Which of the following statements by a client with human immunodeficiency virus (HIV) requires further teaching or clarification? (Select all that apply.)
"I will monitor my nutrition and fluid status."
"Because I have HIV, that means I'm an AIDS patient."
"I can still have unprotected intercourse with my partner since he doesn't have HIV."
"I need to ensure that I place my needles in a proper needle disposal container."
"I can spread this through contact with surfaces, so I need to wear gloves in public."
Correct Answer : B,C,E
Choice A reason: "I will monitor my nutrition and fluid status." is not a statement that requires further teaching or clarification, because it is correct and appropriate. Monitoring nutrition and fluid status is an important selfcare measure for people with HIV, as it can help maintain the immune function, prevent dehydration, and promote healing. People with HIV should eat a balanced and varied diet, drink enough water, and avoid foods or drinks that can cause diarrhea, nausea, or vomiting.
Choice B reason: "Because I have HIV, that means I'm an AIDS patient." is a statement that requires further teaching or clarification, because it is incorrect and misleading. Having HIV does not mean that one has AIDS, but rather that one is at risk of developing AIDS. HIV is the virus that causes AIDS, which is the most advanced stage of the infection. AIDS is diagnosed when the CD4+ Tcell count drops below 200 cells per microliter of blood, or when the person develops one or more opportunistic infections or cancers. People with HIV can delay or prevent the progression to AIDS by taking antiretroviral drugs, which can suppress the viral load and improve the immune function.
Choice C reason: "I can still have unprotected intercourse with my partner since he doesn't have HIV." is a statement that requires further teaching or clarification, because it is incorrect and misleading. Having unprotected intercourse with a partner who does not have HIV is not safe or advisable, as it can expose the partner to the risk of contracting HIV. HIV is transmitted through sexual contact, as well as through blood, semen, vaginal fluid, or breast milk. People with HIV should use condoms or other barrier methods during intercourse, regardless of the HIV status of their partner. People with HIV should also inform their partner about their infection, and encourage them to get tested and treated if needed.
Choice D reason: "I need to ensure that I place my needles in a proper needle disposal container." is not a statement that requires further teaching or clarification, because it is correct and appropriate. Placing needles in a proper needle disposal container is an important infection prevention measure for people with HIV, as it can prevent the accidental or intentional reuse or sharing of needles, which can transmit HIV or other bloodborne diseases. People with HIV should use new and sterile needles for injections, and dispose of them in a punctureresistant and leakproof container, which can be obtained from a pharmacy, clinic, or health department.
Choice E reason: "I can spread this through contact with surfaces, so I need to wear gloves in public." is a statement that requires further teaching or clarification, because it is incorrect and exaggerated. Spreading HIV through contact with surfaces is not possible or likely, as the virus does not survive long outside the body, and is not transmitted by casual contact, such as touching, hugging, or sharing utensils. Wearing gloves in public is not necessary or advisable, as it can create a false sense of security, stigma, or discrimination. People with HIV should practice good hygiene, such as washing hands, covering coughs, and cleaning wounds, but they do not need to wear gloves or other protective equipment in public.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Use gentle brushing and flossing techniques for clients with fragile mucosa is an important nursing intervention, but it is not the priority. Gentle brushing and flossing can help prevent plaque, gingivitis, and infection in the oral cavity, especially for clients with fragile mucosa due to dehydration, medication, or radiation. However, this intervention is not as urgent as having a suction apparatus ready at the bedside.
Choice B reason: Handle dentures with care is an important nursing intervention, but it is not the priority. Handling dentures with care can prevent damage, loss, or misplacement of the dentures, which can affect the client's comfort, appearance, and nutrition. However, this intervention is not as urgent as having a suction apparatus ready at the bedside.
Choice C reason: Position the client on one side with the head turned towards you is an important nursing intervention, but it is not the priority. Positioning the client on one side with the head turned towards you can facilitate the access and visibility of the oral cavity, as well as prevent the aspiration of saliva, blood, or debris. However, this intervention is not as effective as having a suction apparatus ready at the bedside.
Choice D reason: Have a suction apparatus ready at the bedside is the priority nursing intervention, because it can prevent the aspiration of saliva, blood, or debris, which can cause choking, pneumonia, or respiratory distress. Having a suction apparatus ready at the bedside can allow the nurse to quickly and safely remove any secretions or foreign materials from the oral cavity or the airway of the unconscious client.
Correct Answer is C
Explanation
Choice A reason: Eradicating the disease is not the purpose of the medications, because osteoarthritis is a chronic and progressive condition that cannot be cured by drugs. Osteoarthritis is a degenerative joint disease that causes the breakdown of cartilage and bone, leading to pain, stiffness, and reduced mobility.
Choice B reason: Turning on the immune system is not the purpose of the medications, because osteoarthritis is not an autoimmune disease that involves the immune system attacking the joints. Osteoarthritis is a mechanical disease that involves the wear and tear of the joints due to aging, injury, or overuse.
Choice C reason: Reducing pain and inflammation is the purpose of the medications, because osteoarthritis is a painful and inflammatory condition that affects the quality of life of the client. The medications for osteoarthritis include analgesics, such as acetaminophen or opioids, and antiinflammatory drugs, such as nonsteroidal antiinflammatory drugs (NSAIDs) or corticosteroids, which can relieve the symptoms and improve the function of the joints.
Choice D reason: Managing weight loss is not the purpose of the medications, because osteoarthritis is not a metabolic disease that affects the weight of the client. Osteoarthritis is a structural disease that affects the joints of the client. However, managing weight is an important factor in preventing or treating osteoarthritis, as excess weight can increase the stress and damage on the joints.
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