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Sas 24

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57 views

Sas 24

Uploaded by

Sistine Rose Labajo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SAS 24

1. D

Clients with genital herpes should inform their partners of the disease to help prevent transmission.
Petroleum products should be avoided because they can cause the virus to spread. The notion that
genital herpes is only transmittable when visible lesions are present is false. Anyone not in a long-term,
monogamous relationship, regardless of current health status, should follow safer-sex practices.

2. A

Many women who have gonorrhea are asymptomatic, a factor that contributes to the spread of the
disease.

3. B

Chlamydia is the most common and fastest-spreading bacterial STI in the United States.

4. B

The nurse should educate the client about the disease and how it impacts a person's health. Further
education allows the client to make an informed decision about notifying sexual contacts. The nurse
must maintain client confidentiality unless law mandates reporting the illness; contacting sexual
contacts breaches client confidentiality. Doing nothing for the client is judgmental; everyone is entitled
to health care regardless of his health habits.

5. D

Syphilis is spread mainly by sexual contact and may be congenital. The patient displays knowledge deficit
about the modes of transmission for syphilis.

6. A

Hyperpigmented lesions of skin, lungs, and GI tract are seen in Kaposi sarcoma. Candida albicans is a
common yeast infection of the mouth, esophagus, GI tract, or vagina. Herpes simplex type 1 infection
has oral and mucocutaneous vesicular and ulcerative lesions. Varicella- zoster virus infection or shingles
is a maculopapular, pruritic rash and is treated with acyclovir.

7. B

Because there is a median delay of several weeks after infection before antibodies can be detected,
testing during this "window" may result in false-negative results. Risky behaviors that may expose a
person to HIV should be discussed and possible scheduling for repeated testing done. Positive results on
initial testing will be verified by additional testing. Identification of sexual partners and prevention
practices are important but do not relate immediately to the testing situation.
8. C

Although the "rapid" test is highly reliable and results are available in about 20 minutes, if results are
positive from any testing, blood will be drawn for more specific enzyme immunosorbent assay (EIA) or
Western blot testing and another visit will be necessary to obtain the results of the additional testing.
CD4+ T-cell counts are not used for screening but rather are used to monitor the progression of HIV
infection and new assay tests measure resistance of the virus to antiviral drugs.

9. B

The use of potent combination antiretroviral therapy limits the potential for development of resistance
to antiretroviral medications, the major factor that limits the ability of antiretroviral drugs to inhibit
virus replication and delay disease progression. The drugs selected should be ones with which the
patient has not been previously treated and that are not cross-resistant with antiretroviral agents
previously used by the patient.

10. C

 Guidelines for initiating ART are being updated continuously because of the development of alternative
drugs and problems with long-term side effects and compliance with regimens. Whenever treatment is
started, an important consideration is the patient's readiness to initiate ART because adherence to drug
regimens is a critical component of the therapy.

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