BSNC 6000 Module 8 HIV Questions with Answers
A person who is HIV-positive starts to exhibit signs of AIDS. The nurse would accurately interpret that the client now has an AIDS defining illness after noting which of the following? Select all that apply:
a) High viral load and CD4 count below ...
A person who is HIV-positive starts to exhibit signs of AIDS. The nurse would accurately
interpret that the client now has an AIDS defining illness after noting which of the
following? Select all that apply:
a) High viral load and CD4 count below 200 cells/mm3
b) High WBC count and anemia
c) Low CD4 count and symptoms of immunodeficiency
d) Low viral load and a high WBC count
e) Diagnosis of pneumocystis jerovici pneumonia - Answer-A, C, E
The nurse concludes that medications taken by a client with AIDS are effective if, in
addition to a viral load of 25 000, the client exhibits which of the following?
rare ocurrence of symptoms
Negative enzyme-linked immunosorbent assay (ELISA)
CD4 T lymphocyte count of 490
Leukopenia - Answer-CD4 T lymphocyte count of 490
The ambulatory care nurse concludes that the client who does which of the following is
the highest risk of contact with HIV?
Counsels newly diagnosed HIV clients and their families
Works with athletes who perspire a lot
Collects blood donations via a mobile unit
Gives flu shots in a health care provider's office - Answer-Collects blood donations via a
mobile unit
Please arrange the events in the HIV infection cycle in order
a) release of HIV genomic RNA
b) Transcription of HIV genes
c) Binding of cell receptor and co-receptor
d) Reverse transcription of HIV-genome
e) HIV protein synthesis and processing with viral protease
f) Integration of HIV into human genome
g) Budding of virus out from the infected cell - Answer-c, a, d, f, b, e, g
An adult male client is admitted to the hospital with symptoms of pneumonia. He has not
improved clinically and has not responded well to antibiotics. When the sputum culture
, and sensitivity (C&S) and chest Xray results are available, a diagnosis of pneumocystis
jerovici pneumonia is made. The nurse should make which interpretation? The client
has....
An infection of unknown origin
Pulmonary edema secondary to exacerbation of heart failure
Recent AIDS infection by HIV
AIDS - Answer-AIDS
A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing
AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection
from drug use is to
Participate in a needle exchange program.
Clean drug injection equipment before use.
Ask those who share equipment to be tested for HIV.
Avoid sexual intercourse when using injectable drugs. - Answer-Participate in a needle
exchange program.
The public health nurse considers that which of the following individuals is at increased
risk of being infected with the HIV virus?
Police officer who works the streets and responds to emergencies
Nurse working on a telemetry unit
School nurse who examines children
Sexually active teenager - Answer-Sexually active teenager
HIV definition - Answer-a virus that attacks cells that help the body fight infection,
making a person more vulnerable to other infections and diseases. It is spread by
contact with certain bodily fluids of a person with HIV
AIDS definition - Answer-a person has AIDS if they have HIV and they have either a
CD4+ T-cell count below 200 cells/uL, a CD4+ T-cell percentage of total lymphocytes of
less than 14%, or one of the defining illnesses
Pathophysiology of HIV infection (8) - Answer-HIV is a virus that uses the glycoprotein
gp120 in order to bind its cellular receptor CD4. There is also a required co-receptor
CCR5.
HIV fuses with the cell membrane, releasing two single-stranded RNA molecules. The
enzyme reverse transcriptase converts the RNA to DNA.
HIV DNA passes through pores in the nucleus of the cell.
The enzyme integrase incorporates HIV into the human genome.
Like any other gene in the genome, HIV genes now get transcribed as RNA.
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