Several years later, the patient presents to the HIV clinic for a follow up appointment. Until recently, he has been doing well. The nurse’s physical assessment is negative except for the following:  Skin cool and clammy, patient reports frequent night sweats. Patient reports intermittent nausea and decreased appetite. Bilateral lymphadenopathy in neck and axilla. BP 128/78 mmHg, HR 98 bpm, RR 18, temperature 100.7 F oral, O2 sat 96% room air.   Labs/Diagnostics Results Reference Flag Viral load 100,000 copies/mL HIGH CD4 count 250 cells/mm3 LOW Candidiasis culture Negative NEGATIVE Chest X-Ray Negative, lungs clear bilaterally NEGATIVE Based on the assessment data and diagnostic results above, what is the nurse’s priority concern?

The question must be answered in your own words using proper biological terminology. A researcher discovers a mutation that prevents lysosomes in animal cells from functioning properly. Over time, large amounts of damaged proteins, worn-out organelles, and cellular waste begin accumulating inside the cells. Describe the structure and function of lysosomes. Explain why damaged organelles and cellular waste are accumulating in these cells. Discuss how the loss of functional lysosomes would affect the cell’s ability to maintain homeostasis and survive.

The blood bank notifies the nurse at 1200 that the first of two units of packed red blood cells ordered for a patient are ready. Which action will the nurse take as part of the blood administration process?

A client is prescribed ipratropium and reports which finding that requires follow-up?

The nurse cares for four patients. Which patient is most likely to be prescribed an albumin infusion?

Which nursing action is most appropriate to help the patient successfully adhere to their the newly prescribed antiretroviral therapy regimen?

A patient with systemic lupus erythematosus has intermittent joint inflammation and hematuria related to glomerulonephritis. The nurse understands these clinical manifestations are caused by antigen-antibody complexes associated with which type of hypersensitivity reaction?

Q24 A client with a right-hand tremor, increasing weakness, and muscles that feel tight has poor voice volume and facial muscles that do not move easily. Which condition should the nurse suspect the client is experiencing?

If you faced issues with this quiz, briefly describe them.

Briefly describe your biggest take-away from the HIV simulation based on your role as the nurse, family member, and/or observer. How will this experience help you care for patients with HIV in the future?