HIV/AIDs Adult Health test 2

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Questions and Answers

What is the primary target of the human immunodeficiency virus (HIV)?

  • CD4 cells (helper T cells) (correct)
  • Platelets
  • B cells
  • Red blood cells

Which of the following best describes the nature of HIV as a virus?

  • An obligate virus that requires a host cell to reproduce. (correct)
  • An autonomous virus that can reproduce independently.
  • A facultative virus that can reproduce in multiple cell types.
  • A virus that only survives in an extracellular environment.

During which stage of HIV infection is the risk of transmission generally the highest?

  • Acquired Immunodeficiency Syndrome (AIDS)
  • Chronic HIV infection
  • Acute HIV infection (correct)
  • Latent stage

What is a primary characteristic of the chronic stage of HIV infection?

<p>A low viral load in the blood and slow decline in CD4 cells. (D)</p> Signup and view all the answers

Which of the following is NOT a typical symptom of AIDS?

<p>Significant weight gain (D)</p> Signup and view all the answers

Which of the following scenarios presents the highest risk for HIV transmission?

<p>Receptive anal intercourse (A)</p> Signup and view all the answers

What is the primary mechanism of prenatal HIV transmission?

<p>Transmission during pregnancy or delivery (C)</p> Signup and view all the answers

Why do ulcerating genital diseases, like STIs, increase the risk of HIV infection?

<p>They create openings for HIV to enter the system more easily. (D)</p> Signup and view all the answers

To reduce the risk of pneumonia in a patient, which action should a nurse prioritize?

<p>Encouraging deep breathing and coughing (C)</p> Signup and view all the answers

What is the recommended cleaning solution for disinfecting surfaces to prevent the spread of microbes?

<p>A 1:10 bleach solution (B)</p> Signup and view all the answers

Which of the following is a crucial measure for reducing immunosuppression?

<p>Minimizing drug and alcohol use (A)</p> Signup and view all the answers

Which of the following is an example of a 'no risk' option for preventing HIV transmission through sexual activity?

<p>Abstinence (B)</p> Signup and view all the answers

Which strategy should be used to reduce the risk of HIV transmission when using intravenous drugs?

<p>Using sterile equipment every time (C)</p> Signup and view all the answers

What type of lubricant is recommended for condom use to reduce the risk of condom damage?

<p>Water-based lubricant (A)</p> Signup and view all the answers

Why are HIV-positive individuals prohibited from donating blood, organs, and semen?

<p>To prevent the spread of HIV through these donations (D)</p> Signup and view all the answers

Which is an accurate description of post-exposure prophylaxis (PEP) for HIV exposure?

<p>A combination of three or more ART medications for four weeks initiated within 72 hours of exposure (C)</p> Signup and view all the answers

A patient is reporting concerning symptoms 12 days after potential exposure to HIV. Which of the following would be the most appropriate recommendation?

<p>Initiate Post-Exposure Prophylaxis (PEP) as soon as possible and inform them of PEP testing timeline (A)</p> Signup and view all the answers

Following unwanted sexual contact, when should ART be initiated as part of post-exposure care?

<p>Within 72 hours of the incident (A)</p> Signup and view all the answers

Which of the following body fluids is NOT considered a potential transmitter of HIV?

<p>Saliva (D)</p> Signup and view all the answers

What is the primary purpose of a nucleic acid test (NAT) in HIV diagnosis?

<p>To detect the presence of HIV itself and measure viral load (A)</p> Signup and view all the answers

Approximately how long after HIV exposure does seroconversion typically occur?

<p>Between 5 days to 3 months (B)</p> Signup and view all the answers

Which dietary approach is most beneficial for HIV patients experiencing nausea?

<p>Providing dry, salty foods and cold or room-temperature meals with liquids in between. (D)</p> Signup and view all the answers

Which of these symptoms is commonly associated with a reduced CD4 count in individuals with HIV?

<p>Night sweats (D)</p> Signup and view all the answers

What is the primary reason for avoiding dairy products in many HIV patients?

