HIV and AIDS 2022 questions and answers
Raymond Malone, age 45 years admitted from his healthcare provider's office (HCP) to the acute care facility.
... [Show More] Jeff was diagnosed HIV positive 2 years ago. His history includes fatigue, a productive cough, and weight loss. A tuberculosis(TB) test was administered in the healthcare provider's office. Admission prescriptions include "isolation precautions for suspected pulmonary tuberculosis." See following questions... - CORRECT ANSWERS
The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the nurse put on a mask before starting the admission process. Raymond tells the nurse that his significant other is downstairs and that he would like for him to stay in the room with him.
1. How should the nurse respond? - CORRECT ANSWERS "He may stay but only if he wears a mask"
Raymond's significant other,Brandon, arrives. Raymond wants to know why a mask is necessary for people entering his room.
2.What teaching should the nurse implement? - CORRECT ANSWERS Explain that the Tuberculosis(TB) organism is most often spread through the air.
Safety and Infection Control
The unlicensed assistive personnel (UAP) asks why Raymond could not be in an empty semiprivate room closer to the nurses station so that the staff would not have to walk so far to provide care.
3. What information should the nurse provide to the UAP on infection control services? - CORRECT ANSWERS The implementation of airborne precautions for possible TB requires a private, negative pressure room assignment.
The nurse notices the UAP about to enter Raymond's room to deliver a meal tray without wearing any protective apparel.
4. What information should the nurse provide the UAP - CORRECT ANSWERS A mask is required for healthcare workers entering the room of someone suspected of having active TB.
Nursing Process: Intervention
An acid-fast-bacilli (AFB) stain is part of the initial admission prescriptions. Early morning sputum specimens will be collected for three consecutive days and sent onto the lab.
5. Which tasks may the nurse delegate to the UAP? (SATA) - CORRECT ANSWERS 1. Have the UAP tell Raymond that the specimen must be collected in the early morning.
2. Provide Raymond with three sterile specimen cups.
3. Document the time and date that each sputum specimen was collected.
Raymond is scheduled for several activities the following morning.
6. Which activity should Raymond perform first upon awakening? - CORRECT ANSWERS Obtain the first of three sputum specimens for laboratory testing.
Safe and Effective Care Environment: Management of Care
A licensed vocational nurse (LVN) says to the nurse who is making assignments, " I do not want to be assigned to care for Raymond. I have never cared for a client with HIV and do not want to start now. I have a family at home that needs me."
7. Which information should the nurse base a response about the LVN's right to refuse care for a client with HIV? - CORRECT ANSWERS The LVN may refuse to care for a client in circumstances in which risk to the nurse outweighs the nurse's responsibility to care for a client, or if the assignment conflicts with the nurse's ethical values.
8. How should the supervisor respond to the staff LVN who does not want to caee for Raymond? - CORRECT ANSWERS " I understand you want to protect your children. Please tell me your concerns regarding caring for a client with HIV"
Nursing Process: Plan of Care
9. Which statements by Raymond indicates that he understands why he is risk for TB? (SATA) - CORRECT ANSWERS "I realize my helper T cells are diminished from HIV. Those are the cells I need to fight TB."
" I guess living at a homeless shelter increased my chances of getting TB." [Show Less]