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.

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Correct Answer is B

Explanation

Choice B rationale

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for assessing pain in infants and young children who are unable to communicate their pain verbally.

Choice A rationale

The Visual Analog Scale is used for older children and adults who can understand and communicate their pain level.

Choice C rationale

The Oucher scale is used for children aged 3 to 12 years and involves matching facial expressions to a pain level.

Choice D rationale

The Faces scale is used for children aged 3 years and older who can point to a face that best represents their pain level.

A. Nagging cough. B. Non-healing sore. C. Change in moles. D. Change in bowel pattern. E. Bloating.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

A nagging cough is one of the seven warning signs of cancer. Persistent coughing or hoarseness can indicate lung cancer or other cancers affecting the respiratory system. It is important to investigate any chronic cough that does not resolve with standard treatment.

Choice B rationale

A non-healing sore is another warning sign of cancer. Sores that do not heal, especially in the mouth or on the skin, can be indicative of skin cancer or oral cancer. These sores may bleed, ooze, or become crusty and should be evaluated by a healthcare provider.

Choice C rationale

A change in moles is a significant warning sign of skin cancer, particularly melanoma. Changes in size, shape, color, or texture of a mole, or the appearance of new moles, should be assessed by a healthcare provider. Early detection of skin changes can lead to prompt treatment and better outcomes.

Choice D rationale

A change in bowel pattern is a warning sign of colorectal cancer. Symptoms such as persistent diarrhea, constipation, or changes in stool consistency or color can indicate an underlying malignancy in the digestive tract. It is important to seek medical evaluation for any unexplained changes in bowel habits.

Choice E rationale

Bloating is not typically included in the seven warning signs of cancer. While bloating can be a symptom of various conditions, including ovarian cancer, it is not one of the primary warning signs used to identify cancer. The focus should be on the more specific signs listed above. .

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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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?