Chapter 19 Flashcards
The nurse is caring for a client diagnosed with human immune deficiency virus. The client’s CD4+ cell count is 399/mm3. What action by the nurse is best?
Counsel the client on safer sex practices/abstinence.
The nurse is presenting information to a community group on safer sex practices. The nurse should teach that which sexual practice is the riskiest?
Anal intercourse
The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human immune deficiency virus (HIV) from clients. Which practice is most effective?
Consistent use of Standard Precautions
A client with human immune deficiency virus is admitted to the hospital with fever, night sweats, and severe cough. Laboratory results include a CD4+ cell count of 180/mm3 and a negative tuberculosis (TB) skin test 4 days ago. What action should the nurse take first?
Place the client under Airborne Precautions.
A nurse is talking with a client about a negative enzyme-linked immunosorbent assay (ELISA) test for human immune deficiency virus (HIV) antibodies. The test is negative and the client states “Whew! I was really worried about that result.” What action by the nurse is most important?
Assess the client’s sexual activity and patterns.
A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load. What action should the nurse take first?
Assess the client for adherence to the drug regimen.
A client is hospitalized with Pneumocystis jiroveci pneumonia. The client reports shortness of breath with activity and extreme fatigue. What intervention is best to promote comfort?
Pace activities, allowing for adequate rest.
A client with HIV wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that goals have been met for this client problem?
Has a weight gain of 2 pounds/1 month
A client with acquired immune deficiency syndrome is hospitalized and has weeping Kaposi’s sarcoma lesions. The nurse dresses them with sterile gauze. When changing these dressings, which action is most important?
Disposing of soiled dressings properly
A client has a primary selective immunoglobulin A deficiency. The nurse should prepare the client for self-management by teaching what principle of medical management?
“Treatment is aimed at treating specific infections.”
An HIV-positive client is admitted to the hospital with Toxoplasma gondii infection. Which action by the nurse is most appropriate?
Use Standard Precautions consistently.
A client has just been diagnosed with human immune deficiency virus (HIV). The client is distraught and does not know what to do. What intervention by the nurse is best?
Assess the client for support systems.
A nurse works on a unit that has admitted its first client with acquired immune deficiency syndrome. The nurse overhears other staff members talking about the “AIDS guy” and wondering how the client contracted the disease. What action by the nurse is best?
Confront the staff members about unethical behavior.
A client has been hospitalized with an opportunistic infection secondary to acquired immune deficiency syndrome. The client’s partner is listed as the emergency contact, but the client’s mother insists that she should be listed instead. What action by the nurse is best?
Contact the social worker to assist the client with advance directives.
A client with human immune deficiency virus infection is hospitalized for an unrelated condition, and several medications are prescribed in addition to the regimen already being used. What action by the nurse is most important?
Consult with the pharmacy about drug interactions.
