Which of the following reflect the pathophysiology of cutaneous signs of HIV disease? a) Immune function deterioration Cutaneous signs may be the first manifestations of HIV, appearing in more than 90 per cent of HIV infected patients as the immune function deteriorates. Common complaints include pruritis, folliculitis, and chronic actinic dermatitis.

Which of the following reflect the pathophysiology of cutaneous
signs of HIV disease?
a) Immune function deterioration
Cutaneous signs may be the first manifestations of HIV, appearing in
more than 90 per cent of HIV infected patients as the immune function
deteriorates. Common complaints include pruritis, folliculitis, and
chronic actinic dermatitis.
b) High CD4 count
Cutaneous signs of HIV disease correlate to low CD4 counts.
c) Genetic predisposition
Cutaneous signs of HIV disease appear as immune function
deteriorates.
d) Decrease in normal skin flora
Cutaneous signs of HIV disease appear as immune function
deteriorates.
by

1 Answer

Answer :

a) Immune function deterioration
Cutaneous signs may be the first manifestations of HIV, appearing in
more than 90 per cent of HIV infected patients as the immune function
deteriorates. Common complaints include pruritis, folliculitis, and
chronic actinic dermatitis.
by

Related questions

A chronic dermatitis of unknown etiology in patients with a history of allergy is called A. actinic dermatitis B. atopic dermatitis C. stasis dermatitis D. seborrheic dermatitis

Description : A chronic dermatitis of unknown etiology in patients with a history of allergy is called A. actinic dermatitis B. atopic dermatitis C. stasis dermatitis D. seborrheic dermatitis

Last Answer : Ans: B

Halitosis and a sour taste in the mouth are signs and symptoms associated most directly with a) esophageal diverticula. Because the diverticula may retain decomposed food, halitosis and a sour taste in the mouth are frequent complaints. b) achalasia. Achalasia presents as difficulty in swallowing both liquids and solids. c) gastroesophageal reflux. Gastroesophageal reflux presents as burning in the esophagus, indigestion, and difficulty in or pain upon swallowing. d) hiatal hernia. Hiatal hernia presents as heartburn, regurgitation, and dysphagia in many patients while at least 50% are asymptomatic.

Description : Halitosis and a sour taste in the mouth are signs and symptoms associated most directly with a) esophageal diverticula. Because the diverticula may retain decomposed food, halitosis and a sour ... as heartburn, regurgitation, and dysphagia in many patients while at least 50% are asymptomatic.

Last Answer : a) esophageal diverticula. Because the diverticula may retain decomposed food, halitosis and a sour taste in the mouth are frequent complaints.

34. The nurse monitors for signs of peritonitis, a potential complication postoperatively. The manifestations include the following except

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Which one of the following statements is correct with respect to AIDS? (a) The HIV can be transmitted through eating food together with an infected person. (b) Drug addicts are least susceptible to HIV infection.(c) AIDS patients are being fully cured cent per cent with proper care and nutrition. (d) The causative HIV retrovirus enters helper T-lymphocytes thus reducing their numbers.

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Last Answer : a) Langerhans’ cells Langerhans’ cells are common to the epidermis and are accessory cells of the afferent immune system process.

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Which of the following statements describes the clinical manifestations of a delayed hypersensitivity (type IV) allergic reaction to latex? a) Signs and symptoms are localized to the area of exposure, usually the back of the hands. Clinical manifestations of a delayed hypersensitivity reaction are localized to the area of exposure.

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Which of the following factors are associated with increased fluid requirements in the management of patients with burn injury? a) Inhalation injuries Factors associated with increased fluid requirements include inhalation injuries, delayed resuscitation, scald burn injuries, high-voltage electrical injuries, hyperglycemia, alcohol intoxification and chronic diuretic therapy.

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Which of the following statements reflect current research regarding the utilization of non-pharmacological measures in the management of burn pain? a) Music therapy may provide reality orientation, distraction, and sensory stimulation. Researchers have found that music affects both the physiologic and psychological aspects of the pain experience. Music diverts the patient’s attention away from the painful stimulus. Music may also provide reality orientation, distraction, and sensory stimulation. It also allows for patient self-expression.

