The HIV patient asks the nurse about what to expect in terms of disease progression. The nurse tells this patient that although the disease can vary greatly among individuals, the usual pattern of progression includes:
a. viremia, clinical latency, opportunistic diseases, and death.
b. asymptomatic phase, clinical latency, ARC, and AIDS.
c. acute retroviral syndrome, early infection, early symptomatic disease, and AIDS.
d. transitional viral syndrome, inactive disease, early symptomatic infection, and opportunistic diseases.
ANS: C
The progression from HIV to AIDS includes initial exposure, primary HIV infection, asymptomatic HIV infection, early HIV disease, and AIDS.
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A patient has undergone a femoral to popliteal bypass graft surgery. The nurse must assess which of the following during the first postoperative day?
A) Assess pulse of affected extremity every hour. B) Assess pulse of affected extremity every shift. C) Ensure the patient is crossing the legs. D) Perform Doppler evaluation every 4 hours.
In reviewing a patient's chart to determine whether she has progressed from HIV disease to AIDS, the nurse should look for
a. CD4+ count below 500, chronic fatigue, night sweats. b. HIV-positive test result, CD4+ count below 200, history of opportunistic disease. c. weight loss, persistent generalized lymphadenopathy, chronic diarrhea. d. fever, chills, CD4+ count below 200.
The patient with acute respiratory distress syndrome (ARDS) would exhibit which of the following symptoms?
a. Decreasing PaO2 levels despite increased FiO2 administration b. Elevated alveolar surfactant levels c. Increased lung compliance with increased FiO2 administration d. Respiratory acidosis associated with hyperventilation
A client is stating that he has the sensation of burning, aching, and dullness. Which afferent nerve fibers should be transmitting the pain?
a. A delta fibers b. C fibers c. A alpha fibers d. A beta fibers