<p>Lactose intolerance is common. (B)</p> Signup and view all the answers

What is a critical nursing intervention when caring for a patient with Pneumocystis jiroveci Pneumonia (PCP)?

<p>Conserving energy and reducing oxygen demand. (C)</p> Signup and view all the answers

Which practice will MOST effectively reduce the risk of HIV transmission during sexual activity?

<p>Consistent use of condoms with a single partner (D)</p> Signup and view all the answers

Which symptom is NOT typically associated with Tuberculosis (TB) in HIV patients?

<p>Significant weight gain. (C)</p> Signup and view all the answers

Swollen lymph nodes can be a sign of HIV infection. What is the minimum time duration for which two or more swollen lymph nodes must be present to consider it a key indicator of HIV?

<p>3 months (C)</p> Signup and view all the answers

What condition is characterized by nerve damage due to HIV or antiretroviral medications and may cause symptoms like numbness or tingling?

<p>Peripheral neuropathy (C)</p> Signup and view all the answers

What is the primary characteristic of HIV wasting?

<p>Loss of lean body mass, often with diarrhea, weakness, and fever. (D)</p> Signup and view all the answers

Which dietary recommendation is specifically crucial for an HIV patient with dysphagia?

<p>Easy-to-swallow foods like gelatin, yogurt, and puddings. (C)</p> Signup and view all the answers

A person with HIV has white patches on the tongue and oral mucosa that are easily wiped off. What is the MOST likely diagnosis?

<p>Candidiasis (B)</p> Signup and view all the answers

Why is it important to weigh HIV/AIDS patients daily?

<p>To detect weight stability and changes indicative of HIV wasting. (C)</p> Signup and view all the answers

Which medication is typically used to treat Hairy Leukoplakia?

<p>Acyclovir (A)</p> Signup and view all the answers

What is a key benefit of using antiretroviral therapy (ART) for HIV treatment?

<p>It can slow the progression of HIV and decrease viral resistance. (C)</p> Signup and view all the answers

Which of the following is a known complication of untreated syphilis in people with HIV?

<p>Neurosyphilis (D)</p> Signup and view all the answers

What does the term 'pancytopenia' describe in the context of HIV?

<p>Decrease in all blood cell types (C)</p> Signup and view all the answers

Which intervention is least effective for managing psychosocial issues in HIV/AIDS patients?

<p>Avoiding discussions about death and grief to prevent distress. (B)</p> Signup and view all the answers

High levels of what protein may indicate muscle injury and require medication adjustments for those with HIV?

<p>CPK (B)</p> Signup and view all the answers

What is the primary focus of pre-test counseling for HIV testing?

<p>Exploring patient risk factors, and identifying counseling needs based on the situation. (D)</p> Signup and view all the answers

Which of the following is recommended for managing diarrhea in individuals with HIV?

<p>Lactose-free, low-fat diet (C)</p> Signup and view all the answers

Which practice is essential to maintain if a healthcare provider is caring for an HIV/AIDS patient?

<p>Using standard precautions and maintaining confidentiality of HIV status. (D)</p> Signup and view all the answers

Which action is not recommended while providing skin care for HIV/AIDS patients?

<p>Offering full tub baths if rashes are present. (B)</p> Signup and view all the answers

Which type of foods or dietary restrictions should be avoided for people with HIV/AIDS?

<p>Dairy products and red meats (A)</p> Signup and view all the answers

What should be increased for clients with HIV/AIDS experiencing constipation?

<p>Fiber intake (B)</p> Signup and view all the answers

What is a crucial nursing consideration while caring for an HIV patient with diagnosed Tuberculosis (TB)?

<p>Using an N95 mask due to the airborne transmission of TB. (B)</p> Signup and view all the answers

Which of the following side-effects is associated with antiretroviral therapy (ART)?

<p>Decreased liver function. (B)</p> Signup and view all the answers

Which intervention is most appropriate to promote muscle mass in an HIV wasting patient?

