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NURS 304 MIDTERM EXAM – Questions & Solutions

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NURS 304 MIDTERM EXAM – Questions & Solutions

Institution
NURS 304
Course
NURS 304

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NURS 304 MIDTERM EXAM – Questions &
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Practice questions for this set


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Mild symptoms, flulike. CD4 Count = 200-499, T Lymph % = 14-28%



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1 HIV 2 What are complications of HIV?



3 What PPE is contact? 4 Stage 2 HIV



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Terms in this set (178)



HIV retrovirus that is transmitted through blood and body
secretions. Targets CD4 lymphocytes (T cells) and
works with B cells to be a part of acquired immunity.
Integrates its RNA into host DNA through reverse
transcriptase to reshape the host's immune system


Stage 1 HIV Asymptomatic, CD4 Count = >500 , T Lymph % = >
29%

,Stage 2 HIV Mild symptoms, flulike. CD4 Count = 200-499, T
Lymph % = 14-28%


Stage 3 HIV (AIDS) Candidiasis, Herpes ulcers, Encephalopathy,
Histoplasmosis, Kaposi's Sarcoma, Burkitt's
Lymphoma, Mycobacterium TB (MAC), Pneumocystis
Pneumonia (PCP), Wasting Syndrome. CD4 Count =
<200. Death in 5 years without treatment.


Western Blot Test a blood test to confirm the diagnosis of HIV


Immunofluorescence Assay (IFA): Test used to identify cellular antigens or antibodies
to those antigens using an antibody with a
fluorescent tag.


ELISA Test detects anti-HIV antibodies; Western blot given as
follow-up


HIV Viral Load Test Measures amount of HIV in the blood.


Why is Octreotide given to HIV helps with symptoms of diarrhea
patients?


What meds treat PCP and MAC in HIV Bactrim, Calrithromycin, Azithromycin, or
patients? corticosteroids


What does Enfuvirtide do in HIV Fusion inhibitor that blocks fusion of HIV with the
patients? host cell.


What does Maravioc do in HIV Entry inhibitor that blocks the CCR5 receptor on the
patients? CD4 T cell to prevent progression.


What does abacavir do in HIV Nucleoside Reverse Transcriptase Inhibitor (NRTI)
patients? used with other meds to stop the HIV from creating
DNA

, What are complications of HIV? Bacterial diseases (TB, pneumonia, septicemia), HIV
Associated Malignancies (Kaposi’s Sarcoma,
lymphoma, Hodgkins or Non-Hodgkins lymphoma,
invasive cell carcinoma), Viral Diseases
(cytomegalovirus, herpes), Fungal Diseases (PCP,
Candidiasis), Protozoal Diseases (PCP,
Toxoplasmosis), Fluid and Electrolyte imbalances.


What should be monitored in HIV Wasting syndrome (low fat diet of small frequent
patients? meals with high calories), Fluid and electolytes (drink
2000-3000mL/day), and encephalopathy (maintain
seizure precautions)


Type 1 Allergic Reaction and anaphylaxis (IgE), weak pulse, volume depletion,
symptoms crackles, laryngeal edema, facial edema, wheezing.


Treatment for Type 1 reaction epinephrine, antihistamines, corticosteroids,
desensitizing injections


What are examples of Type 1 allergic extrinsic asthma, allergic rhinitis, anaphylaxis, and
reactions? insect sting reactions, atopic dermatitis.


Type 2 Allergic Reaction Antibody (cytotoxic), body mistakes normal for
foreign


Examples of Type 2 reaction myasthenia gravis, Goodpasture syndrome,
pernicious anemia, hemolytic disease of the
newborn, transfusion reaction, and
thrombocytopenia.


Type 3 Reaction and symptoms Cell Mediated: immune complex reaction (1-3 days
later). Inflammation from form and dep of immune
complexes. Affects joints and kidneys. Urticaria, joint
pain, fever, rash, adenopathy


Examples of Type 3 Reaction lupus, erythematosus, serum sickness, nephritis, RA


Type 4 Reaction and symptoms Delayed. Presents with erythema and itching and
killing by cytotoxic T cells

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