A client newly diagnosed with HIV asks, "Why did my sore throat and rash go away? Does this mean I'm better? Which is the best response to give to the client?
“After the initial infection. you may become asymptomatic for a long time until your CD4+ Tell count nears 200.”
“Your Symptoms will come back once your CD4• Tell count reaches around 500."
“You won't have any more signs and symptoms until your CD4• cell count IS undetectable."
“This means you cannot transmit the disease during this time."
The Correct Answer is A
A. After initial HIV infection, clients typically enter a latent phase where symptoms subside, but the virus continues to replicate. This phase can last for years before progressing to AIDS when the CD4+ T-cell count drops below 200.
B. Symptoms generally do not correlate with a CD4+ count of 500; mild immunosuppression may begin at this level, but the client remains asymptomatic.
C. The virus is still active and causing immune system damage, even when symptoms are absent.
D. HIV transmission can still occur during the asymptomatic phase, especially if viral load is detectable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hemolytic anemia is characterized by increased RBC destruction, leading to anemia. This destruction may be caused by autoimmune disorders, infections, or inherited conditions like sickle cell disease.
B. Decreased RBC production is more characteristic of aplastic anemia or anemia of chronic disease.
C. Iron deficiency anemia, not hemolytic anemia, results from decreased iron intake.
D. An inability to absorb vitamin B12 is seen in pernicious anemia, not hemolytic anemia.
Correct Answer is A
Explanation
A. The priority action is to stop the transfusion immediately and disconnect the blood tubing to prevent further infusion of the possibly incompatible blood product. The nurse should then maintain IV access with normal saline using new tubing.
B. Slowing the transfusion is inappropriate; any signs of a transfusion reaction require stopping it immediately.
C. The provider and blood bank should be notified, but stopping the transfusion is the priority.
D. Epinephrine is used for anaphylactic reactions with airway involvement. The nurse should assess further before administering it.
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