Author Question: Utilizing the World Health Organization (WHO) framework of clinical categories for persons with ... (Read 83 times)

jayhills49

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Utilizing the World Health Organization (WHO) framework of clinical categories for persons with acquired immunodeficiency syndrome (AIDS) over 15 years of age,
 
  a visitor to the United States goes to a city clinic complaining of diarrhea, weight loss of 20 lb, and feeling like he is running a temperature. These manifestations have been occurring for the past 5 weeks. The nurse would identify this patient to be in which clinical stage?
  A)
  Stage 1
  B)
  Stage 2
  C)
  Stage 3
  D)
  Stage 4

Question 2

A 1-year-old child who has experienced low platelet counts and bacterial susceptibility has been admitted to a pediatric medical unit of a hospital for treatment of Wiskott-Aldrich syndrome.
 
  The nurse who has admitted the child to the unit would anticipate which of the following short-term and longer-term treatment plans?
  A)
  Transfusion of clotting factors XII and XIII and serum albumin; splenectomy
  B)
  Neutropenic precautions; fresh frozen plasma transfusions; treatment of gastrointestinal symptoms
  C)
  Intravenous immunoglobulin (IVIG) treatment; thyroidectomy
  D)
  Treatment of eczema; management of bleeding; bone marrow transplant



kescobar@64

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Answer to Question 1

Ans:
C

Feedback:

Clinical stage 3 includes unexplained chronic diarrhea for greater than 1 month, persistent oral candidiasis, oral hairy leukoplakia, TB, neutropenia, anemia, and thrombocytopenia.

Answer to Question 2

Ans:
D

Feedback:

Common interventions for Wiskott-Aldrich syndrome involve controlling eczema, managing bleeding due to low platelets, and ultimately bone marrow transplant. The other noted interventions are not associated with the treatment of Wiskott-Aldrich syndrome.



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