Podcast
Questions and Answers
What is the primary target of the human immunodeficiency virus (HIV)?
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?
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?
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?
What is a primary characteristic of the chronic stage of HIV infection?
Which of the following is NOT a typical symptom of AIDS?
Which of the following is NOT a typical symptom of AIDS?
Which of the following scenarios presents the highest risk for HIV transmission?
Which of the following scenarios presents the highest risk for HIV transmission?
What is the primary mechanism of prenatal HIV transmission?
What is the primary mechanism of prenatal HIV transmission?
Why do ulcerating genital diseases, like STIs, increase the risk of HIV infection?
Why do ulcerating genital diseases, like STIs, increase the risk of HIV infection?
To reduce the risk of pneumonia in a patient, which action should a nurse prioritize?
To reduce the risk of pneumonia in a patient, which action should a nurse prioritize?
What is the recommended cleaning solution for disinfecting surfaces to prevent the spread of microbes?
What is the recommended cleaning solution for disinfecting surfaces to prevent the spread of microbes?
Which of the following is a crucial measure for reducing immunosuppression?
Which of the following is a crucial measure for reducing immunosuppression?
Which of the following is an example of a 'no risk' option for preventing HIV transmission through sexual activity?
Which of the following is an example of a 'no risk' option for preventing HIV transmission through sexual activity?
Which strategy should be used to reduce the risk of HIV transmission when using intravenous drugs?
Which strategy should be used to reduce the risk of HIV transmission when using intravenous drugs?
What type of lubricant is recommended for condom use to reduce the risk of condom damage?
What type of lubricant is recommended for condom use to reduce the risk of condom damage?
Why are HIV-positive individuals prohibited from donating blood, organs, and semen?
Why are HIV-positive individuals prohibited from donating blood, organs, and semen?
Which is an accurate description of post-exposure prophylaxis (PEP) for HIV exposure?
Which is an accurate description of post-exposure prophylaxis (PEP) for HIV exposure?
A patient is reporting concerning symptoms 12 days after potential exposure to HIV. Which of the following would be the most appropriate recommendation?
A patient is reporting concerning symptoms 12 days after potential exposure to HIV. Which of the following would be the most appropriate recommendation?
Following unwanted sexual contact, when should ART be initiated as part of post-exposure care?
Following unwanted sexual contact, when should ART be initiated as part of post-exposure care?
Which of the following body fluids is NOT considered a potential transmitter of HIV?
Which of the following body fluids is NOT considered a potential transmitter of HIV?
What is the primary purpose of a nucleic acid test (NAT) in HIV diagnosis?
What is the primary purpose of a nucleic acid test (NAT) in HIV diagnosis?
Approximately how long after HIV exposure does seroconversion typically occur?
Approximately how long after HIV exposure does seroconversion typically occur?
Which dietary approach is most beneficial for HIV patients experiencing nausea?
Which dietary approach is most beneficial for HIV patients experiencing nausea?
Which of these symptoms is commonly associated with a reduced CD4 count in individuals with HIV?
Which of these symptoms is commonly associated with a reduced CD4 count in individuals with HIV?
What is the primary reason for avoiding dairy products in many HIV patients?
What is the primary reason for avoiding dairy products in many HIV patients?
What is a critical nursing intervention when caring for a patient with Pneumocystis jiroveci Pneumonia (PCP)?
What is a critical nursing intervention when caring for a patient with Pneumocystis jiroveci Pneumonia (PCP)?
Which practice will MOST effectively reduce the risk of HIV transmission during sexual activity?
Which practice will MOST effectively reduce the risk of HIV transmission during sexual activity?
Which symptom is NOT typically associated with Tuberculosis (TB) in HIV patients?
Which symptom is NOT typically associated with Tuberculosis (TB) in HIV patients?
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?
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?
What condition is characterized by nerve damage due to HIV or antiretroviral medications and may cause symptoms like numbness or tingling?
What condition is characterized by nerve damage due to HIV or antiretroviral medications and may cause symptoms like numbness or tingling?
What is the primary characteristic of HIV wasting?
What is the primary characteristic of HIV wasting?
Which dietary recommendation is specifically crucial for an HIV patient with dysphagia?
Which dietary recommendation is specifically crucial for an HIV patient with dysphagia?
A person with HIV has white patches on the tongue and oral mucosa that are easily wiped off. What is the MOST likely diagnosis?
A person with HIV has white patches on the tongue and oral mucosa that are easily wiped off. What is the MOST likely diagnosis?
Why is it important to weigh HIV/AIDS patients daily?
Why is it important to weigh HIV/AIDS patients daily?
Which medication is typically used to treat Hairy Leukoplakia?
Which medication is typically used to treat Hairy Leukoplakia?
What is a key benefit of using antiretroviral therapy (ART) for HIV treatment?
What is a key benefit of using antiretroviral therapy (ART) for HIV treatment?
Which of the following is a known complication of untreated syphilis in people with HIV?