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Which of the following ECG characteristics is usually seen when a patient’s serum potassium level is low? a) U wave The U wave is an ECG waveform characteristic that may reflect Purkinje fiber repolarization. It is usually seen when a patient’s serum potassium level is low. b) T wave The T wave is an ECG characteristic reflecting repolarization of the ventricles. It may become tall or “peaked” if a patient’s serum potassium level is high. c) P wave The P wave is an ECG characteristic reflecting conduction of an electrical impulse through the atria. d) QT interval The QT interval is an ECG characteristic reflecting the time from ventricular depolarization to repolarization.

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Which of the following statements reflect the treatment of HIV infection? a) Treatment of HIV infection for an individual patient is based on the clinical condition of the patient, CD4 T cell count level, and HIV RNA (viral load). Although specific therapies vary, treatment of HIV infection for an individual patient is based on three factors: the clinical condition of the patient, CD4 T cell count level, and HIV RNA (viral load).

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Which of the following is a modifiable risk factor for transient ischemic attacks and ischemic strokes? a) History of smoking. Modifiable risk factors for TIAs and ischemic stroke include hypertension, Type 1 diabetes, cardiac disease, history of smoking, and chronic alcoholism.

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Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased fluid intake, a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

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The tissue structure deteriorates as the virus multiplies. This deterioration is called A.aneuploidy B.protopathic effect C.cytopathic effect D.none of these

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For individuals known to be dying by virtue of age and/or diagnoses, which of the following signs indicate approaching death: a) Increased restlessness As the oxygen supply to the brain decreases, the patient may become restless. b) Increased wakefulness As the body weakens, the patient will sleep more and begin to detach from the environment. c) Increased eating For many patients, refusal of food is an indication that they are ready to die. d) Increased urinary output Based upon decreased intake, urinary output generally decreases in amount and frequency.

Description : For individuals known to be dying by virtue of age and/or diagnoses, which of the following signs indicate approaching death: a) Increased restlessness As the oxygen supply to the ... Increased urinary output Based upon decreased intake, urinary output generally decreases in amount and frequency.

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Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient. No specific medical or surgical treatment is available for this syndrome and therefore nursing plays a pivotal role in the team approach to assisting patients and families in dealing with the symptoms of progressive loss of muscle strength and significant fatigue. Nursing interventions are aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient.

Description : Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, ... and cold are most appropriate because these patients tend to have strong reactions to medications.

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Assertion : HIV infected person are prone to opportunistic diseases. Reason : Immune system weakens during HIV infection.

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When up to a 6-month period elapses between the experience of trauma and the onset of symptoms of posttraumatic stress disorder (PTSD), the episode is termed a) delayed. In the case of delayed PTSD, there may be up to a 6-month period of time that elapses between the trauma and the manifestation of symptoms. b) acute. Acute PTSD is defined as the experience of symptoms for less than a 3-month period. c) chronic. Chronic PTSD is defined as the experience of symptoms lasting longer than 3 months. d) primary. The concept of primary disease is not used in relation to PTSD.

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Last Answer : a) delayed. In the case of delayed PTSD, there may be up to a 6-month period of time that elapses between the trauma and the manifestation of symptoms.

Serum sickness is a common symptom of a. Contact dermatitis. b. Hemolytic disease of the newborn. c. Immune complex hypersensitivity d. Food allergies.

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Last Answer : c. Immune complex hypersensitivity

When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse recognizes that the patient is likely demonstrating signs of a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

Description : When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse ... heterotrophic ossification. Heterotrophic ossification causes muscular pain and limited muscular contraction and movement.

