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NUR 504 EXAM 5 STUDY GUIDE LATEST UPDATED
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NUR 504 EXAM 5 STUDY GUIDE LATEST UPDATED
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NUR 504 EXAM 5 STUDY GUIDE LATESTUPDATED
Non-surgical treatment for HIV:
✔✔Antiretroviral therapy (ART) --> a combination of HIV medications every
day (called an IV regimen treatment)
-*Truvada, Zidovudine*
-recommended for everyone who has HIV
-with ART there is a decreases risk for HIV transmission
-the foal is to reduce the viral load to an undetectable level
-an undetectable level --> the level of HIV in the blood is too low to be
detected by a viral load test; patients with an undetectable viral load have
effectively no risk of transmitting HIV through sex but still need to use
protection
Short term side effects of HIV medications: Truvada and Zidovudine
✔✔-fatigue
-N/V
-fever
-muscle pain
-diarrhea
-occasional dizziness
-headache
-insomnia
,PrEP vs. PEP
✔✔PrEP:
-pre exposure prophylaxis
-good candidates for PrEP are those who have an HIV positive partner
-can reduce the risk of getting HIV
-taken every day, before possible exposure
PEP:
-post- exposure prophylaxis
-taken 72 hrs after possible exposure
-for people who don't have HIV but may have been exposed
Nursing interventions for HIV:
✔✔-EDUCATION!
-early intervention after detection of HIV --> can promote health and
limit/delay progression of the disease
-assessment is primary importance because the course of HIV is variable
-Interventions are based on the patients condition upon assessment
-assessment of these patients should focus on early detection of HIV,
opportunistic diseases, and psychological problems
Potential complications of HIV:
✔✔-malignancy
-diarrhea
,-decreased cognitive function and neuropathy
-vitamin D deficiency
-thyroid dz
-diabetes
-hypogonadism
-hyperlip
-lactic acidosis
-pulmonary HTN
-pulmonary fibrosis
-HTN
-atherosclerosis
-vascular dz
-renal insufficiency
-osteoporosis/ penia
-fractures
-myopathy
-sarcopenia
Which statement made by the client with stage HIV -III diseases (AIDS)
who's CD4 has increases from 125 to 400 indicates to the nurse that more
teaching is needed?
a. "now my viral load is also probably lower"
b. "i am so relieved by drug therapy is working"
c. "although i am still HIV positive, at least i no longer have AIDS"
, d. "this change means i am less likely to develop an opportunistic infection
✔✔c. "although i am still HIV positive, at least i no longer have AIDS"
The client on combination ART calls the nurse to report that he is on
vacation and the bag with his drugs was accidentally left on the airplane, so
he missed all of yesterday's dosage. what action does the nurse
recommend?
a. "take today's dosages as normally prescribed and continue to follow you
therapy program"
b. "don't worry unless you miss your drugs for 4 days consecutively, there is
not a problem"
c. "take double doses of the drugs for the next 2 days and do not have sex for
at least 4 days"
d." go to the nearest ED and have an immediate blood test for assessment of
viral load"
✔✔a. "take today's dosages as normally prescribed and continue to follow
you therapy program"
Which activities can the nurse postpone or eliminate for the client with HIV
who has extreme fatigue today? select all
a. administering prescribed drug therapy
b. ambulating in the hall
c. culturing suspected infectious drainage
d. preforming pulmonary hygiene
e. preforming oral car e
f. providing complete bedrest
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