"
HIV meds that are due.
Raymond inquires about his
other meds, stating, "I take
all my HIV pills at once
before breakfast. I don't
want to bother w/
taking meds all day long!"
Show should the nurse
reply?
Raymond responds by "The main purpose of these meds is to block the replication of
agreeing to take his meds the HIV virus"
as prescribed. He then
states, "However, I don't
know what good they will
do. Do you?" How should
the nurse
respond?
- Rifabutin stains urine, stool, saliva, sweat, and tears reddish-
Raymond's HCP has also
orange
prescribed the anti-
tuberlosis regimen of - Liver
fucntion tests should be routinely conducted and
rifabutin/isoniazid/pyrazinami monitored
de/ethambut ol. What info
is important to teach - Visual disturbances r/t ethambutol therapy may
Raymond about the use of this dvp during therapy, but may resolve once tx is
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