A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions?

Gingivitis

Xerostomia

Candidiasis

Halitosis

Answer and Explanation

The Correct Answer is C

A.   Gingivitis refers to inflammation of the gums, typically causing redness and bleeding, not a white, creamy coating.
B.   Xerostomia (dry mouth) can occur in HIV/AIDS but does not typically cause a white, creamy coating.
C.   Candidiasis; a white, creamy coating on the tongue and buccal membranes is characteristic of oral candidiasis (thrush), a common fungal infection in immunocompromised individuals, including those with AIDS.
D.   Halitosis refers to bad breath and is not associated with a white coating on the tongue.

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Correct Answer is C

Explanation

"I need to carry the Epi-pen with me at all times": Individuals with severe allergies should always have an Epi-pen in case of exposure to allergens. No reinforcement needed.

"When my Epi-pen reaches its expiration date, I need to get a new one": Epi-pens have a limited shelf life, and using an expired pen may be ineffective. No reinforcement needed.

"Once I inject myself with my Epi-pen, I won't have to go to the hospital": Epinephrine provides temporary relief, but further medical evaluation is essential due to the risk of a biphasic reaction or persistent symptoms. Reinforcement needed.

"I need to avoid all foods that may have been exposed to peanuts": Strict avoidance of allergens is essential to prevent severe reactions. No reinforcement needed.

A. Western blot B. Enzyme-linked immunosorbent assay C. Viral load testing D. P24 antigen testing

Correct Answer is C

Explanation

A. Western blot: Used to confirm HIV diagnosis rather than monitor therapy effectiveness.
B. Enzyme-linked immunosorbent assay (ELISA): Typically used for initial detection of viral infections, especially HIV.
C. Viral load testing: Measures the amount of virus in the bloodstream to assess treatment effectiveness.
D. P24 antigen testing: Used for early detection of HIV but not for monitoring ongoing therapy.

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A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions?

Nursing Test Bank

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Correct Answer is C

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