A nurse is caring for a client who has HIV.
Which of the following laboratory values is the nurse's priority?
WBC 5,000/mm³.
Platelets 150,000/mm³.
O Positive Western blot test.
CD4-T-cell count 180 cells/mm.
The Correct Answer is D
Choice A rationale:
A WBC count of 5,000/mm³ is within the normal range (4,500 to 11,000 cells/mm³) and is not a priority.
Choice B rationale:
A platelet count of 150,000/mm³ is within the normal range (150,000 to 450,000/mm³) and is not a priority.
Choice C rationale:
A positive Western blot test confirms HIV infection, but it is not a priority in this case.
Choice D rationale:
A CD4-T-cell count of 180 cells/mm³ is below the normal range (500 to 1,500 cells/mm³), indicating severe immune system damage in a client with HIV. This is the nurse’s priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Obesity is a modifiable risk factor for stroke, as it can be controlled through diet and exercise.
Choice B rationale:
History of hypertension is also a modifiable risk factor, as it can be managed with medication and lifestyle changes.
Choice C rationale:
Genetics is a nonmodifiable risk factor for stroke, as individuals cannot change their genetic makeup.
Choice D rationale:
History of smoking is a modifiable risk factor, as individuals can choose to quit smoking.
Correct Answer is A
Explanation
Choice A rationale:
Airway obstruction is the immediate life-threatening risk due to swelling and blistering in the airway.
Choice B rationale:
Paralytic ileus is a potential complication, but it is not the immediate priority.
Choice C rationale:
Infection is a risk due to loss of skin integrity, but it is not the immediate priority.
Choice D rationale:
Fluid imbalance is a risk due to fluid loss from the burns, but airway management is the immediate priority.
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