HIV

Question 0

AIDS is the most common secondary immune defiecny disease in the world and is caused by a virus

Answer 0

True

Question 1

newly made cells and compatible blood transfusions are not deemed safe by the immune system Tru or False

Answer 1

False it is the job of the immune system to recognize them and to monitor for foreign or non self substances

Question 2

Once inside a host it is the CD4 t- helper cells that are hijacked

Answer 2

True known as CD4 cells, helper inducer cells,T Cells, or T4 cell directs immune system defenses and regulates the activity of the immune system

Question 3

Entry Inhibitors do not prevent the HIV proteins from binding T/F.

Answer 3

False It prevents the cp41from binding to the CCR5 receptor and entering the CD4 T cells

Question 4

HIV belongs to the group of viruses called———-.

Answer 4

Retrovirouses single stranded RNA and converts double stranded DNA

Question 5

The drug that prevents single stranded HIV RNA to converting to double stranded DNAis

Answer 5

Nucleoside analog reverse transcriptase inhibitors NARTIS

Question 6

Intergrase is what?

Answer 6

Allows the viral ds viralDNA to be inserted into the host DNA
Intergrase inhibitors is a drug used to prevent viral DNA from integrating

Question 7

HIV protease is?

Answer 7

Chemical scissors that cut one long protein strand into functional pieces. These pieces bud off to infect other CD4cells
protease inhibitors work here to inhibit HIV protease

Question 8

What does the typicalHIV/AIDS pt die from

Answer 8

opportunistically infections or cancer

Question 9

Normal healthy adult has how manyCD4 cells?

Answer 9

800-1000 cells/mm3

Question 10

First manifestations of HIV?

Answer 10

fever,night sweat, chills, headache, muscle aches, Acute HIVhave rash and sore throats which is confused with mononucleosis and viral meningitis

Question 11

What is a result of HIVinfection immune system abnormalities?

Answer 11

lymphocytopenia
increased production of incomplete nonfunctional antibodies
Abnormally functioning macrophages

Question 12

whatis required to receive a diagnosis of AIDS?

Answer 12

CD4tcells count lower than 200
or an opportunistic infection
Once diagnosed as AiDS always an aids patient

Question 13

Lymphadenopathy is?

Answer 13

Pt has persistently large lymph nodes

Question 14

HIV to AIDS takes years T/F?

Answer 14

false it could be months to years depending on the more times the HIV was encountered. more encounters the more likely the process will bested up to AIDS

Question 15

What is the age group thatis most likely to contract AIDS?

Answer 15

21-44
men on men sex highest risk46
either sex using intervenors drugs 20
Hispanics african Americans are increasing
women are fastest growing group due to sexual exposure and drug use 16

Question 16

What is the first sign a woman may have for a HIV infection?

Answer 16

vaginal candidiasis

along with herpes,PID, cervical dysphasia, or cancer

Question 17

pregnant women with HIV have more likely chance for?

Answer 17

premature delivery, low birth weight, and transmitting the disease to infant

Question 18

what body fluidics HIV found.

Answer 18

blood, semen, vaginal secretions, breast milk, amniotic fluid, feces, urine, saliva, tears,cerebrospinal fluid, lymph odes, cervical cells,corneal tissues, brain tissue
Blood andSemen havethehighest concentration

,

Question 19

HIV is transmitted by casual contact?T/F

Answer 19

False also not by mosquitoes or other insects

Question 20

what are theABCs ofHiV

Answer 20

Abstinence
Be faithful
Condoms

Question 21

Is

the vaginal area is more susceptible to HIV?

Answer 21

True the vaginal area has more mucus membrane then the penis thus HIV like otherSTDs are more easily transmitted
penis in rectalarea same idea for the rectal mucus a

Question 22

what is a viral load?

Answer 22

amount of virus present in blood and other body fluid. The higher the blood level of HIVviremia

the greater risk for sexual transmission

Question 23

Highly Active Antiretrviral Threapy HAART reduces the risk of transmission

Answer 23

False risk is always presenting HIV patients to transmit

Question 24

what are safer sex practices?

Answer 24

latex condom for genital anal sex
a condom or dental dam latex for or genital or oral/anal sex contact
latex gloves for finger or hand contact with vagina or rectum

Question 25

WORKS should be cleaned with——-?

