Medical-Surgical: Immune and Infectious Quiz with Answers and Rationales. Rated A+

A nurse is caring for a client who has human immunodeficiency virus (HIV). The client asks the nurse, "Should I tell my partner that I am HIV positive?" Which of the following statements should the nurse give? a. "This is your decision alone." b. "I would if I were you." c. "It sounds like you are unsure what to say to your partner." d. 'Your provider is required by law to notify your partner." - Ans-c. "It sounds like you are unsure what to say to your partner." Rationale - This response uses the therapeutic communication tools of clarifying and restatement. It identifies that the client is unsure about if or how to approach the issue of being HIV positive with his partner, a common concern of clients due to fear of rejection. This response shows that the nurse is open to further communication with the client and encourages his expression of feelings. A nurse is assessing a client who has Kaposi's sarcoma. Which of the following findings should the nurse expect? a. A nonproductive cough, fever, and shortness of breath b. lesions of the retina that produce blurred vision. c. Onset of progressive dementia. d. Reddish-purple skin lesions. - Ans-d. Reddish-purple skin lesions Rationale - Kaposi's sarcoma is commonly associated with AIDS and manifests as hyper-pigmentated multi centric lesions that can be firm, flat, raised, or nodular. Following biopsy, the lesions are treated with radiation and/or chemotherapy. A nurse is caring for a client who had radioallergosorbent (RAST) testing completed due to seasonal allergies. The nurse should anticipate an elevation in which of the following laboratory tests? a. IgM b. IgAc. IgG