<p>Giving appetite stimulants and androgenic hormones like testosterone. (B)</p> Signup and view all the answers

Flashcards

What type of cells does HIV primarily target?

HIV is a virus that primarily targets and destroys CD4 cells, also known as helper T cells, which are crucial for coordinating the immune response.

What type of virus is HIV?

HIV is an obligate virus, meaning it cannot reproduce on its own and requires a host cell's DNA to replicate.

What is the first stage of HIV infection?

Acute HIV infection is the initial stage of infection, occurring within 2 to 4 weeks after exposure. It's characterized by flu-like symptoms and a high viral load in the blood.

What is the stage of HIV infection following the acute stage?

Chronic HIV infection is the stage after the initial infection, where the viral load is low. It can last for years, but helper T cells are slowly destroyed, leading to weakened immunity.

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What is the final stage of HIV infection?

Acquired Immunodeficiency Syndrome (AIDS) is the most advanced stage of HIV infection, where the immune system is severely compromised, CD4 count drops to 200 or lower, and opportunistic infections can thrive.

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How can HIV be transmitted?

HIV can be transmitted through sexual contact (anal, vaginal, and oral intercourse), direct exposure to infected blood (needle sharing, blood transfusions), prenatal transmission (during pregnancy or delivery), and postnatal transmission (through breastfeeding).

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What factors increase the risk of HIV transmission?

Higher viral load in the infected individual increases the risk of transmission, as there are more viruses available to spread. Receptive anal intercourse is the highest risk due to increased likelihood of tissue tears.

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How do ulcerating genital diseases, forceful sex, drug use, and needle sharing increase HIV transmission?

Ulcerating genital diseases (STIs) create open sores, making it easier for HIV to enter the bloodstream. Vigorous or forceful sex, illicit drug use, and sharing needles also increase the risk of transmission by damaging tissues and suppressing the immune system.

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HIV Transmission Fluids

HIV can be transmitted through various bodily fluids, including blood, semen, vaginal secretions, breast milk, and rectal secretions.

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Nucleic Acid Test

A test that detects the presence of HIV and its viral load, often used for early detection.

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Antigen-Antibody Test

A test that detects HIV antibodies and antigens, usually done through a blood draw.

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Finger Stick Test

A rapid HIV test that can be done with a finger prick.

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Oral or Blood Antibody Test

A test that utilizes oral fluid or blood to detect antibodies to HIV, suitable for self-testing.

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CD4 Count and Percentage

This test measures the number of CD4 cells in the blood and their percentage, providing information about the stage of HIV infection and the risk for complications.

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Dietary Guidelines for HIV/AIDS

Dietary recommendations for individuals with HIV/AIDS to reduce digestive discomfort.

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Zero Conversion

The point when HIV becomes detectable in the blood after exposure, typically between 2 and 4 weeks after exposure.

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Condom Use

Condoms provide a physical barrier that prevents the exchange of bodily fluids, reducing the risk of HIV transmission.

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Lactase Deficiency in HIV

A common digestive issue in HIV patients, often leading to lactose intolerance.

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Antiretroviral Therapy (ART)

This therapy uses a combination of medications to slow the progression of HIV, prevent the development of AIDS, and reduce the risk of transmission.

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Antiretroviral Therapy (ART)

Medication regimen used to control HIV infection and slow disease progression.

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Swollen Lymph Nodes

Inflammation and swelling of two or more lymph nodes for at least three months, often a sign of HIV infection.

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Opportunistic Infections

Potential complications that can develop in individuals with weakened immune systems, often seen in HIV/AIDS.

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Peripheral Neuropathy

Nerve damage caused by HIV infection or antiretroviral medications, leading to numbness, tingling, and other sensory changes.

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Pneumocystis jiroveci Pneumonia (PCP)

The most common opportunistic infection in HIV patients, affecting the lungs.

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Candidiasis

A fungal infection that appears as white patches on the tongue and oral mucosa, common in individuals with HIV.

