A client who has tested positive for human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis Jiroveci Pneumonia (PCP) and a CD4+ T-Cell count of less than 200 cells/µL. Based on the diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), which statement by the nurse is correct?

"The client meets the criteria for the chronic asymptomatic HIV infection phase."

"The client has developed Acquired Immunodeficiency Syndrome (AIDS)."

"The client's CD4+ T-cell count is within the normal range."

"The client meets the criteria for the acute HIV infection phase."

Answer and Explanation

The Correct Answer is B

Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.

Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.

Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.

Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.

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Correct Answer is D

Explanation

Choice A reason: Surgery is not typically indicated for a hydrocele in infants as the condition often resolves on its own.

Choice B reason: Retracting the foreskin and cleansing several times daily is not related to the care of a hydrocele.

Choice C reason: Genetic counseling is not indicated for a hydrocele as it is not typically associated with genetic conditions.

Choice D reason: Most hydroceles in infants are non-communicating and resolve spontaneously without intervention.

A. Hyperventilation B. Increased blood pressure C. Decreased PaCO2 D. Unconsciousness

Correct Answer is D

Explanation

Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.

Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.

Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.

Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

Correct Answer is D

Explanation

A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect?

A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)

A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply)

A nurse is caring for a child who has a terminal illness and reviews palliative care with assistive personnel (AP). Which of the following statements by the AP indicates an understanding of this review?

A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.)

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?