Chapter 20.

Nursing Care of Patients With HIV Disease and AIDS

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1. Remain free of infection when caring for a patient who has AIDS.

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2. A patient who has HIV asks the nurse if thinking about dying frequently is common with HIV. HIV is now
considered a chronic disease with treatment.

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3. Common opportunistic infections for HIV is Candida albicans.

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4. Wear clean gloves for body fluid contact when caring for a patient who has AIDS.

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5. HIV enters the body through breaks in the skin or mucous membranes

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6. Diarrhea is a symptom of AIDS.

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7. HIV spreads by contact with infected blood

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8. AIDs Pt is afraid to tell others: You should tell those who have a reason to know

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9. The nurse should review Viral load tesing to monitor the response to antiretroviral therapy

____ 10. Put on gloves before touching body fluids

____ 11. CD4+ lymphocyte counts are monitored to determine the progression of the disease
____ 12. Education about preventive behaviors is the most effective method to control the spread of HIV
____ 13. Symptoms of HIV: Fever, rash, joint pain
____ 14. CD4+ = 500/L strongly suggestive of a diagnosis of AIDS
____ 15. the main purpose of medications for HIV: They inhibit enzymes to interfere with viral production
____ 16. Keeping the virus from replicating is the treatment goal for HIV
____ 17. patient who is taking nevirapine (Viramune) needs to Monitor for rash
____ 18. AIDS pt needs report Fever immediately to the health practitioner
____ 19. Withdraw from partner while the penis is erect
____ 20. A patient who has AIDS-related wasting syndrome: Risk for Infection due to weak immune system and
parenteral therapy
____ 21. Be sure all the cats have up-to-date immunizations, and avoid their feces.
____ 22. Pneumocystis jiroveci pneumonia is most common opportunistic infection for AIDS.
____ 23. A patient who has AIDS has been taught foods to eat to reduce the risk of infection.
Pasteurized milk
Well-cooked meat
____ 25. appropriate action to prevent AIDS-related wasting syndrome
Eat a low-residue diet.
Eat three high-calorie, high-protein meals a day, plus snacks.
Numb painful oral sores with ice or popsicles.

____ 26. The nurse should include these recommendations in a teaching plan related to nutrition and hydration for a
patient who has AIDS
Avoid Caesar salad.
Avoid soft cheeses.
Cook red meat until internal temperature is 165F with no trace of pink.
Avoid leftovers or heat until steaming.
Avoid public drinking fountains.
____ 27.
Older adults are less likely to use condoms than younger at-risk adults.
Society continues to age with larger numbers of people entering this age group.
A decline in the function of the immune system increases the risk of HIV infection.
Treatments for erectile dysfunction have increased the number of older individuals
who are sexually active.
At-risk individuals over the age of 50 are less likely to be tested for HIV.
____ 28.
Use a new condom for each sex act.
Check condom package for expiration date.
Apply the condom before touching partner with the penis.
29. Postexposure prophylaxis treatment should be started within hours of exposure and continue for 4 weeks.
30. A health-care worker exposed to HIV should immediately wash the exposure site with Soap and water, and
then seek immediate medical care for assessment and treatment.