Last Answer : a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

If a person has been exposed to radiation, presenting symptoms, such as nausea, vomiting, loss of appetite, diarrhea, or fatigue can be expected to occur within _______ hours after exposure? a) 48 to 72 The prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure. Signs and symptoms include nausea, vomiting, loss of appetite, diarrhea, and fatigue. With high-dose radiation exposure, the signs and symptoms may include fever, respiratory distress, and increased excitability.

Description : If a person has been exposed to radiation, presenting symptoms, such as nausea, vomiting, loss of appetite, diarrhea, or fatigue can be expected to occur within _______ hours after exposure? ... prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure.

Last Answer : a) 48 to 72 The prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure. Signs and symptoms include nausea, vomiting, loss of appetite, ... radiation exposure, the signs and symptoms may include fever, respiratory distress, and increased excitability.

Later signs of increased intracranial pressure (ICP) later include which of the following? a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the medulla.

Description : Later signs of increased intracranial pressure (ICP) later include which of the following? a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the ... , the pulse pressure (the difference between the systolic and the diastolic pressure) widens.

Last Answer : a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the medulla.

Which of the following terms is used to describe a chronic liver disease in which scar tissue surrounds the portal areas? a) Alcoholic cirrhosis This type of cirrhosis is due to chronic alcoholism and is the most common type of cirrhosis.

Description : Which of the following terms is used to describe a chronic liver disease in which scar tissue surrounds the portal areas? a) Alcoholic cirrhosis This type of cirrhosis is due to chronic alcoholism and ... to the state of liver disease in which the liver continues to be able to function effectively.

Last Answer : a) Alcoholic cirrhosis This type of cirrhosis is due to chronic alcoholism and is the most common type of cirrhosis.

Emphysema is described as: a) A disease of the airways characterized by destruction of the walls of overdistended alveoli. Emphysema is a category of COPD. b) A disease that results in a common clinical outcome of reversible airflow obstruction. Asthma is the disease described. c) The presence of cough and sputum production for at least a combined total of two or three months in each of two consecutive years. Bronchitis is the disease described. d) Chronic dilatation of a bronchus or bronchi Bronchiectasis is the condition described.

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Last Answer : a) A disease of the airways characterized by destruction of the walls of overdistended alveoli. Emphysema is a category of COPD.

When the nurse assesses the patient and observes blue-red and dark brown plaques and nodules, she recognizes that these manifestations are associated with a) Kaposi’s sarcoma. Kaposi’s sarcoma is a frequent comorbidity of the patient with AIDS.

Description : When the nurse assesses the patient and observes blue-red and dark brown plaques and nodules, she recognizes that these manifestations are associated with a) Kaposi's sarcoma. Kaposi's sarcoma is ... syphilis. A painless chancre or ulcerated lesion is a typical finding in the patient with syphilis.

Last Answer : a) Kaposi’s sarcoma. Kaposi’s sarcoma is a frequent comorbidity of the patient with AIDS.

96. You planned the nursing care of the client together with the nursing student. You asked the nursing student to enumerate the clinical manifestations of a client with polycythemia vera. You expect the nursing student to enumerate the following manifestations except

Description : 96. You planned the nursing care of the client together with the nursing student. You asked the nursing student to enumerate the clinical manifestations of a client with polycythemia vera. You expect the nursing student to enumerate the following manifestations except

Last Answer : B. Hepatomegaly

31. Based on the initial manifestation on admission, the nurse is looking for positive manifestations of appendicitis which includes the following except

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Last Answer : C. Thrombocytopenia

Which of the following terms refers to a form of white blood cell involved in immune response? a) Lymphocyte Both B and T lymphocytes respond to exposure to antigens. b) Granulocyte Granulocytes include basophils, neutrophils, and eosinophils. c) Spherocyte A spherocyte is a red blood cell without central pallor, seen with hemolysis. d) Thrombocyte A thombocyte is a platelet.

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Last Answer : a) Lymphocyte Both B and T lymphocytes respond to exposure to antigens.

