100% VERIFIED ANSWERS A+ GRADED
The nurse is assessing a client who has a HX of HIV w phagocytic dysfunction. What
should the nurse monitor for? - Answer - Fungal infection
The nurse should monitor the client for fungal infections due to the impairment of the
phagocytic cells. Fungal and bacterial infections are the primary results of the
dysfunction.
What is the primary transmission of HIV? - Answer - Direct contact with infected body
fluids
You have a pt with AIDS. They are at risk for developing what oral infection? - Answer -
Candidiasis
Although oral candidiasis can affect anyone, it occurs most often in infants, toddlers,
older adults, and clients whose immune systems have been compromised by illness,
such as AIDS, or medications.
ELISA uses what test to confirm diagnosis? - Answer - Western Blot Analysis
The Western blot analysis is used to confirm seropositivity when the ELISA test has a
positive result. ELISA is inexpensive and accurate with few false-positives. Western blot
is expensive, so is done only for confirmation.
CD4 T-cell count - Answer - After confirmation of HIV infection, the CD4+ T-cell count
helps providers decide when to initiate antiretroviral medication therapy. A low CD4+T-
cell count is associated with more disease manifestations.
What lab test should you monitor to see the effectiveness of HIV therapy? - Answer -
Quantitative RNA assay
A quantitative RNA assay measures the viral load and is useful in monitoring HIV
disease progression and treatment effectiveness.
Platelet count - Answer - Platelet counts can indicate a client's overall health but do not
assess HIV disease progression or treatment effectiveness.
Enzyme Immunoassay (EIA) - Answer - a test that screens for the presence of HIV
antibodies in the blood
, Western blot - Answer - a test that detects HIV antibodies and confirms the results of
earlier EIA tests
CD4 cells healthy person - Answer - 700-1000
function of the thymus, spleen, and lymph nodes - Answer - support immunity and fight
infection.
Which of the following conditions are affected by the T-cells?
Anaphylaxis
Transplant rejection
Hay fever allergy
Bacterial phagocytosis - Answer - Transplant rejection is affected by the cellular
response, or cell-mediated immunity, of the T-cells.
--Bacterial phagocytosis is affected by the humoral response, or antibody-mediated
immunity, of the B-cells.
Pt is immunosuppressed. What precautions should you follow? - Answer - Don a mask,
gloves, and gown
--should wear a mask, gloves, and gown to protect the client from contacting an
infection from bacteria or virus.
Restrict visitors who have active infections
Instruct the client to eat cooked foods only
--eat only cooked foods to protect the client from bacteria in raw foods.
Adverse effects of zidovudine - Answer - Aplastic Anemia
Severe myelosuppression that results in anemia (decreased red blood cells),
agranulocytosis (decreased white blood cells), and thrombocytopenia (decreased
platelets) is a life-threatening adverse reaction to zidovudine therapy. Consequently,
zidovudine must be used cautiously in clients already experiencing myelosuppression,
and the client must be monitored with a CBC performed every few weeks for early
detection of marrow failure, which may lead to aplastic anemia.
Contraindications for prophylactic antibiotics - Answer - Pt who has a fever of unknown
origin