19 - Chapter 19 Care of Patients with HIV Disease and Other...

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Chapter 19: Care of Patients with HIV Disease and Other Immune Deficiencies Ignatavicius: Medical-Surgical Nursing, 8th Edition MULTIPLE CHOICE 1. The nurse is caring for a client diagnosed with human immune deficiency virus. The client’s CD4+ cell count is 399/mm 3 . What action by the nurse is best? a. Counsel the client on safer sex practices/abstinence. b. Encourage the client to abstain from alcohol. c. Facilitate genetic testing for CD4+ CCR5/CXCR4 co-receptors. d. Help the client plan high-protein/iron meals. ANS: A This client is in the Centers for Disease Control and Prevention stage 2 case definition group. He or she remains highly infectious and should be counseled on either safer sex practices or abstinence. Abstaining from alcohol is healthy but not required. Genetic testing is not commonly done, but an alteration on the CCR5/CXCR4 co-receptors is seen in long- term nonprogressors. High-protein/iron meals are important for people who are immunosuppressed, but helping to plan them does not take priority over stopping the spread of the disease. DIF: Applying/Application REF: 328 KEY: HIV/AIDS| safer sex| immune disorders MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 2. The nurse is presenting information to a community group on safer sex practices. The nurse should teach that which sexual practice is the riskiest? DIF: Understanding/Comprehension REF: 330 KEY: HIV/AIDS| safer sex| infection| immune disorders MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 3. The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human immune deficiency virus (HIV) from clients. Which practice is most effective?
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DIF: Remembering/Knowledge REF: 332 KEY: HIV/AIDS| infection control| Standard Precautions| immune disorders MSC: Integrated Process: Nursing Process: Implementation NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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  • Winter '16
  • Integrated Process, immune deficiency

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