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Kaposi's Sarcoma

A rare type of cancer associated with HIV, characterized by purple skin lesions.

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Hairy Leukoplakia

A common opportunistic infection in individuals with HIV, characterized by white thickening on the oral mucosa that cannot be wiped off.

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Tuberculosis (TB) in HIV

A serious bacterial infection posing a significant risk to HIV patients, especially with drug-resistant strains.

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HIV Wasting

A complex metabolic condition impacting HIV/AIDS patients, leading to muscle loss and increased susceptibility to infections.

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Genital Herpes

A viral infection that causes sores on the genitals, more frequent and severe in individuals with HIV due to a weakened immune system.

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Syphilis

A bacterial infection that can be difficult to eradicate in individuals with HIV, potentially leading to neurological complications.

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Nutritional Management for HIV Wasting

Dietary strategies to manage HIV wasting, focusing on nutrient-rich foods and supplements.

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Psychosocial Issues in HIV/AIDS

Psychological and social challenges faced by individuals living with HIV/AIDS.

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HIV Counseling

Counseling provided before and after HIV testing, offering guidance and support.

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Infection Prevention in HIV/AIDS

Preventative measures to minimize the risk of infections in HIV patients.

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Nursing Interventions for HIV/AIDS

A comprehensive approach to managing HIV/AIDS, including medical treatment, nutritional support, and psychosocial care.

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Management of HIV Wasting

Strategies to recover lost muscle mass and improve overall health in HIV wasting.

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Mental Health Impact of HIV Diagnosis

The impact of HIV diagnosis on mental health and well-being.

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Infection Control Measures

Using methods to prevent the spread of germs and protect against infections in immunocompromised patients. This includes good hygiene, avoiding exposure to germs, and taking precautions to prevent contamination.

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Good Hygiene Practices

Practices that help maintain a clean and safe environment, such as handwashing, disinfecting surfaces, and using sterile equipment.

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Preventing Exposure to Microbes

Preventing exposure to potentially harmful microbes. This includes isolating infected individuals, avoiding contaminated areas, and following proper waste disposal procedures.

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Post-Exposure Prophylaxis (PEP)

Actions taken immediately after potential exposure to HIV to reduce the risk of infection.

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PEP Medications

A combination of antiretroviral medications taken by people who have been exposed to HIV within 72 hours of exposure, aimed at preventing HIV infection.

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HIV Prevention Strategies

Practices that minimize the risk of HIV transmission. They include abstinence, mutual monogamy with an HIV-negative partner, consistent use of condoms, and limiting the number of sexual partners.

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Dental Dam

A thin sheet of latex used as a barrier during oral sex to prevent the transmission of HIV.

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Condoms

Barrier contraceptive methods that provide protection against STIs, including HIV, during vaginal and anal intercourse.

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Female Condom

A barrier contraceptive method specifically designed for women, providing a woman with control over its use.

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ART (Antiretroviral Therapy)

A combination of antiretroviral medications used to treat HIV infection and prevent transmission from pregnant women to their infants.

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Study Notes

HIV Basics

  • HIV is the human immunodeficiency virus, a virus that destroys the immune system.
  • HIV primarily destroys CD4 cells, also known as helper T cells, which are crucial for coordinating the immune response.
  • HIV is an obligate virus, meaning it cannot reproduce on its own and requires a host cell's DNA.
  • HIV can only survive inside a host body.

Stages of HIV Infection

  • Stage 1: Acute HIV Infection
    • Occurs within 2 to 4 weeks of infection.
    • Characterized by flu-like symptoms, including rash, night sweats, sore throat, and swollen lymph nodes (lymphadenopathy).
    • Viral load peaks quickly after infection, then decreases as the immune system fights it off.
    • Increased risk of transmission due to high viral load.
  • Stage 2: Chronic HIV Infection
    • Viral load is low in the blood.
    • Can still be transmitted, but at a lower risk than Stage 1.
    • Can last for 10 years or more, potentially longer with medication.
    • Helper T cells are slowly destroyed, and viral load increases gradually without medication.
    • Loss of immunity begins, leading to eventual symptoms.
  • Stage 3: Acquired Immunodeficiency Syndrome (AIDS)
    • Significant HIV damage allows opportunistic diseases to develop.
    • CD4 count drops to 200 or lower.
    • Symptoms include fever, chills, sweating, swollen lymph nodes, weight loss, and weakness.
    • Average time from AIDS development to death is 3 years without treatment.

