The nurse is preparing a teaching plan for a group of well-educated clients who were found to be HIV positive within the last year. Members of the group express an interest in learning about the pathology of the AIDS virus. The nurse should explain that the human Immunodeficiency virus (HIV) acts in which way to suppress the immune system?

Destruction of helper T-cells and CD4 cells.

Increase in B-lymphocytes and IgM.

Proliferation of suppressor T-cells.

Deficiency of cytotoxic T cells.

Answer and Explanation

The Correct Answer is A

A. HIV primarily targets and destroys helper T-cells (CD4 cells), which are crucial for orchestrating the immune response, leading to immune system suppression and increased vulnerability to infections.
B. An increase in B-lymphocytes and IgM is not a direct action of HIV; in fact, B-cell function is also impaired as the disease progresses.
C. Proliferation of suppressor T-cells is not a characteristic effect of HIV; instead, it is the helper T-cells that are predominantly affected, leading to immune dysfunction.
D. While cytotoxic T cells may be present, their function is impaired due to the loss of helper T-cells, but deficiency of cytotoxic T cells is not the primary mechanism by which HIV suppresses the immune system.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Eye drops for glaucoma are not used for pain and swelling control but to manage intraocular pressure.
B. Open-angle glaucoma is not about restoring a smaller angle; it is managed primarily by controlling intraocular pressure.
C. Long-term use of eye drops is necessary for maintaining normal eye pressure and preventing optic nerve damage in clients with open-angle glaucoma.
D. While the drops may reduce excess pressure initially, lifelong treatment is generally required to maintain safe pressure levels and prevent further damage.

A. Apply sterile foam dressing over wound bed B. Maintain clean medical asepsis C. Gather materials to change soiled items only D. Thoroughly clean wound using normal saline prior to redressing E. Apply sterile gloves prior to changing F. Place sterile gauze directly on wound bed

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

Apply sterile foam dressing over wound bed is indicated because the dressing helps to keep the wound bed moist and protected.
Maintain clean medical asepsis is not indicated for wound care requiring sterile technique. Pressure wound care should maintain sterile technique to prevent infection.
Gather materials to change soiled items only is not indicated since all necessary supplies for the wound change should be prepared in advance.
Thoroughly clean wound using normal saline prior to redressing is indicated to remove debris and promote healing.
Apply sterile gloves prior to changing is indicated to ensure the wound area is not contaminated during dressing changes.
Place sterile gauze directly on wound bed is not indicated; a foam dressing is being used, not gauze.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Correct Answer is C

Explanation

Exhibits The wound care nurse is preparing to change the client's dressing. For each technique item, click to indicate whether the technique is indicated or not indicated. Each row must have one option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare provider?

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

The nurse is caring for a client who has been admitted with a diagnosis of esophageal cancer. The client reports a pain level of 8 on a 0 to 10 pain scale, dysphagia, anorexia, anxiety, and a hoarse voice. Which nursing problem is the priority for this client?

To assess the quality of an adult client's pain, which approach should the nurse use?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

Exhibits Which prescriptions would the nurse question? Select all that apply.

Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?