Med Surg Exam 3 Practice Questions
And Answers With Verified Solutions
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A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. The client repots having a cough along with nausea and diarrhea. Their
temperature is 38.1 C (100.6 F) orally. The client is concerned about the possibiliy
of having HIV. Which of the following actions should the nurse take? (Select all
that apply)
a.) Perform a physical assessment
b.) Determine when manifestation began
c.) Teach the client about HIV transmission
d.) Draw blood for HIV testing
e.) Obtain sexual history - ANSWER✔✔a,b,e
A nurse is caring for a client who us suspected of having HIV. The nurse should
identify that which of the following diagnostic tests and labratory values are used
to confirm HIV infection? (Select all that apply)
a.) Western blot
b.) Indirect immunoflourescence assay
,c.) CD4= T-lymphocyte count
d.) HIV RNA quantification test
e.) Cerebrospinal fluid (CFS) analysis - ANSWER✔✔a,b
A nurse is providing teaching for a client who has stage 3 HIV disease. Which of
the following statements by the client should indicate to the nurse an understanding
of the teaching?
a.) "I will wear gloves while changing the pet litter box."
b.) "I will rinse raw fruits with water before eating them."
c.) "I will wear a mask when around family members that are ill."
d.) "I will cook vegetables before eating them." - ANSWER✔✔d
A nurse is assessing a client for HIV. The nurse should identify that which of the
following are risk factors associated with this virus? (Select all that apply.)
a.) Perinatal exposure
b.) Pregnancy
c.) Monogamous sex partner
,d.) Older adult women
e.) Occupational exposure - ANSWER✔✔a,d,e
A nurse is providing teaching for a client who has stage 2 HIV disease and is
having difficulty maintaining a normal weight. Which of the following statements
by the client should indicate to the nurse an understanding of the teaching?
a.) "I will choose a diet high in fat to help gain weight."
b.) "I will be sure to eat three large meal a day."
c.) "I will drink up to 1 liter of liquid each day."
d.) "I will add high-protein foods to my diet." - ANSWER✔✔d
A patient who is infected with HIV is being taught by the nurse about health
promotion activities such as good nutrition; avoiding alcohol, tobacco, drug use,
and exposure to infectious agents; keeping up to date with vaccines; getting
adequate rest; and stress management. What is the rationale for these
interventions?
a.) Delaying disease progression
b.) Preventing disease transmission
, c.) Helping to cure the HIC infection
d.) Enabling an increase in self-care activities - ANSWER✔✔a
The nurse is caring for an older patient who has been receiving antiretroviral
therapy for HIV infection for many years. The nurse is aware that complications of
long-term antiretroviral use can include: (Select all that apply)
a.) osteoporosis
b.) Insulin resistance
c.) cognitive problems
d.) urinary incontinence
e.) cardiovascular disease - ANSWER✔✔a,b,e
The nurse teaches the staff that standard precautions should be used when
providing care for which type of patient?
a.) Pediatric and older patients
b.) All patients regardless of diagnosis
c.) Patients who are immonocompromised
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