Which of the following is a known complication of untreated syphilis in people with HIV?
What does the term 'pancytopenia' describe in the context of HIV?
What does the term 'pancytopenia' describe in the context of HIV?
Which intervention is least effective for managing psychosocial issues in HIV/AIDS patients?
Which intervention is least effective for managing psychosocial issues in HIV/AIDS patients?
High levels of what protein may indicate muscle injury and require medication adjustments for those with HIV?
High levels of what protein may indicate muscle injury and require medication adjustments for those with HIV?
What is the primary focus of pre-test counseling for HIV testing?
What is the primary focus of pre-test counseling for HIV testing?
Which of the following is recommended for managing diarrhea in individuals with HIV?
Which of the following is recommended for managing diarrhea in individuals with HIV?
Which practice is essential to maintain if a healthcare provider is caring for an HIV/AIDS patient?
Which practice is essential to maintain if a healthcare provider is caring for an HIV/AIDS patient?
Which action is not recommended while providing skin care for HIV/AIDS patients?
Which action is not recommended while providing skin care for HIV/AIDS patients?
Which type of foods or dietary restrictions should be avoided for people with HIV/AIDS?
Which type of foods or dietary restrictions should be avoided for people with HIV/AIDS?
What should be increased for clients with HIV/AIDS experiencing constipation?
What should be increased for clients with HIV/AIDS experiencing constipation?
What is a crucial nursing consideration while caring for an HIV patient with diagnosed Tuberculosis (TB)?
What is a crucial nursing consideration while caring for an HIV patient with diagnosed Tuberculosis (TB)?
Which of the following side-effects is associated with antiretroviral therapy (ART)?
Which of the following side-effects is associated with antiretroviral therapy (ART)?
Which intervention is most appropriate to promote muscle mass in an HIV wasting patient?
Which intervention is most appropriate to promote muscle mass in an HIV wasting patient?
Flashcards
What type of cells does HIV primarily target?
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?
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?
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?
What is the stage of HIV infection following the acute stage?
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What is the final stage of HIV infection?
What is the final stage of HIV infection?
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How can HIV be transmitted?
How can HIV be transmitted?
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What factors increase the risk of HIV transmission?
What factors increase the risk of HIV transmission?
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How do ulcerating genital diseases, forceful sex, drug use, and needle sharing increase HIV transmission?
How do ulcerating genital diseases, forceful sex, drug use, and needle sharing increase HIV transmission?
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HIV Transmission Fluids
HIV Transmission Fluids
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Nucleic Acid Test
Nucleic Acid Test
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Antigen-Antibody Test
Antigen-Antibody Test
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Finger Stick Test
Finger Stick Test
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Oral or Blood Antibody Test
Oral or Blood Antibody Test
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CD4 Count and Percentage
CD4 Count and Percentage
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Dietary Guidelines for HIV/AIDS
Dietary Guidelines for HIV/AIDS
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Zero Conversion
Zero Conversion
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Condom Use
Condom Use
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Lactase Deficiency in HIV
Lactase Deficiency in HIV
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Antiretroviral Therapy (ART)
Antiretroviral Therapy (ART)
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Antiretroviral Therapy (ART)
Antiretroviral Therapy (ART)
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Swollen Lymph Nodes
Swollen Lymph Nodes
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Opportunistic Infections
Opportunistic Infections
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Peripheral Neuropathy
Peripheral Neuropathy
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Pneumocystis jiroveci Pneumonia (PCP)
Pneumocystis jiroveci Pneumonia (PCP)
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Candidiasis
Candidiasis
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Kaposi's Sarcoma
Kaposi's Sarcoma
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Hairy Leukoplakia
Hairy Leukoplakia
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Tuberculosis (TB) in HIV
Tuberculosis (TB) in HIV
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HIV Wasting
HIV Wasting
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Genital Herpes
Genital Herpes
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Syphilis
Syphilis
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Nutritional Management for HIV Wasting
Nutritional Management for HIV Wasting
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Psychosocial Issues in HIV/AIDS
Psychosocial Issues in HIV/AIDS
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HIV Counseling
HIV Counseling
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Infection Prevention in HIV/AIDS
Infection Prevention in HIV/AIDS
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Nursing Interventions for HIV/AIDS
Nursing Interventions for HIV/AIDS
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Management of HIV Wasting
Management of HIV Wasting
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Mental Health Impact of HIV Diagnosis
Mental Health Impact of HIV Diagnosis
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Infection Control Measures
Infection Control Measures
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Good Hygiene Practices
Good Hygiene Practices
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Preventing Exposure to Microbes
Preventing Exposure to Microbes
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Post-Exposure Prophylaxis (PEP)
Post-Exposure Prophylaxis (PEP)
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PEP Medications
PEP Medications
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HIV Prevention Strategies
HIV Prevention Strategies
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Dental Dam
Dental Dam
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Condoms
Condoms
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Female Condom
Female Condom
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ART (Antiretroviral Therapy)
ART (Antiretroviral Therapy)
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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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