MULTIPLE CHOICE
1. Which should take priority in the care of an outpatient with AIDS?
a. Therapeutic regimen management
b. Physical mobility
c. Skin integrity
d. Social isolation
ANS: A
Failure to take anti-HIV drugs as scheduled can encourage resistant strains of HIV:
DIF: Cogn...
1. Which should take priority in the care of an outpatient with AIDS?
a. Therapeutic regimen management
b. Physical mobility
c. Skin integrity
d. Social isolation
ANS: A
Failure to take anti-HIV drugs as scheduled can encourage resistant strains of HIV:
DIF: Cognitive Level: Analysis REF: p: 587 OBJ: 1
TOP: Nursing Diagnosis: AIDS KEY: Nursing Process Step: Nursing
Diagnosis
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
2. A nurse removes a potted plant from the room of a patient with HIV: What is the nurse
trying to prevent?
a. Aspergillosis
b. Candidiasis
c. Coccidioidomycosis
d. Cytomegalovirus (CMV)
ANS: A
Aspergillosis can be contracted from the potting soil in and around the plant in the
pot:
DIF: Cognitive Level: Comprehension REF: p: 581 OBJ: 1
TOP: Aspergillosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
,3. What childhood exposure causes painful shingles experienced by the patient with HIV?
a. Measles
b. Mumps
c. Impetigo
d. Chickenpox
ANS: D
Chickenpox can be reactivated as shingles:
DIF: Cognitive Level: Knowledge REF: p: 582 OBJ: 1
TOP: Shingles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. Which nursing action should be implemented to increase the comfort of a patient with
oral hair leukoplakia?
a. Allow aspirin to melt in the mouth and then wash out with warm water:
b. Encourage mouth rinses with warm salt water several times a day:
c. Limit intake of ice cream and other cold foods:
d. Offer fluids through a straw:
ANS: D
Using a straw keeps fluids from flooding the entire oral cavity: Warm or acidic items
are to be discouraged because they add to the discomfort: Ice cream and popsicles can
numb the area:
DIF: Cognitive Level: Application REF: p: 582 OBJ: 1
TOP: Oral Hair Leukoplakia KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. What should a patient with HIV avoid to prevent bacillary angiomatosis (BA)?
a. Cats
b. Large crowds of people
c. Consuming unwashed fruits
d. Exposure to mosquito bites
, ANS: A
Cats and their fleas are thought to transmit BA:
DIF: Cognitive Level: Comprehension REF: p: 583 OBJ: 1
TOP: Prevention KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
6. What sign should a nurse report when caring for the patient with AIDS who has
cutaneous Kaposi sarcoma?
a. Nausea
b. Fatigue
c. Abdominal pain
d. Weight loss
ANS: C
Abdominal pain may be an indication of organ involvement from Kaposi sarcoma:
DIF: Cognitive Level: Comprehension REF: p: 583 OBJ: 1
TOP: Kaposi Sarcoma KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
7. Which statement by a patient diagnosed with AIDS should lead a nurse to suspect an
infection by CMV?
a. “I need to get glasses; I can’t see as well as I did a few months ago:”
b. “I need to drink more water: This diarrhea has really dehydrated me:”
c. “I need to get smaller clothes: I have lost 10 lb in the past 6 weeks:”
d. “I need to take some pep pills: I don’t have any energy:”
ANS: A
Visual changes indicate the presence of CMV retinitis, which will eventually lead to
blindness: Diarrhea is indicative of a fungal infection, and decreases in weight and
energy are expected manifestations of AIDS:
DIF: Cognitive Level: Comprehension REF: p: 582 OBJ: 1
TOP: Assessing CMV KEY: Nursing Process Step: Assessment
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