NURS 216-Adv MedSurg Midterm QUESTIONS AND ANSWERS GRADED A

NURS 216-Adv MedSurg Midterm A male client with hemophillia asks the nurse if his children will be hemophilliacs. Which response by the nurse is appropriate? Correct answer"Your female children will be carriers for hemophillia." A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient? Correct answerAdministration of immunosuppressant medications The registered nurse caring for an HIV positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel? Correct answerStock the patient's room with all the necessary personal protective equipment. An older adult who takes medications for coronary artery disease has just been diagnosed with asymptomatic chronic HIV infection. Which information will the nurse include in patient teaching? Correct answerMany medications have interactions with antiretroviral drugs. A patient tells the nurse, "I would like to use a home genetic test to see if I will develop breast cancer." Which response by the nurse is best? Correct answer"Are you concerned about deveoping breast cancer?" The nurse designs a progra to decrease the incidence of HIV infection in the adolescent and young adult populations. Which information should the nurse assign as the highest priority? Correct answerPrevention of HIV transmission between sexual partners. An adolescent patient seeks care in the emergency department after sharing needles for heroin injection with a friend who has Hepatitis B. To provide immediate protection from infection, what medication will the nurse administer? Correct answerGamma globulin A patient who is HIV infected has a CD4 cell count of 400/uL. Which factor is most important for the nurse to determine before the initiation of anti-viral therapy for this patient? Correct answerPatient's ability to comply with anti-viral therapy schedule. A pregnant woman with a history of asymptomatic chronic HIV is seen at the clinic. The patient states, "I am very nervous about making my baby sick." Which information will the nurse include when teaching the paient? Correct answerThe anti-retroviral medications used to treat HIV are teratogenic. Which information would be most important to help the nurse determine if the patient needs HIV testing? Correct answerPatient age A patient who uses injectable illegal drugs asks the nurse about preventing AIDS. Which response by the nurse is best? Correct answer"It is important to participate in a needle-exchange program." The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse, "Do you think I should be testing for the gene?" Which response by the nurse is most appropriate? Correct answer"There are many things to consider before deciding to have genetic testing." A patient with HIV has developed Hycobacterium avium complex infection. Which outcome would be appropriate for the nurse to include in the plan of care? Correct answerThe patient will maintain intact perineal skin. A new mother expresses concern about her baby developing allergies and asks what the health care provider meant by "passive immunity." Which example should the nurse use to explain this type of immunity? Correct answerBreastfeeding her infant. Which statement by a patient would alert the nurse to a possible immunodeficiency disorder? Correct answer"I had my spleen removed many years ago after a car accident." A patient with a positive rapid antibody test result for HIV is anxious and does not appear to hear what the nurse is saying. What action by the nurse is most important at this time? Correct answerRemind the patient about the need to return for retesting to verify the results. The nurse cares for a patient who is HIV positive and taking antiretroviral therapy, ART. Which information is most important for the nurse to address when planning care? Correct answerThe patient states, "Sometimes I miss a dose of AZT, Zidovudine." Which of these patients being seen at the HIV clinic should the nurse assess first? Correct answerPatient who has had 10 liquid stools in the last 24 hours. The evaluate the effectiveness of antiretroviral therapy, which lab test result will the nurse review? Correct answerViral load testing Which patient exposure by the nurse is most likely to require postexposure prophylaxis when the patient's HIV status is unknown? Correct answerNeedle stick with a needle and syringe use to draw blood. A patient who has a positive test for HIV antibodies is admitted to the hospital with PCP pneumonia and a CD4 t-cell count of less than 200 cells per uL. Based on diagnostic criteria established by the CDC, which statement by the nurse is correct? Correct answer"The patient has developed AIDS." The nurse will most likely prepare a medication teaching plan about ART, antiretroviral therapy, for which patient? Correct answerPatient who tested positive for HIV two years ago and now has cytomegalovirus retinitis, CMV. A patient who is diagnosed with AIDS tells the nurse, "I feel obsessed with thoughts about dying. Do you think I am just being morbid?" Which response by the nurse is best? Correct answer"Can you tell me more about the kind of thoughts that you are having?" Eight years after seroconversion, an HIV infected patient has a CD4 cell count of 800 per uL, and an undetectable virual load. What is the priority nursing interventions at this time? Correct answerEncourage adequate nutrition, exercise, and sleep. A client enters the hospital emergency department with a nosebleed. On assessment the client tells the nurse that the nosebleed just suddenly began. The nurse notes no obvious facial injury. Which is the initial nursing action? Correct answerSit the client down, ask the client to lean forward slightly, and apply pressure to the nose for 5 to 10 minutes. The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client? Correct answerRed tongue that is smooth and sore The nurse has provided instructions to a client with sickle cell disease regarding measures that will prevent a sickle cell crisis. Which statement, if made by the client, indicates an understanding of these measures? Correct answer"I need to avoid situations that may lead to an infection." The nurse is preparing to perform an assessment on a client being admitted to the hospital with a diagnosis of sickle cell crisis, vaso-occlusive crisis. Which findings should the nurse expect to note on assessment of the client? Select all that apply. Correct answero 1. Pallor o 2. Fever o 3. Joint swelling o 5. Abdominal pain