Author Question: A patient with a positive rapid antibody test result for human immunodeficiency virus (HIV) is ... (Read 80 times)

123654777 · **on:** Jun 25, 2018

A patient with a positive rapid antibody test result for human immunodeficiency virus (HIV) is anxious and does not appear to hear what the nurse is saying. What action by the nurse is most important at this time?

a. Teach the patient about the medications available for treatment.
b. Inform the patient how to protect sexual and needle-sharing partners.
c. Remind the patient about the need to return for retesting to verify the results.
d. Ask the patient to notify individuals who have had risky contact with the patient.

Question 2

A patient who has a positive test for human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and a CD4+ T-cell count of less than 200 cells/L.

Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), which statement by the nurse is correct?
a. The patient meets the criteria for a diagnosis of an acute HIV infection.
b. The patient will be diagnosed with asymptomatic chronic HIV infection.
c. The patient has developed acquired immunodeficiency syndrome (AIDS).
d. The patient will develop symptomatic chronic HIV infection in less than a year.

Qarqy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
After an initial positive antibody test, the next step is retesting to confirm the results. A patient who is anxious is not likely to be able to take in new information or be willing to disclose information about HIV status of other individuals.

Answer to Question 2

ANS: C
Development of PCP meets the diagnostic criterion for AIDS. The other responses indicate earlier stages of HIV infection than is indicated by the PCP infection.