Immunity pre and post #1 Flashcards
The nurse instructs the unlicensed personnel to remove food on the breakfast tray that is not allowed for patients in neutropenic (reverse) isolation. Which of the foods on the tray would the UAP remove:
- scambled eggs
- slice of toast with margarine
- orange slices
- coffee
-orange slices
A nurse is counseling an HIV negative client that is in a serious relationship with an HIV positive partner. Which of the following would be priorities to teach the client (Select all that apply)
- Start PrEP therapy immediately.
- Continue to use condoms.
- It is only ok to have oral sex.
- Only take PrEP prior to sex.
A and B
An example of natural active acquired Immunity is:
- Infection
- Breastmilk
- Transfusion of gamma globulins
- skin.
Infection
A new mother is terrified to take her child home from the hospital stating that she is worried that the baby will get an infection. The best response by the nurse would be:
- Give your baby acetominophine daily to prevent fever.
- We will vaccinate your child before you leave the hospital and that will protect the baby.
- Continue to breastfeed your child as that will provide protection.
- Don’t leave the house for the first 6 months.
C-continue to breast feed
The nurse caring for an elder patient encourages the patient to get vaccinations because the leading cause of death in the elderly is
- E. coli.
- Yeast infection.
- Bacterial pneumonia.
- Emphysema.
Bacterial Pneumonia
Prior to giving a vaccination, the student nurse asks the preceptor for:
- Alcohol prep.
- Vaccine Information Sheet.
- The patients medication list.
- A drug book.
Vaccine info sheet
The nurse knows that before the phlebotomist draws a patient for an HIV screening, the patient must give consent.
True or false
False
An elderly patient has been admitted with a new diagnosis of cancer. “I exercise every day, I don’t smoke and I eat healthy, organic food!” How could I have cancer? The nurses correct response is:
-All foods have preservatives. Is there second hand smoke at your house?
-As we age, our immune system slows down. The immune system is responsible for removing
malignant and damaged cells from our bodies as well as fighting infection.
-What did your parents die of?
-You’ve lived a long healthy life.
B
The nurse is working with a patient who has a new diagnosis of human immunodeficiency virus (HIV) and who reports current use of injectable heroin and methamphetamine. Which actions by the nurse are appropriate? Select all that apply.
- Refer the patient to a substance abuse treatment program.
- Plan for the patient to participate in a needle exchange program.
- Coordinate the patient’s schedule for directly observed antiretroviral drug treatment.
- Instruct the patient that ongoing injectable drug use is a contraindication for antiretroviral therapy.
- Provide patient education about the risk of transmitting HIV to others when sharing needles.
A,B,C,E
Which of these patients cared for by the nurse in the clinic presents the highest risk for infection with human immunodeficiency virus (HIV) during sexual intercourse?
- Uninfected man who reports performing oral intercourse with an HIV-infected woman.
- Uninfected man who is the receiver during anal intercourse with an HIV-infected man.
- Uninfected woman who has had vagional intercourse with an HIV-infected man.
- Uninfected woman who has performed oral sex with an HIV-infected woman.
B (receiver)
Of the following scenarios, HIV can most easily be transmitted
- during breastfeeding if the mother has HIV.
- by kissing someone who has HIV.
- by using the same toilet.
- by shaking hands with someone who has HIV.
A (breastfeeding)
The primary goal of HIV treatment is to
- eradicate the virus.
- suppress viral load.
- less than 200 copies/mL per CDC
- comply with Center for Disease Control (CDC) regulations
B (suppress viral load)
HIV is staged according to
- symptom presentation.
- CD4 cell count.
- the length of time the person has been infected.
B (CD4 cell count)
The CDC recommends that routine testing should be provided to
- everyone ages 13 to 64.
- breastfed babies.
- individuals when they become sexually active.
A (everyone 13-64)
Annual HIV testing should be done for all the following individuals except
- men who have sex with men.
- I.V. drug users.
- breastfeeding mothers.
C (breastfeeding mothers)
