45TH CASE SCENARIO NURSING (AIDS)

HIV is human immunodeficiency virus, and aids is acquired immunodeficiency syndrome. HIV causes aids if not treated. The most serious side effects of HIV is called aids.There is no cure for aids but there is treatment. HIV/AIDS affects the body ability to fight infections.

HIV signs and symptoms are flu like symptoms of sore throat, swollen glands, skin rashes, night sweats, nausea, vomiting and diarrhea, muscle weakness. If treatment is not given, the immune system weakens and it can lead to death. It can be transmitted through blood, vagina discharge and semen.

CASE SCENARIO BELOW.

Age / sex 36years Male.

Unit # QZ0000021

MR# Q0054322166

Location : 6th Floor.

Chief Complaint: Tired,Weakness and dry cough.

Attending Doctor : Dr. NOTIN, MEAN.

Admitting diagnosis: Pneumonitis Carni Pneumonia. Dry cough.

CODE STATUS Full code.

Allergy: NKDA.

Height 5ft 11inches.

Weight 137lbs.

(1) Mr Tony Parken is a 36 years old man, intravenous drug abuser,was diagnosed by the doctor with acquired immunodeficiency syndrome. (AIDS )in the past is admitted with a diagnosis of Pneumocystis Carni pneumonia. Universal precautions is required for every patient. What will be the most appropriate items for the nurse to have available.

(A) Mask and gloves.

(B) gloves, and gowns

( C) Masks,gloves, gowns and goggles.

(D)None of the above.

Correct answer : C.

(2 )For the nurse safety and to minimize the possibility of needle injury?.

(A) Leave the needle unsheathed, discard it into a puncture resistant container.

(B )Throw the needle in a special place.

(C) I saw experience nurses put it in the thrash.

(D) All of the above.

Correct answer A.

(3 )The charge is evaluating the care provided to Mr Tony by other health care workers. Which of the following actions should the nurse intervene?.

(A)The nursing assistant wearing only a mask and gloves while providing bedpan.

(B) There is nothing to intervene.

(C)The nursing assistant doing the right thing.

D All of the above.

Correct answer A.

(4 ) Since Mr Tony has been diagnosed, which of the signs and symptoms would the nurse most likely find that are consistent with Pneumonitis Carni pneumonia?

(A) Nonproductive cough.

(B)Productive cough.

(C )No coughing.

(D) Dry cough.

Correct answer:

Dry cough.

(4) The doctor orders antibiotics for Mr Tony. Mr Tony is to receive trimethoprim- Sulfamethoxazole ( Septra) IV four times a day. He weighs 70kg(154lbs ) The package inserts state that 10mg/day in four divided doses a day is the recommended dose. How many mg should the nurse administer in each dose.

(A)10mg/day ÷4 =2.5 ×70=175mg.

(B ) 154Ibs

(C) 154× 10 = 1540mg.

(D) All of the above.

Correct answer : A 175mg

(5 )The nurse observes that Mr Tony did not touch his food.He told the nurse that his food is tasteless and besides my tongue hurts too much to eat.Based on this information, the first action taken by the nurse should be to?.

Answers

(A)Examine Tony’s mouth .

(B)Tell Tony to stop the jokes.

(C) Tell Tony to eat small piece at a time.

(D)All of the above.

Correct answer A.

( 6)Mr Tony Parken will call the nursing stations frequently making unreasonable demands. The nurse identifies this behavior characteristic of which stage of grieving process?.

(A)It has nothing to do with grieving.

( B)He is mad the nurses.

(C )Denial.

D The acceptance stage.

Correct answer C.The stage of Denial .The denial is a shock absorber of trying to cope with the new diagnosis and what is happening.

( 7) Mr Tony is ready to be discharged home to his parents and siblings. During the discharge teaching, the nurse explains the transmission of aids to mr Tony parents. Which of the following statement if made by Tony will indicate that he understands the teaching?.

(A) I will not shave with my father’s razor.

(B )Aids doesn’t transmit so fast.

(C )My father will not notice.

(D) None of the above.

Correct answer A.

(8) What causes AIDS?.

(9) What are the symptoms of HIV?.

( 10) Is there are cure for HIV/AIDS?.

(11)What advice will you the nurse give to your patient who has HIV and refuses treatment?.

(A) Find out why he refused treatment and re – educate him.

(B) I don’t blame you this medication don’t work.

(C )If you said no we ( nurses) cannot force you.

(D) All of the above.

Correct answer A.

HIV/AIDS HOTLINE- National

800- 342-2437 English.

800 -222-9432 Spanish.

800-243- 7889 TTY/TDD users.

AIDS HOTLINE WEBSITE.

http://www.aidshotline.org

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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