HIV Transmission and Prevention Strategies
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Questions and Answers

Which class of antiretroviral medications works by preventing the HIV virus from inserting its viral DNA into the host cell's DNA?

  • Integrase inhibitors (correct)
  • Nonnucleoside reverse transcriptase inhibitors
  • Protease inhibitors
  • Fusion inhibitors

A client with HIV is prescribed a medication regimen that includes a combination product. What is the primary benefit of using a combination antiretroviral medication?

  • It targets a broader range of viral subtypes with fewer side effects.
  • It simplifies the medication regimen by combining two or more antiretroviral drugs into a single dose. (correct)
  • It reduces the risk of medication interactions by combining multiple drugs into one pill.
  • It increases the potency of a single medication.

A nurse is educating a client newly diagnosed with HIV about infection prevention. Which of the following is the MOST important instruction to emphasize?

  • Avoid all public places to prevent exposure to infections
  • Only consume cooked foods to avoid foodborne illnesses
  • Use barrier protection when engaging in any type of physical contact with others
  • Maintain strict hygiene practices such as frequent handwashing (correct)

When is it appropriate for a nurse to disclose a client's HIV status to healthcare team members?

<p>When following facility policies regarding patient confidentiality and information sharing (A)</p> Signup and view all the answers

A nurse is educating at-risk individuals about HIV. What is one crucial action the nurse should encourage to promote early detection and intervention?

<p>Participate in regular, confidential HIV screening tests (D)</p> Signup and view all the answers

Which body fluid is NOT typically associated with HIV transmission?

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

A patient with a new HIV diagnosis asks about ways to prevent transmission. Which action indicates a need for further teaching?

<p>Sharing personal hygiene items like toothbrushes. (B)</p> Signup and view all the answers

What is the primary purpose of the Western blot test in the context of HIV?

<p>To confirm a positive result from an initial HIV screening test (C)</p> Signup and view all the answers

Which of the following is a common opportunistic infection associated with HIV, and also the leading cause of death among people with HIV worldwide?

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

What is the most appropriate first action for a healthcare worker who experiences a needlestick injury from a patient with HIV?

<p>Wash the area of exposure, notify employee health, and follow reporting procedures. (B)</p> Signup and view all the answers

Which symptom is LEAST associated with HIV-associated neurocognitive disorders (HAND)?

<p>Weight Loss (C)</p> Signup and view all the answers

A patient presents with purple lesions on their lower extremities and face. Which opportunistic infection is MOST suspected?

<p>Kaposi’s Sarcoma (B)</p> Signup and view all the answers

Which of the following symptoms is MOST suggestive of non-Hodgkin lymphoma in a person with AIDS?

<p>Fever, night sweats, and weight loss (C)</p> Signup and view all the answers

Flashcards

How is HIV Transmitted?

HIV can be transmitted through bodily fluids like blood, CSF, peritoneal fluid, breast milk, and amniotic fluid.

Can HIV be spread through casual contact?

HIV is not spread through casual contact, like shaking hands.

What are the risks of HIV transmission for healthcare workers?

Healthcare workers can be exposed to HIV through accidental needle sticks or contact with contaminated fluids.

How is HIV spread through shared needles?

The most common way HIV is transmitted is through sharing needles or contaminated sharps.

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How is HIV diagnosed?

HIV can be diagnosed through an initial screening test, which detects antibodies to the virus. A confirmatory test, like the Western blot, is then performed to confirm the result.

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What is Pneumocystis jiroveci pneumonia?

Pneumocystis jiroveci pneumonia (PJP), formerly known as Pneumocystis carinii pneumonia, is a common opportunistic infection in individuals with HIV.

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What is a leading cause of death for people with HIV?

Tuberculosis (TB) is a leading cause of death for individuals with HIV worldwide.

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What is Kaposi's sarcoma?

Kaposi's sarcoma is a cancer that can affect people with weakened immune systems. It causes purple, red, or brown tumors on the skin, often on the legs or face.

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Antiretroviral Medications

Medications used to treat HIV infection by blocking the activity of reverse transcriptase, which is an enzyme the virus needs to replicate.

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Fusion Inhibitors

Drugs that prevent HIV from entering healthy cells by blocking the fusion process.

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Transmission Prevention

Preventing the transmission of HIV to others by adhering to safe sex practices and using barrier methods like condoms.

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Recognizing Symptoms of Infections

Understanding and recognizing the signs and symptoms of infections or complications that may arise in individuals living with HIV.

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Confidentiality and Disclosure of HIV Status

Ensuring that healthcare team members are aware of a patient's HIV status when appropriate to provide proper care and prevent potential occupational exposure.

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Study Notes

HIV Transmission

  • HIV is not spread through casual contact.
  • Transmission occurs through specific bodily fluids: blood, cerebrospinal fluid, peritoneal fluid, breast milk, and amniotic fluid.
  • Healthcare workers risk exposure through sharps, needles, or contact with infected fluids.
  • Patients need education on transmission methods: sharing needles, unsafe sex, vertical transmission (mother to child), and blood transfusions (foreign blood donations may pose greater risk).
  • Individuals with HIV can transmit the virus even without symptoms.

Prevention Strategies

  • Consistently and correctly use condoms.
  • Support accessible and clean needle programs.
  • Provide comprehensive education on transmission methods.
  • Use Post-Exposure Prophylaxis (PEP) kits when needed.
  • Educate pregnant and breastfeeding mothers about mitigating transmission risk.

Diagnosing HIV

  • Symptoms: Fatigue, fever, weight loss, wasting syndrome, night sweats, sore throats, opportunistic infections.
  • Screening: HIV IgG antibody test.
  • Confirmation: Western blot.
  • Availability: Home test kits (oral swabs) are available.

Opportunistic Infections

  • Pneumocystis jiroveci Pneumonia (PJP): Previously known as Pneumocystis carinii pneumonia.
  • Tuberculosis (TB): Leading cause of death from HIV globally.
  • Cryptosporidium parvum: Causes watery diarrhea.
  • Other GI Infections: Salmonella, cytomegalovirus (CMV), Clostridium difficile (C. diff), E. coli, Shigella, Giardia.
  • HIV-Associated Neurocognitive Disorders (HAND): Includes toxoplasmosis and HIV-associated dementia.
  • Kaposi's Sarcoma: Purple, red, or brown skin tumors (often legs or face). Severe if in lungs, liver or GI tract.
  • Lymphoma: Non-Hodgkin lymphoma is common in AIDS patients. Symptoms include fevers, night sweats, and weight loss.

Medications

  • Antiretrovirals: Nucleoside/nucleotide reverse transcriptase inhibitors, nonnucleoside reverse transcriptase inhibitors, protease inhibitors, fusion inhibitors, integrase inhibitors, and combination products.

Caring for Clients with HIV/AIDS

  • Medication Compliance: Emphasize the importance of adherence to medication schedules.
  • Education: Teach about transmission prevention, recognizing infection symptoms, and managing complications.
  • Infection Prevention: Guide clients on infection avoidance and hygiene.
  • Confidentiality: Follow facility policies for disclosure of HIV status to healthcare team members.
  • Nurse Responsibilities: Provide compassionate, considerate care, educate themselves and colleagues about HIV, encouraging screening for at-risk individuals and knowing PEP kit locations.

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Description

This quiz covers important information about HIV transmission, including the specific bodily fluids involved and the risks healthcare workers face. Additionally, it discusses prevention strategies and the significance of education in reducing transmission rates. Test your knowledge on these critical issues surrounding HIV.

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