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Ricci Chapter 5 - Test Bank Exam Questions With 100% Verified Answers

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Ricci Chapter 5 - Test Bank Exam Questions With 100% Verified Answers 1. The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to: A. promote the progression of disease. B. intervene in late-stage AIDS. C...

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  • October 2, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Ricci
  • Ricci
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Ricci Chapter 5 - Test Bank Exam Questions
With 100% Verified Answers


1. The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for

treatment of HIV. The goal of this therapy is to:

A. promote the progression of disease.

B. intervene in late-stage AIDS.

C. improve survival rates.


D. conduct additional drug research. - answer✔Answer: C


Rationale: Aggressive anti-retroviral therapy aims to reduce HIV morbidity and mortality,

thereby improving survival rates. Drug therapy also aims to decrease the HIV viral load, restore

the body's ability to fight off infection, and improve the quality of life. Drug therapy does not

promote the progression of the disease. It is started at the time of the first infection, not in

latestage

AIDS. Treatment advances have been based on research, but drug therapy is not prescribed

to conduct additional research.

2. A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is

, ©BRAINBARTER 2024/2025


having difficulty with adherence. To promote adherence, which area would be most important

for the nurse to assess?

A. beliefs and education

B. financial situation and insurance

C. activity level and nutrition


D. family and living arrangements - answer✔Answer: A


Rationale: The most important area to assess initially would be the client's beliefs and knowledge

about the disease and its treatment. A common barrier is a lack of understanding about the link

between drug resistance and nonadherence. Once this area is assessed, the nurse can assess for

other barriers, such as finances and insurance, nutrition and activity level, and family issues,

including living arrangements (for example, the client may be afraid that his or her HIV status

would be revealed if others see the client taking medication).

3. When developing a teaching plan for a community group about HIV infection, which group

would the nurse identify being most vulnerable for HIV infection?

A. Native American/First Nations people

B. heterosexual women

C. new health care workers

, ©BRAINBARTER 2024/2025


D. Asian immigrants - answer✔Answer: B


Rationale: The number of women with HIV infection and AIDS has been increasing steadily

worldwide. Today, women account for one in four (25%) new HIV infections in the United

States. Women of color have been especially hard hit and represent the majority of women living

with the disease and newly infected ones. African American women suffer disproportionately

from the HIV/AIDS epidemic. New health care workers, Native American/First Nations

members, and Asian immigrants are not among those considered at high risk.

4. After teaching a group of adolescents about HIV, the nurse asks them to identify the primary

means by which adolescents are exposed to the virus. The nurse determines that the teaching was

successful when the group identifies which means of exposure?

A. sexual intercourse

B. sharing needles for IV drug use

C. perinatal transmission


D. blood transfusion - answer✔Answer: A


Rationale: HIV infections are increasing in adolescents and young adults aged 13 to 24 years

predominantly trasmitted by sexual intercourse. Millions of US adolescents between the ages of

10 and 19 are living with HIV, and many do not receive the care and support they need to stay in

, ©BRAINBARTER 2024/2025


good health. This is particularly significant because the risk of HIV transmission increases

substantially if either partner is infected with an STI. Sharing of needles, perinatal transmission,

and blood transfusions are less often means of transmission in adolescents.

5. The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which

count would indicate to the nurse that the client has AIDS?

A. 1,000 cells/mm3

B. 700 cells/mm3

C. 450 cells/mm3


D. 200 cells/mm3 - answer✔Answer: D


Rationale: When the CD4 T-cell count reaches 200 or less, the person has reached the stage of

AIDS per the CDC. A CD4 T-cell count between 450 and 1,200 is considered normal.

6. When obtaining the health history from an adolescent client, which factor would lead the

nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?

A. hive-like rash for the past 2 days

B. five different sexual partners

C. weight gain of 5 lb (2.3 kg) in 1 year


D. clear vaginal discharge - answer✔Answer: B

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