When measuring the blood pressure in each of the patient’s arms, the nurse recognizes that in the normal adult, the pressures a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures. b) must be equal in both arms. The pressures in each arm do not have to be equal in order to be considered normal. c) may vary 10 mm Hg or more between arms. Pressures that vary more than 10 mm Hg between arms indicate an abnormal finding. d) may vary, with the higher pressure found in the left arm. The left arm pressure is not anticipated to be higher than the right as a normal anatomical variant.

Description : When measuring the blood pressure in each of the patient's arms, the nurse recognizes that in the normal adult, the pressures a) differ no more than 5 mm Hg between arm pressures. Normally, in ... . The left arm pressure is not anticipated to be higher than the right as a normal anatomical variant.

Last Answer : a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures.

A patient with fungal encephalitis receiving amphotericin B complaints of fever, chills, and body aches. The nurse knows that these symptoms a) may be controlled by the administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to administration of the amphotericin. Administration of amphotericin B may cause fever, chills and body aches. The administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to the administration of amphotericin B may prevent these side effects.

Description : A patient with fungal encephalitis receiving amphotericin B complaints of fever, chills, and body aches. The nurse knows that these symptoms a) may be controlled by the administration of ... and cerebral spinal fluid (CSF) cultures. Blood and CSF cultures help diagnosis fungal encephalitis.

Last Answer : a) may be controlled by the administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to administration of the amphotericin. Administration of amphotericin B ... 30 minutes prior to the administration of amphotericin B may prevent these side effects.

When the nurse administers intravenous gamma-globulin infusion, she recognizes that which of the following complaints, if reported by the patient, may indicate an adverse effect of the infusion? a) Tightness in the chest Flank pain, tightness in the chest, or hypotension indicates adverse effects of gamma-globulin infusion.

Description : When the nurse administers intravenous gamma-globulin infusion, she recognizes that which of the following complaints, if reported by the patient, may indicate an adverse effect of the infusion? a) ... urination is a sign of urinary tract infection, not an adverse effect of gamma-globulin infusion.

Last Answer : a) Tightness in the chest Flank pain, tightness in the chest, or hypotension indicates adverse effects of gamma-globulin infusion.

_____ is a cutaneous or visceral disease transmitted by the bite of an infected female sandfly. a. Malaria b. Leishmaniasis c. Apicomplexa d. Amoebiasis

Description : _____ is a cutaneous or visceral disease transmitted by the bite of an infected female sandfly. a. Malaria b. Leishmaniasis c. Apicomplexa d. Amoebiasis

Last Answer : b. Leishmaniasis

In which stage of COPD is the forced expiratory volume (FEV1) < 30%? a) III Stage III patients demonstrate FEV1 < 30% with respiratory failure or clinical signs of right heart failure b) II Stage II patients demonstrate FEV1 between > 30% and 80% c) I Stage I is mild COPD with FEV1 < 70%. d) O Stage O is characterized by normal spirometry

Description : In which stage of COPD is the forced expiratory volume (FEV1) < 30%? a) III Stage III patients demonstrate FEV1 < 30% with respiratory failure or clinical signs of right heart failure b) II Stage II ... I Stage I is mild COPD with FEV1 < 70%. d) O Stage O is characterized by normal spirometry

Last Answer : a) III Stage III patients demonstrate FEV1 < 30% with respiratory failure or clinical signs of right heart failure

Which of the following states is characterized by a decline in intellectual functioning? a) Dementia Dementia is an acquired syndrome in which progressive deterioration in global intellectual abilities is of such severity that it interferes with the person’s customary occupational and social performance. b) Depression Depression is a mood disorder that disrupts quality of life. c) Delirium Delirium is often called acute confusional state. d) Delusion Delusion is a symptom of psychoses.

Description : Which of the following states is characterized by a decline in intellectual functioning? a) Dementia Dementia is an acquired syndrome in which progressive deterioration in global intellectual abilities is of ... is often called acute confusional state. d) Delusion Delusion is a symptom of psychoses.

Last Answer : a) Dementia Dementia is an acquired syndrome in which progressive deterioration in global intellectual abilities is of such severity that it interferes with the person’s customary occupational and social performance.

