Exam (elaborations)

HCAL III FINAL EXAM / HCAL III FINAL EXAM TEST BANK COMPLETE ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED ANSWERS) | ALREADY GRADED A+ BRAND NEW!!!

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HCAL III

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HCAL III

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HCAL III FINAL EXAM / HCAL III FINAL EXAM TEST
BANK COMPLETE ACTUAL EXAM 180 QUESTIONS
AND CORRECT DETAILED ANSWERS (100%
CORRECT VERIFIED ANSWERS) | ALREADY GRADED
A+ BRAND NEW!!!
Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends.
Members of what group currently have the greatest risk of contracting HIV?

- Gay, bisexual, & other men who have sex with men

- Recreational drug users

- Blood transfusion recipients

- HCPs - CORRECT ANSWER-- Gay, bisexual, & other men who have sex with men

A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is
experiencing a progressive decline in cognitive, behavioral, & motor function. The nurse recognizes that
these symptoms are most likely related to the onset of what complication?

- HIV encephalopathy

- B-cell lymphoma

- Kaposis sarcoma

- Wasting syndrome - CORRECT ANSWER-- HIV encephalopathy

A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing
the patient. which of the following observations takes immediate priority?

- oral temperature of 100 F

- tachypnea & restlessness

- frequent loose stools

- weight loss of 1 lb since yesterday - CORRECT ANSWER-- tachypnea & restlessness

A patient has come into the free clinic asking to be tested for HIV infection. The patient asks the nurse
how the test works. The nurse responds that if the testing shows that antibodies to the AIDS virus are
present in the blood, this indicates what?

- the patient is immune to HIV

,- the patient's immune system is intact

- the patient has AIDS-related complications

- the patient has been infected with HIV - CORRECT ANSWER-- the patient has been infected with HIV

A hospital patient is immunocompromised because of stage 3 HIV infection & the physician has ordered
a chest radiograph. How should the nurse most safely facilitate the test?

- arrange for a portable x-ray machine to be used

- have the patient wear a mask to the x-ray department

- ensure that the radiology department has been disinfected prior to the test

- send the patient to the x-ray department and have the staff in the department wear masks - CORRECT
ANSWER-- arrange for a portable x-ray machine to be used

The mother of 2 young children has been diagnosed with HIV & expresses fear of dying. How should the
nurse best respond to the patient?

- would you like me to have the chaplain come speak with you?

- you'll learn much about the promise of a cure for HIV

- can you tell me what concerns you the most about dying?

- you need to maintain hope because you may live for several years - CORRECT ANSWER-- can you tell
me what concerns you the most about dying?

The nurse is addressing condom use in the context of a heath promotion workshop. When discussing the
correct use of condoms, what should the nurse tell the attendees?

- attach the condom prior to erection

- a condom may be reused with the same partner if ejaculation has not occurred

- use skin lotion as a lubricant if alternatives are unavailable

- hold the condom by the cuff upon withdrawal - CORRECT ANSWER-- hold the condom by the cuff upon
withdrawal

A nurse is planning the care of a patient with AIDS who is admitted to the unit with Pneumocystis
pneumonia (PCP). Which nursing diagnosis has the highest priority for this patient?

- ineffective airway clearance

,- impaired oral mucous membranes

- imbalanced nutrition: less than body requirements

- activity intolerance - CORRECT ANSWER-- ineffective airway clearance

A public health nurse is preparing an education campaign to address a recent local increase in the
incidence of HIV infection. The nurse should prioritize which of the following interventions?

- lifestyle actions that improve immune function

- educational programs that focus on control and prevention

- appropriate use of standard precautions

- screening programs for youth and young adults - CORRECT ANSWER-- educational programs that focus
on control and prevention

A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should
recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte
cell count drops below what threshold?

- 75 cells/mm3 of blood

- 200 cells/mm3 of blood

- 325 cells/mm3 of blood

- 450 cells/mm3 of blood - CORRECT ANSWER-- 200 cells/mm3 of blood

During the admission assessment of an HIV-positive patient whose CD4+ count has recently fallen, the
nurse carefully assesses for signs and symptoms related to opportunistic infections. What is the most
common life-threatening infection?

- salmonella infection

- mycobacterium tuberculosis

- clostridium difficile

- pneumocystis pneumonia - CORRECT ANSWER-- pneumocystis pneumonia

A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors (NRTOs).
What dietary counseling will the nurse provide based on the patient's medication regimen?

- avoid high-fat meals while taking this medication

, - limit fluid intake to 2 liters a day

- limit sodium intake to 2 grams per day

- take this medication without regards to meals - CORRECT ANSWER-- take this medication without
regards to meals

A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing the
patient's GI system and analyzing the data, what is most likely to be the priority nursing diagnosis?

- acute abdominal pain

- diarrhea

- bowel incontinence

- constipation - CORRECT ANSWER-- diarrhea

A patient with a recent diagnosis of HIV infection expresses an interest in exploring alternative and
complementary therapies. How should the nurse best respond?

- complementary therapies generally have not been approved, so patients are usually discouraged from
using them

- researchers have not looked at the benefits of alternative therapy for patients with HIV, so we suggest
that you stay away from these therapies until there is solid research data available

- many patients with HIV use some type of alternative therapy and, as with most health treatments,
there are benefits and risks

- you'll need to meet with your doctor to choose between an alternative approach to treatment and a
medical approach - CORRECT ANSWER-- many patients with HIV use some type of alternative therapy
and, as with most health treatments, there are benefits and risks

A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse
should expect the PCP to order what test to confirm the EIA test results?

- another EIA test

- viral load test

- Western blot test

- CD4/CD8 ratio - CORRECT ANSWER-- Western blot test

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Exam (elaborations)

HCAL III FINAL EXAM / HCAL III FINAL EXAM TEST BANK COMPLETE ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED ANSWERS) | ALREADY GRADED A+ BRAND NEW!!!

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