While volunteering in an HIV clinic in a big city, the nurse ...

[bcretired]

While volunteering in an HIV clinic in a big city, the nurse notices a new mom and her baby (a 6-month-old male) in the waiting room.
 
  Upon assessing the infant for possible HIV infection, the nurse will be assessing for which of the following clinical manifestations of HIV infection? Select all that apply.
  A)
  Weighing him to determine if he is gaining 1.5 to 2 lb/month
  B)
  Observing to see if he can roll over from back to stomach
  C)
  Lack of coordination to play with toys/stuffed animals
  D)
  History of repeated episodes of bacterial pneumonia and ear infections
  E)
  Listlessness and poor eye contact

Question 2

The nurse knows high incidences of infectious illnesses among the older adults who reside in a long-term care facility are most likely to have diminished immune capacity because of
 
  A)
  decreased numbers and responsiveness of T lymphocytes.
  B)
  decreased antigen recognition by B lymphocytes.
  C)
  overexpression of cytokines and receptors.
  D)
  altered function in peripheral lymphocytes.

[joewallace]

Answer to Question 1

Ans:
C, D, E

Feedback:

Children differ as to their clinical presentation of HIV infection when compared to adults. Failure to thrive (gain weight/height), CNS abnormalities (listlessness), and developmental delays are the most prominent primary manifestation of HIV infection in children. Answers A and B are normal growth and developmental tasks of a 6-month-old.

Answer to Question 2

Ans:
A

Feedback:

Although this phenomenon is not well understood, increasing proportions of lymphocytes become unresponsive with age, and CD4+ T lymphocytes are the most severely affected. B lymphocytes recognize more antigens, not fewer, and expression of cytokines and their cellular receptors decreases.

[bcretired]

Thanks for the timely response, appreciate it

[amit]

Excellent