NUR 376 Exam 3 |Study Questions with
Correct Answers |Graded A+ 2026
human immunodeficiency virus (HIV)
virus that damages the immune system and makes host more susceptible to
infection
HIV Transmission
blood, semen, vaginal fluid, breast milk
CD4 T Cell
target cell for HIV; WBC that helps coordinate the activity of the immune
system
Acute HIV Infection
- "worst flu ever"
- 2-4 weeks after infection
- CD4 = > 500 cells/mm3
- might not test positive for antibodies
Acute HIV Infection s/s
Fever
Fatigue
Rash
Headache
Lymph adenopathy
Pharyngitis
Chronic HIV Infection
2nd stage of HIV infection, rate of viral replication slow down, and hosts are
asymptomatic but still infectious
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- CD4 = 200-499 cells/mm3
- can last 8+ years
AIDS
- body becomes susceptible to opportunistic infections
- 1-3 years left in life
- CD4 = < 200 cells/mm3
AIDS s/s
- wasting syndrome (10% body weight loss in 1 mos)
- dementia
- weakness + malaise
- many infections
Tenofovir-emtricitabine
approved drug for PrEP of HIV
- renal function must be monitored
High Risk for HIV
- MSM
- heterosexual adults
- injection drug users
HIV + Pregnant women
- begin/remain on antiviral therapy
- do not breastfeed
Stage 1 HIV
Acute
> 500 cells/mm3
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Stage 2 HIV
Chronic
200-499 cells/mm3
Stage 3 HIV
AIDS
< 200 cells/mm3
ELISA
antibody assay to identify HIV
- positive within 3 wks - 3 mos following infection
- most common and cheapest
Western Blot blood test
Can be used when ELISA HIV test is positive to confirm (no longer used)
HIV-1 differentiation test
distinguishes HIV-1 from antibodies
HIV-1 nucleic acid tests
looks for the virus RNA directly
CBC and Platelets in HIV
decreased
Ineffective airway clearance interventions
- respiratory assessment
- pulmonary therapy q2h
- semi/high fowler
NUR 376