When counseling a male patient with suspected HIV, the nurse ...

[michelleunicorn]

When counseling a male patient with suspected HIV, the nurse informs him that if the enzyme-linked immunosorbent assay (ELISA) comes back positive, then
 
  A)
  no further testing is required since this confirms HIV infection.
  B)
  a second test known as the Western blot assay will be ordered to confirm positive HIV status.
  C)
  he will be sent to an infectious disease physician for a tissue biopsy to confirm infection.
  D)
  if the second test, the Western blot, returns negative, he has not developed a case of full-blown AIDS.

Question 2

A 67-year-old patient diagnosed with myasthenia gravis will likely display which clinical manifestations as a result of autoantibodies ultimately blocking the action of acetylcholine, resulting in destruction of the receptors?
 
  A)
  Weakness of the eye muscles; difficulty in swallowing and slurred speech; impaired gait
  B)
  Tremor of hands/arms; rigidity of the arms; shuffling gait
  C)
  Short-term memory lapses; problems with orientation; a lack of drive or initiative
  D)
  Facial droop; slurred speech; weakness on one side of the body

[laurnthompson]

Answer to Question 1

Ans:
B

Feedback:

If ELISA is positive, his blood sample is then sent for Western blot assay. If the Western blot is positive, diagnosis of HIV is confirmed. If the Western blot is negative, then the person is not infected with HIV.

Answer to Question 2

Ans:
A

Feedback:

Myasthenia gravis ultimately results in destruction of receptors in the neuromuscular junction leading to a decrease in neuromuscular function. Answer B relates to s/s of Parkinson disease; answer C relates to Huntington disease; and answer D relates to classic s/s of CVA.

[michelleunicorn]

Correct answers!

[laurnthompson]

Great! Please up vote