HIV/AIDS

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Author:
bailey9906
ID:
149426
Filename:
HIV/AIDS
Updated:
2012-04-22 20:35:27
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med surg
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Description:
HIV/AIDS Med/Surg Chapter 56
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  1. HIV is transmitted how
    • sexual intercourse
    • infected needles
    • infected blood, semen
    • cervicovaginal secretions
    • breast milk
  2. what is seroconversion
    a change in serologic test results for negative to positive as antibodies develop in reaction to an infection
  3. if you have a pt with Chlamydia adn hx of recurrent herpes, what should you do
  4. if a person has HIV, when can they get AIDS
    the end stage in which the infected pt has a CD4+ count of 200cells/mm3 or fewer
  5. how does HIV cause AIDS
  6. how do you know if HIV has converted to AIDS
    the CD4+ count is lower than 200cells/mm3
  7. what are the ELISA, ELA, and the Western blot test
    antibody tests that detect the presence of HIV antibodies
  8. the fastest growing segment of the population with AIDS is women and children. who would you need to assess for risk factors?
    pregnant mothers
  9. the male condom is not 100% effective, but if used consistent and effectively
    male condoms are very effective in the prevention of HIV transmission
  10. how do you care for a pt with Pneumocystis jiroveci
    • prophylaxis therapy
    • trimethoprim-sulfamethoazole
  11. what is Kaposi's Sarcoma
    who is at risk
    what is s/s
    • rare cancer of the skin and mucous membranes
    • young Mediterrnean males
    • blue, red or purple raised lesions
  12. a pt feels terrific, but has HIV. what should the nurse discuss with him
    stress safe behaviors and the need for medical and emotional support
  13. how do you diagnosis AIDS
    according to the 1993 CDC definition
  14. how would a person delay HIV from progressing
    • nutritional changes that maintain lean body mass, increase weight, and ensure appropriate levels of vitamins and micronutrients
    • eliminate or moderate alcohol intake
    • regular exercise
    • stress reduction
    • avoidance of exposure to new infectous agents
    • mental health counciling
    • involvement in support groups
    • safer sexual practices
  15. an HIV person is concerned about telling others about having HIV. who should be told
    • close family and friend
    • sexual partners
  16. what is the usual pattern of progression of HIV
    • inital exposure
    • primary HIV infection (acute illness)
    • asymptomatic HIV infection (HIV seropositivity)
    • early HIV disease (Symptomatic infection)
    • advanced HIV disease (AIDS)
  17. most common transmission of HIV is
    sexual intercourse
  18. least likely method of kids getting AIDS
    ART, formula feeding, c-section
  19. marker antibodies usually present in 10-12 weeks after exposure are called
    seroconversion
  20. pregnant women with HIV gives birth to an infant. she refuses care for infant bc she just knows that it will die soon. what type of instructions would you give her
  21. bananas, apricot nectar are high in ______, and are recommended to HIV disease progressed pts because
    potassium
  22. when changing a dressing of HIV pts, how should the nurse prevent contamination
    • standard precautions
    • gown and gloves
  23. if a person with HIV is depressed, the nurse should assess for
    suicide risk
  24. best way to prevent transmission of HIV to a fetus or infant
    ART, formula feeding, c-section
  25. to help HIV pts regain weight lost, teach
    encourage nutritional supplements, TPN, meds to stimulate appetite (Marinol) dronabinol, testosterone, well balanced diet, high protein, high calorie, suggest meal plans, smaller more frequent meals
  26. s/s of HIV infection
    • abdominal pain
    • chills and fever
    • cough
    • diarrhea
    • disorientation
    • dyspnea
    • fatigue
    • headache
    • lymphadenopathy
    • malaise
    • muscle and joint pain
    • night sweats
    • oral lesions
    • SOB
    • skin rash
    • sore throat
    • weight loss
  27. most children with AIDS got it how
    blood transfusions
  28. nutritional intake that will assist pt to regain lost weight
    • high protein
    • high calorie
  29. recommended diarrhea diet to help control it
    • lactose free
    • low fat and fiber
    • high potassium
    • avoid dairy product, red meat, margarine, butter, eggs, dried beans, peas, raw fruit and veggies
    • cooked or canned fruits and veggies provide vitamins
    • eat potassium-rich foods such as bananas and apricot nectar
    • dc foods, nutritional supplements may make it worse
    • serve warm not hot meals
    • plan small frequent meals
    • drink plenty of fluids between meals

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