NSG 6330 Final Study Guide QUESTIONS WITH ANSWERS

NSG 6330 Final Study Guide QUESTIONS
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WITH ANSWERS |\




How is HIV transmitted - CORRECT ANSWERS ✔✔Vertical
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transmission from a mother to her baby, blood transfusion, or |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


exchange of any blood products |\ |\ |\ |\




Question : |\ |\




HIV risk factors are all of these except:
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Unprotected sex or trauma with sexual activity or multiple |\ |\ |\ |\ |\ |\ |\ |\ |\


partners |\




IV drug use, including shared syringes
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Exchange of saliva - CORRECT ANSWERS ✔✔Exchange of saliva
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Whether you order diagnostic testing or refer the patient to an
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HIV-specific facility, laboratory confirmation for documentation for
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appropriate care rendered.
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The test confirming HIV infection is _____________.
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HIV-1/2 Ag/Ab combination immunoassay
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enzyme-linked immunosorbent HIV RNA |\ |\ |\ |\


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CD4+ lymphocyte count|\ |\ |\


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,quantitative plasma HIV RNA - CORRECT ANSWERS ✔✔HIV-1/2 |\ |\ |\ |\ |\ |\ |\ |\


Ag/Ab combination immunoassay
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Treatment, although not curative, is critical for the best outcome
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possible. One important principle of antiretroviral therapy is:
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Therapy should be started when symptoms first appear.
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Monotherapy is recommended. |\ |\ |\




Response to drug therapy is monitored by HIV RNA levels.
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Response to drug therapy is monitored with CD4+ counts. -
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CORRECT ANSWERS ✔✔Response to drug therapy is monitored
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by HIV RNA levels.
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The HIV is positive, and the chest X-ray reflects bilateral
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infiltrates. The radiologist telephones you with a diagnosis of
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pneumonia. Further evaluation and report are sent to you with a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


diagnosis of pneumocystis pneumonia. What stage is this HIV
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presentation?
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Acute HIV infection |\ |\ |\




Early-stage infection |\ |\




AIDS |\




Symptomatic but likely to begin a latency period - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔AIDS |\




Women often tend to reschedule a well-woman visit, but they
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don't do so often with a problem such as pelvic pain. This
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symptom can present as an acute, or chronic, insult. When a
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,woman presents with pelvic pain, the term can encompass many
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possibilities. Differentiating acute from chronic assists with |\ |\ |\ |\ |\ |\ |\


narrowing down the possibilities but nonetheless can originate |\ |\ |\ |\ |\ |\ |\ |\


from more than one system as a referred pain or discomfort. The
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focus here will be of reproductive/pelvic origin.
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As you know, the most common cause of pelvic pain can be
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noted as endometriosis. But you also know that the most acute
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causes of pelvic pain are probably: |\ |\ |\ |\ |\


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Salpingo-oophoritis (fallopian tube/ovary) secondary to PID |\ |\ |\ |\ |\ |\




Gynecologic malignancy |\ |\




Adhesions |\




Myomata uteri - CORRECT ANSWERS ✔✔Salpingo-oophoritis |\ |\ |\ |\ |\ |\


(fallopian tube/ovary) |\




A twenty-five-year-old presents with a report of a very tender
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area just near her introitus and to the left of her perineum. Very
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painful sex is how she knew "something wasn't right." She
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showered and when washing, she felt a "pea-sized" painful lump
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on the left side of her "bottom." She tells you she looked at it
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with a mirror and it was very small, but now it is the size of a
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ping-pong ball and getting worse. |\ |\ |\ |\




When you inspect her external genitalia, you are amazed at the
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size and appearance of the "lump."
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You note what appears to be an abscess on the left medial side
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of the labia minora, and there is some edema extending into the
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perineum. Your diagnosis for this presentation is: |\ |\ |\ |\ |\ |\

, Lipoma |\




Dermoid cyst |\ |\




Bartholin's cyst |\ |\




Skene's duct cyst - CORRECT ANSWERS ✔✔Bartholin's cyst
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Bartholin's Cyst - CORRECT ANSWERS ✔✔If a Bartholin duct gets
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blocked, fluid builds up in the gland. The blocked gland is called a
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Bartholin gland cyst
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You explain to this young woman what this "lump" is and let her
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know you will be referring her to a gynecologist you consult with
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regularly. You explain to her the likely treatment as follows:
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She will need to take sitz baths three times per day and a broad-
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spectrum antibiotic. |\ |\


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This is likely a fatty tumor and will need to be surgically
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removed. |\




A possible incision might be necessary and a catheter placed for
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two to four weeks to allow for drainage and appropriate healing.
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This is a folliculitis that has become infected and needs a needle
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aspiration and broad-spectrum antibiotic treatment. - CORRECT
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ANSWERS ✔✔A possible incision might be necessary and a
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catheter placed for two to four weeks to allow for drainage and
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appropriate healing. |\