A nurse is caring for a client with advanced HIV disease. Which statement by the client indicates the need for further education about the opportunistic infections that define AIDS?

"Candidiasis of bronchi, trachea, lungs, or esophagus is one of the opportunistic infections.”

"Kaposi's sarcoma is an opportunistic infection that can define AIDS.”

"Encephalopathy, HIV-related, is an opportunistic infection associated with AIDS.”

"I can discontinue my antiretroviral therapy once the CD4 count is below 200 cells/uL.”

Answer and Explanation

The Correct Answer is D

Choice A rationale:

This statement is correct. Candidiasis of bronchi, trachea, lungs, or esophagus is one of the opportunistic infections associated with advanced HIV disease and AIDS.

Choice B rationale:

This statement is correct. Kaposi's sarcoma is another opportunistic infection commonly associated with AIDS.

Choice C rationale:

This statement is correct. Encephalopathy, HIV-related, is an opportunistic infection that can define AIDS.

Choice D rationale:

This statement is incorrect. Antiretroviral therapy is a lifelong treatment for HIV infection, and its discontinuation should not be based solely on the CD4 count falling below 200 cells/uL. The client needs further education on the importance of continuous treatment to manage HIV effectively and prevent opportunistic infections.

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Correct Answer is B

Explanation

Choice A rationale:

The client's statement about Integrase strand transfer inhibitors (INSTIs) is accurate. INSTIs block the enzyme integrase, preventing the insertion of HIV DNA into the host cell genome.

Choice B rationale:

This is the correct answer. The client's statement about Non-nucleoside reverse transcriptase inhibitors (NNRTIs) is incorrect. NNRTIs work by directly binding to reverse transcriptase, blocking its activity, and preventing HIV replication.

Choice C rationale:

The client's statement about Protease inhibitors (PIs) is accurate. PIs block the enzyme protease, inhibiting the cleavage of HIV proteins and preventing the formation of mature viral particles.

Choice D rationale:

The client's statement about Nucleoside reverse transcriptase inhibitors (NRTIs) is accurate. NRTIs are incorporated into the growing viral DNA chain, leading to chain termination and preventing further viral replication.

A. Compare the patient's outcomes with the goals and expected outcomes. B. Modify the plan of care based on the patient's history and physical examination. C. Collect data about the patient's laboratory tests, psychosocial status, and educational needs. D. Provide counseling, feedback, and reinforcement for adherence to medication.

Correct Answer is A

Explanation

Compare the patient's outcomes with the goals and expected outcomes.

Choice A rationale:

The evaluation process involves comparing the patient's achieved outcomes with the established goals and expected outcomes of care. By doing this, the nurse can determine the effectiveness of the care provided and identify areas where adjustments may be necessary to improve patient outcomes.

Choice B rationale:

Modifying the plan of care based on the patient's history and physical examination is a part of the assessment and planning phases, not the evaluation phase. Evaluation focuses on measuring the success of the implemented care plan.

Choice C rationale:

Collecting data about the patient's laboratory tests, psychosocial status, and educational needs is crucial during the assessment phase to gather information for developing an appropriate care plan. While this information is valuable throughout the patient's care, it is not specific to the evaluation process.

Choice D rationale:

Providing counseling, feedback, and reinforcement for adherence to medication is an essential nursing intervention during the implementation phase. Although it supports patient compliance with treatment, it is not the primary focus of the evaluation process.

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A nurse is caring for a client with advanced HIV disease. Which statement by the client indicates the need for further education about the opportunistic infections that define AIDS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with HIV infection asks the nurse about the different classes of antiretroviral drugs used for treatment. Which of the following statements by the client indicates a need for further education?

Correct Answer is B

Explanation

A nurse is evaluating the outcomes of a patient's care for HIV/AIDS. Which action should the nurse take during the evaluation process?

Correct Answer is A

Explanation

A client asks the nurse about HIV testing options. Which statement made by the nurse is accurate?

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A nurse is counseling a newly diagnosed HIV-positive client. Which statement made by the client indicates an understanding of the disease?

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A nurse is caring for a client with advanced HIV disease. Which statement by the client indicates the need for further education about the opportunistic infections that define AIDS?

A nurse is assessing a client's understanding of antiretroviral therapy (ART) for HIV infection. The nurse evaluates that teaching has been effective if the client states that the goal of ART is to:.