Osteoarthritis is known as a disease that a) is the most common and frequently disabling of joint disorders. The functional impact of osteoarthritis on quality of life, especially for elderly patients, is often ignored.

Description : Osteoarthritis is known as a disease that a) is the most common and frequently disabling of joint disorders. The functional impact of osteoarthritis on quality of life, especially for elderly patients, ... causes the described problem and is usually diagnosed in the second or third decade of life.

Last Answer : a) is the most common and frequently disabling of joint disorders. The functional impact of osteoarthritis on quality of life, especially for elderly patients, is often ignored.

Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient’s fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed. b) Minimal urine output of 50 milliliters per hour Minimal urine output may be less than 50 mL/hr. c) Minimal urine output of 10 milliliters per hour Minimal urine output must exceed 10 mL/hr. d) Minimal intake of 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.

Description : Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient's fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are ... 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.

Last Answer : a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed.

Riboflavin deficiency causes (A) Cheilosis (B) Loss of weight (C) Mental deterioration (D) Dermatitis

Description : Riboflavin deficiency causes (A) Cheilosis (B) Loss of weight (C) Mental deterioration (D) Dermatitis

Last Answer : Answer : A

Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b) tolerance to opioids is uncommon. Tolerance to opioids is common. c) addiction to opioids commonly develops. Addiction to opioids is rare. d) the nurse must be primarily concerned about development of addiction by the patient in pain. Addiction is rare and should never be the primary concern for a patient in pain.

Description : Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b ... pain. Addiction is rare and should never be the primary concern for a patient in pain.

Last Answer : a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction.

The first step in decontamination is a. Removal of the patient’s clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The first step is removal of the patient’s clothing and jewelry and then rinsing the patient with water. The second step consists of a thorough soap and water wash and rinse.

Description : The first step in decontamination is a. Removal of the patient's clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The ... the patient with water. The second step consists of a thorough soap and water wash and rinse.

Last Answer : a. Removal of the patient's clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The first step is removal of the patient ... the patient with water. The second step consists of a thorough soap and water wash and rinse.

The nurse providing education regarding sexually transmitted diseases includes which of the following statements regarding herpes virus 2 (herpes genitalis)? a) In pregnant women with active herpes virus, babies delivered vaginally may become infected with the virus. Therefore, a cesarean delivery may be performed if the virus recurs near the time of delivery.

Description : The nurse providing education regarding sexually transmitted diseases includes which of the following statements regarding herpes virus 2 (herpes genitalis)? a) In pregnant women with active herpes virus, babies ... very difficult to kill. Usually, the virus is killed at room temperature by drying.

Last Answer : a) In pregnant women with active herpes virus, babies delivered vaginally may become infected with the virus. Therefore, a cesarean delivery may be performed if the virus recurs near the time of delivery.

The nurse’s base knowledge of primary immunodeficiencies includes which of the following statements? Primary immunodeficiencies a) develop early in life after protection from maternal antibodies decreases. These disorders may involve one or more components of the immune system.

Description : The nurse's base knowledge of primary immunodeficiencies includes which of the following statements? Primary immunodeficiencies a) develop early in life after protection from maternal antibodies decreases ... . Without treatment, infants and children with these disorders seldom survive to adulthood.

Last Answer : a) develop early in life after protection from maternal antibodies decreases. These disorders may involve one or more components of the immune system.

Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption. b) C Lack of vitamin C may cause development of signs and symptoms of scurvy. c) D Vitamin D deficiency results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.

Description : Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for ... results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.

Last Answer : a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption.

A person suffering from carbon monoxide poisoning a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, muscular weakness, palpitation, dizziness, and mental confusion.

Description : A person suffering from carbon monoxide poisoning a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, ... pink to cherry red to cynanotic and pale and is not a reliable diagnostic sign.

Last Answer : a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, muscular weakness, palpitation, dizziness, and mental confusion.