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chapter 34 - Chapter 34 HIV/AIDS MULTIPLE CHOICE 1 The...

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Chapter 34: HIV/AIDS MULTIPLE CHOICE 1. The school nurse uses a chart to demonstrate that according to statistics from the Centers for Disease Control and Prevention (CDC), the population with the greatest incidence of HIV infection in the United States is: 1. Asian-Americans. 2. Blacks. 3. Latinos. 4. Whites. ANS: 2 Of those with HIV infection in the United States, blacks comprise 40%, whites 37%, and Latinos 22%. Asian-Americans were not reported. PTS: 1 DIF: Cognitive Level: Comprehension REF: 613, Table 34-2 OBJ: 2 TOP: HIV Incidence in the United States KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 2. The nurse explains that the enzyme reverse transcriptase transcribes: 1. DNA to mimic CD4 cells. 2. T4 helper cells to RNA. 3. RNA to DNA. 4. gp 120 to gp 41. ANS: 3 Reverse transcriptase reverses the normal process and allows the RNA to be transcribed to the DNA rather than the DNA to be transcribed to the RNA. PTS: 1 DIF: Cognitive Level: Analysis REF: 619 OBJ: 2 TOP: Pathophysiology KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The nurse takes into consideration in planning care for a patient with AIDS that the common form of transmission of the HIV virus is: 1. injection drug use. 2. heterosexual contact. 3. exposure to contaminated blood products. 4. male to male. ANS: 4 Male to male transmission is still the most common mode. PTS: 1 DIF: Cognitive Level: Comprehension REF: 613, Table 34-4 OBJ: 3 TOP: Transmission of HIV KEY: Nursing Process Step: Planning
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MSC: NCLEX: Health Promotion and Maintenance 4. In assessing a patient with AIDS for risk factors, the nurse recognizes the most risky behavi- or that the patient reported as: 1. oral sex without contact with glans penis. 2. oral sex with condom. 3. use of sex toys. 4. anal sex with condom. ANS: 4 Anal sex, even with a condom, is a higher risk behavior than the other three options. PTS: 1 DIF: Cognitive Level: Analysis REF: 614, Table 34-6 OBJ: 3 TOP: Risk Factors KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 5. The nurse clarifies that a patient with HIV does not necessarily have AIDS until: 1. two or more opportunistic infections are diagnosed. 2. the appearance of Kaposi’s sarcoma. 3. the CD4 cell level drops to 200. 4. there is a positive ELISA. ANS: 3 A person with an HIV infection is not diagnosed with AIDS until the CD4 count falls to 200. There are other AIDS markers as well. PTS: 1 DIF: Cognitive Level: Application REF: 620 OBJ: 5 TOP: Diagnosis of AIDS KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 6. The very anxious young man comes to the clinic believing that he may have HIV infection because of his persistent flu-like symptoms and his risky sexual behavior. The nurse anticip- ates that a positive blood analysis would show: 1. low levels of CD8 cells.
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