Answer 25

flush used needle And syringe with clean water

fill syringe with bleach shake 30-60seconds

Question 26

HIV pregnant women should not continue HIV drug therapy T/F

Answer 26

False they should continue or start HIVtherapy

Question 27

Health are workers are not at risk of contacting HIV T/F

Answer 27

False. needle sticks and sharps are main means of occupational related HIVExposure

Question 28

What are the precautions for HCW

Answer 28

gloves especially with nonintact skin

or weaping dermatitis or open lesions

Question 29

during assessment what should the nurse inquire about witha HIVpatient?

Answer 29

when diagnoses
clinical symptoms
chronological infection hx
blood transfusion before1978-85
sexual practices
STD
Any TB or HEP
hemophilia or clotting issues
their overall knowledge of disease

Question 30

opertunistic infections are caused by?

Answer 30

organisms that are in the normal environment and are kept in check by the normal immune system and maybe responsible forthe clinical manifestations of the progressingHIV patient

Question 31

only one infection. an be present at a time T/F

Answer 31

False the infection may be protozoan, fungal, bacterial, or viral and must be treAted immediately due to they may progress and cause death

Question 32

what is a protozoan infection common to HIV

Answer 32

PCP pneumocystis jroveci pneumonia is the most common

asses for dyspepsia on exertion, tachycardia, a persistent dry cough, and fever
may have weight loss and fatigue listen for crackles

Question 33

toxoplasmosis is contracted by?

.

Answer 33

through contact with cat feces or ingesting infected undercooked meat.
changes in mental status speech gait, headaches,fever

Question 34

cryptospordiosis may result in what fatal syndrome

Answer 34

severe wasting syndrome, with electrolyte imbalances

Question 35

fungal infections include?

Answer 35

food may taste funny because the Candidia stomactitis or esophagus is out of control. swallowing may be painful also
retrsternal pain-pain behind the ribs
woman withHIV may have persistent itching ,perineal irritation and a thick white discharge

Question 36

cryptocococsis widely spread with AIDS what are its symptoms

Answer 36

fever headache, blurred vision, nausea, vomiting, nuchal rigidity-neck pain, mild concussion, and other mental status changes

Question 37

what is the most common bacterial infection for -AIDS

Answer 37

MAC or my robacterium Adium complex it infects the respiratory and GI tract and is a systemic infection
culture from lymph nodes bone arrow, and blood to diagnose
look for weight loss mailse swollen lymph glands or organ disease

Question 38

a patientwith AIDS doesn’t have to worry about TB?

Answer 38

TB occurs in2-10percent of all AIDS

Question 39

name four cancers that occur more readily in AIDS pts

Answer 39

Karposi.sarcoma purplish brown raised lesions
Hodgkins lymphoma
non-Hodgkins lymphoma Burkitts
invasive cervical cancer

Question 40

AIDS dementia complexis rareT-F?

Answer 40

false about 70percent of AIDS patients from barely noticible to severe dementia

Question 41

ElISA test may accurately test for HIV antibodies before 3weeks?

Answer 41

no the antibody is usually made anywhere from 3 weeks to 3 months and may not be detected up to 36 months after initial infection

Question 42

when is a Western Blot used?

Answer 42

when an ELISA comes back positive. if 2 antibodies are found of the major HIV antigens then the person has tested positive for HIV not AIDS

Question 43

NANDAS for aAIDS
risk for infection related to I mine deficiency
impAired gas exchange related to anemia, respiratory infection PCP,Karposi sarcoma, CMV,anemia, fatigue, pain
Acute pain or chronic pain r/t neuropathy,myelopathy, cancer or infection
Imbalanced nutrition less than body requirements r/t high metabolic need, nausea, and vomiting
Diarrhea r/t infection,food intolerance, or drugs
Impaired skin integrity r/t KS , infection, altered nutritional state, incontininance, immobility, hyperthermia, or cancer
Disturbed thought process r/t to AIDS dementia complex, enteral nervous system infection, or cancer
Chronic low self esteem r/t,, infection,changes in body, decreased self esteem or helplessness
Social isolation r/t stigma,virus transmittability infection control practices,or fear

Answer 43

additional. NDiagnosis
Activity intolerance r/t fatigue discomfort, cons defect, weakness, or anemia
Risk for injury r/t cons defect, mental status change, depression, or thrombocytopenia
Disturbed sensory preception(visual) r/t to CMV
retinitis or blindness
Sleep deprevation r/t pain discomfort, anxiety, or depression
Ineffective coping r/t the diagnosis of AIDS
Disabled family coping r/t the diagnosis of AIDS
Greiving r/t anticipated loss of role and function or impending death