CONCEPTS OF MEDICAL SURGICAL
NURSING EXAM | QUESTIONS AND
ANSWERS RATED A+ | GALEN
What is the highest transmission routes for HIV?
- Correct Answer - blood
semen
vaginal secretions
breast milk
How is HIV/AIDs dx'ed?
- Correct Answer –
home kit +, need add'l testing
ELISA if positive then do
Western blot (confirms ELISA +)
viral load testing
What are the manifestations of HIV infection ?
- Correct Answer –
fever
night sweats
chills
,HA
muscle aches
sore throat
rash
thrush
wt loss
What is tx for HIV/AIDs?
- Correct Answer –
only inhibits replication, does not kill
cART-TAKE 90% of time
ketoconazole (help nutrition)
NSAIDs
What is the nursing priority when caring for an HIV positive patients
- Correct Answer - Continuously assessing for and documenting the
presence of an opportunistic infection and monitoring the patient's
response to therapy
What is hospital teaching with HIV/AIDs?
- Correct Answer –
no plants/flowers in room
vitals q 4hrs
low bacteria diet
check skin/mouth q 8hrs
,What are values used to dx AIDs?
- Correct Answer –
cd4 +t count<200 or less than 14%
HIV +
opportunistic infection
What is the WBC count with AIDs?
- Correct Answer - 300 cells/mm
What is the time frame from beginning of HIV one infection to
progression to stage HIV 3 (aids)
- Correct Answer - It ranges from months to years depending on how
HIV is acquired other health problems personal factors and interventions
What is an opportunistic infection
- Correct Answer - infections that take advantage of a weakened immune
system
What does an opportunistic infection Indicate in Hiv pt?
- Correct Answer - Indicates disease progression or temporary further
reduction of immunity
, what are some opportunistic infections common with AIDS?
- Correct Answer –
cryptococcosis
Karpos's sarcoma
pneumocyystis pneumonia
candida albicans
tuberculosis
What is pneumocystis pneumonia?
- Correct Answer - An infection of the lungs caused by the fungus
pneumocystis jirovecii
assessment for pneumocystis pneumonia?
- Correct Answer –
shortness of breath
tachypnea
persistent dry cough
persistent low grade fever
asses for crackles
What is toxoplasmosis encephalitis?
- Correct Answer - is acquired through contact with contaminated cat
feces or by ingesting infected, undercooked meat.