hiv and gerd med surg
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52 Terms
A nurse is teaching a community group about HIV transmission. Which statement by a participant indicates a need for further teaching?
“I can get HIV from sharing eating utensils.”
A nurse is caring for a client exposed to HIV through a needlestick injury. Which action should the nurse anticipate?
Start antiretroviral medications within 72 hours
A client newly diagnosed with HIV asks the nurse, “What cells does HIV attack?” Which response is correct?
“HIV primarily attacks CD4+ T lymphocytes.”
A nurse is reviewing laboratory results for a client with HIV. Which CD4+ count indicates Stage 3 HIV infection?
150 cells/mm³
A nurse is assessing a client with HIV. Which finding should the nurse recognize as a respiratory manifestation of HIV infection?
Shortness of breath and cough
A client with HIV reports numbness and tingling in the feet. Which complication should the nurse suspect?
Peripheral neuropathy
A nurse is teaching a client about antiretroviral therapy (ART). Which statement by the client indicates understanding?
“ART helps suppress HIV replication.”
A nurse is reinforcing teaching about HIV treatment goals. Which statement is most appropriate?
“The goal is to maintain an undetectable viral load.”
A nurse is caring for a client with HIV who has chronic diarrhea. Which nursing intervention is appropriate?
Assess bowel patterns regularly
A nurse is planning care for a client with HIV and impaired airway clearance. Which intervention should the nurse include?
Position the client in Semi-Fowler position
A nurse is teaching a client with HIV about preventing transmission. Which statement by the client indicates understanding?
“I should avoid sharing needles.”
A home health nurse is caring for a client with advanced AIDS. Which service is most appropriate during terminal stages?
Hospice nursing
A nurse is teaching a client about GERD. Which statement by the client indicates understanding of the disorder?
“GERD occurs when stomach contents reflux into the esophagus.”
A nurse is assessing a client with GERD. Which finding is most characteristic of pyrosis?
Burning sensation in the chest
A client with GERD asks why symptoms occur. Which response by the nurse is correct?
“GERD is commonly caused by an incompetent lower esophageal sphincter.”
A nurse is providing dietary teaching for a client with GERD. Which client statement indicates a need for further teaching?
“I should eat high-fat meals before bed.”
A nurse is reviewing lifestyle modifications for GERD. Which intervention should the nurse recommend?
Elevate the head of the bed
A client reports painful swallowing. Which term should the nurse document?
Odynophagia
A nurse is preparing a client for GERD diagnostic testing. Which test confirms acid reflux severity?
Esophageal pH monitoring
A client with chronic GERD is at risk for which complication?
Barrett’s esophagus
A nurse is administering medications to a client with GERD. Which medication classification neutralizes stomach acid?
Antacids
A nurse is evaluating teaching for a client with GERD. Which statement indicates understanding?
“I should avoid eating 2 hours before bedtime.”
A nurse is assessing a client diagnosed with irritable bowel syndrome (IBS). Which finding should the nurse expect?
Abdominal pain with altered bowel habits
A client asks the nurse what causes IBS. Which response is most accurate?
“The exact cause of IBS is unknown.”
A nurse is planning care for a client with IBS. Which intervention should the nurse include?
Dietary modifications
A nurse caring for a client with IBS anticipates which assessments as part of collaborative care?
Physical and laboratory assessment
A nurse is teaching a community group about colorectal cancer risk factors. Which client is at greatest risk?
A 60-year-old with a family history of colon cancer
A nurse explains that most colorectal cancers are:
Adenocarcinomas
A client with colorectal cancer asks about nonsurgical treatment options. Which response by the nurse is correct?
“Chemotherapy and radiation therapy may be used.”
A nurse is caring for a client after an abdominoperineal resection with colostomy formation. Which nursing priority is most important?
Colostomy management education
Which diagnostic evaluations are commonly used in colorectal cancer collaborative care?
Imaging and laboratory studies
A nurse is planning discharge teaching for a client with colorectal cancer. Which topic should be included?
Home care management
A nurse is assessing a client with gastritis. Which pathophysiologic process should the nurse recognize?
Inflammation of the gastric mucosa
A client asks what commonly causes gastritis. Which response is correct?
“Helicobacter pylori infection is a common cause.”
A nurse identifies which client as being at increased risk for atrophic gastritis?
Older adults
Which intervention should the nurse anticipate for a client with gastritis?
Drug therapy and patient education
A nurse is caring for a client with suspected gastritis. Which assessments are commonly included in collaborative care?
Physical and diagnostic assessment
A nurse explains peptic ulcer disease to a client. Which statement is correct?
“PUD is a mucosal lesion of the stomach or duodenum.”
A nurse is reviewing risk factors for peptic ulcer disease. Which factor should the nurse identify?
NSAID use
A nurse anticipates which assessments for a client with suspected PUD?
Physical, laboratory, and imaging assessments
A nurse is caring for a client with bleeding peptic ulcer disease. Which nonsurgical intervention may be prescribed?
NGT placement and lavage
A client with PUD is receiving acid suppression therapy. The nurse understands the purpose is to:
Reduce gastric acidity
A nurse is teaching a client with peptic ulcer disease about treatment. Which statement indicates understanding?
“Nutrition therapy is part of my treatment plan.”
A client with severe peptic ulcer disease may require which intervention if complications occur?
Surgical management
A nurse is planning discharge teaching for a client with peptic ulcer disease. Which topic should the nurse include?
Self-management education
A nurse is teaching about HIV transmission. Which statement indicates understanding?
“HIV can be spread through blood exposure.”
A client with HIV asks why ART is prescribed. Which response is best?
“ART suppresses HIV replication.”
A nurse reviews lab results showing a CD4+ count of 150 cells/mm³. Which interpretation is correct?
Stage 3 HIV/AIDS
A nurse caring for a client with HIV notes oral candidiasis and chronic diarrhea. These findings are classified as:
Gastrointestinal manifestations
A nurse should place a client with HIV in which position to improve airway clearance?
Semi-Fowler
A nurse is teaching a client with GERD about lifestyle modifications. Which statement indicates understanding?
“I will avoid eating before bedtime.”
A nurse is assessing a client with GERD. Which symptom is most characteristic?
Pyrosis