A nurse is caring for a client who has HIV.
Which of the following laboratory values is the nurse’s priority?

CD4-T-cell count 180 cells/mm³.

Positive Western blot test.

Platelets 150,000/mm³.

WBC 5,000/mm³.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A CD4-T-cell count of 180 cells/mm³ indicates severe immunosuppression in a client with HIV, making them highly susceptible to opportunistic infections. This is a critical value that requires immediate attention to prevent life-threatening complications.

Choice B rationale

A positive Western blot test confirms the presence of HIV antibodies but does not indicate the current immune status or the urgency of the client’s condition.

Choice C rationale

Platelets at 150,000/mm³ are within the normal range and do not indicate an immediate threat to the client’s health.

Choice D rationale

A WBC count of 5,000/mm³ is within the normal range and does not indicate an immediate threat to the client’s health.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["5"]

Explanation

Step 1 is: Calculate the amount of diphenhydramine elixir needed per dose. 25 mg ÷ (12.5 mg ÷ 5 mL) = 10 mL The nurse should administer 10 mL per dose.

A. Electrical cords are placed along the walls. B. Scatter rugs are present in the kitchen. C. Handrails are present in the bathroom. D. Uses a microwave for cooking.

Correct Answer is B

Explanation

Choice A rationale

Electrical cords placed along the walls are generally not a safety risk as long as they are secured and not in the walking path. This placement can actually reduce tripping hazards.

Choice B rationale

Scatter rugs are a significant safety risk for older adults with decreased vision. They can easily cause tripping and falls, which can lead to serious injuries.

Choice C rationale

Handrails in the bathroom are a safety feature that helps prevent falls and provides support for individuals with decreased vision or mobility issues.

Choice D rationale

Using a microwave for cooking is generally safe for older adults with decreased vision as it reduces the risk of burns and accidents associated with stovetop cooking.

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A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 6 hours as needed. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

Correct Answer is ["5"]

Explanation

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

Correct Answer is B

Explanation

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A nurse is caring for a client who has HIV.
Which of the following laboratory values is the nurse’s priority?