Transmission

  • HIV can be transmitted through:
    • Sexual contact: anal, vaginal, and oral intercourse.
    • Direct exposure to infected blood or blood products: needle sticks, IV drug use, blood transfusions.
    • Prenatal transmission: from an infected mother to her child during pregnancy or delivery.
    • Postnatal transmission: through breastfeeding from an infected mother.

Risk Factors for Transmission

  • Higher viral load in the infected individual: increases the risk of transmission.
  • Receptive anal intercourse: highest risk for transmission due to higher likelihood of tissue tears.
  • Ulcerating genital diseases (STIs): increase the risk of infection.
  • Vigorous or forceful sex: increases the risk of infection.
  • Illicit drug use: suppresses the immune system, increasing risk.
  • Sharing needles: common in IV drug use, high risk of transmission.

Body Fluids That Can Carry HIV

  • Blood
  • Semen
  • Vaginal secretions
  • Breast milk
  • Rectal secretions

HIV Testing and Diagnosis

  • Nucleic acid test: detects HIV presence and viral load, used for early detection, expensive.
  • Antigen-antibody test: detects HIV antibodies and antigens, done through a venipuncture.
  • Finger stick test: rapid test, available for quick screening.
  • Oral or blood antibody test: home test option, available for self-testing.
  • CD4 count and percentage: determines the stage of HIV infection, risks for complications, and need for prophylaxis.

Zero Conversion

  • The point at which HIV becomes detectable in the blood after exposure.
  • Can occur between 5 days and 3 months after exposure, typically around 2 to 4 weeks.
  • Often marked by flu-like symptoms.

Signs and Symptoms of HIV Infection

  • Fever
  • Night sweats
  • Sore throat
  • Headaches
  • Fatigue
  • Muscle aches
  • Nausea
  • Diarrhea
  • Rash
  • Unexplained weight loss
  • Chronic diarrhea
  • Persistent unexplained fevers
  • Numbness or tingling in extremities (paresthesia).
  • Symptoms often appear when CD4 count is below 500.
  • May appear healthy but still be able to transmit the virus during the asymptomatic period.

Prevention and Treatment

  • Safe sex practices: use condoms consistently, abstain from sexual activity, be monogamous.
  • Needle exchange programs: reduce risk of transmission through shared needles.
  • Antiretroviral therapy (ART): slows HIV progression, prevents AIDS development, reduces risk of transmission.

HIV Symptoms

  • Individuals with HIV may present with abdominal pain, cough (dry or productive), disorientation, shortness of breath, and swollen lymph nodes.
  • Two or more swollen lymph nodes for at least three months is a key indicator of HIV infection.
  • Muscle or joint pain is another common symptom.
  • Oral lesions, including candidiasis and hairy leukoplakia, are possible.

Nursing Assessment

  • The nursing assessment for a patient with HIV includes subjective and objective data.
  • A risk assessment is crucial to determine the patient's risk for HIV infection.
  • Key questions during the risk assessment include:
    • History of blood transfusions
    • History of receiving blood products before 1985
    • History of sharing injection equipment
    • Sexual activity history (partner types, frequency, and protective measures)
  • A drug use assessment is also important, including questions regarding drug use history and frequency.
  • The sexual risk assessment should be conducted in a non-judgmental manner, considering topics such as sexual partners (men, women, or both), types of sexual activity (oral, vaginal, anal), and knowledge of partners' sexual activities.
  • A clinical risk assessment should be performed to identify signs and symptoms associated with HIV infection.

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