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C) Kaposis sarcoma
D) Wasting syndrome - CORRECT ANSWER-A) HIV encephalopathy
HIV encephalopathy is a clinical syndrome characterized by a progressive decline in cognitive,
behavioral, and motor functions. The other listed complications do not normally have cognitive
and behavioral manifestations.
The mother of two young children has been diagnosed with HIV and expresses fear of dying.
How should the nurse best respond to the patient?
A) Would you like me to have the chaplain come speak with you?
B) Youll learn much about the promise of a cure for HIV.
C) Can you tell me what concerns you most about dying?
D) You need to maintain hope because you may live for several years. - CORRECT ANSWER-C)
Can you tell me what concerns you most about dying?
The nurse can help the patient verbalize feelings and identify resources for support. The nurse
should respond with an open-ended question to help the patient to identify fears about being
diagnosed with a life-threatening chronic illness. Immediate deferral to spiritual care is not a
substitute for engaging with the patient. The nurse should attempt to foster hope, but not in a
way that downplays the patients expressed fears.
,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?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood - CORRECT ANSWER-B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have AIDS
A patient with a family history of allergies has suffered an allergic response based on a genetic
predisposition. This atopic response is usually mediated by what immunoglobulin?
A) Immunoglobulin A
B) Immunoglobulin M
C) Immunoglobulin G
D) Immunoglobulin E - CORRECT ANSWER-D) Immunoglobulin E
Atopy refers to allergic reactions characterized by the action of IgE antibodies and a genetic
predisposition to allergic reactions.
A patient has developed severe contact dermatitis with burning, itching, cracking, and peeling
of the skin on her hands. What should the nurse teach the patient to do?
A) Wear powdered latex gloves when in public.
B) Wash her hands with antibacterial soap every few hours.
, C) Maintain room temperature at 75F to 80F whenever possible.
D) Keep her hands well-moisturized at all times. - CORRECT ANSWER-D) Keep her hands well-
moisturized at all times.
Powdered latex gloves can cause contact dermatitis. Skin should be kept well-hydrated and
should be washed with mild soap. Maintaining roomtemperature at 75F to 80F is not necessary.
The nurse in an allergy clinic is educating a new patient about the pathology of the patients
health problem. What response should the nurse describe as a possible consequence of
histamine release?
A) Constriction of small venules
B) Contraction of bronchial smooth muscle
C) Dilation of large blood vessels
D) Decreased secretions from gastric and mucosal cells - CORRECT ANSWER-B) Contraction of
bronchial smooth muscle
Histamines effects during the immune response include contraction of bronchial smooth
muscle, resulting in wheezing and bronchospasm, dilation of small venules, constriction of large
blood vessels, and an increase in secretion of gastric and mucosal cells.
The nurse is providing care for a patient who has experienced a type I hypersensitivity reaction.
What condition is an example of such a reaction?
A) Anaphylactic reaction after a bee sting
B) Skin reaction resulting from adhesive tape
C) Myasthenia gravis
D) Rheumatoid arthritis - CORRECT ANSWER-A) Anaphylactic reaction after a bee sting