A nurse is caring for a client with HIV. Which laboratory test would be used to assess the effectiveness of therapy?

Viral load count

Western blot

Enzyme immunoassay (EIA) test

Platelet count

Answer and Explanation

The Correct Answer is A

A. Viral load count is the primary test used to assess the effectiveness of HIV therapy by measuring the amount of HIV RNA in the blood, indicating how well the treatment is controlling the virus.

B. The Western blot is used as a confirmatory test for HIV diagnosis rather than monitoring therapy effectiveness.

C. The Enzyme immunoassay (EIA) test is used for initial HIV screening but does not measure viral load or therapy effectiveness.

D. Platelet count can be affected in HIV infection, especially with advanced disease, but it does not directly measure the effectiveness of HIV therapy.

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Correct Answer is B

Explanation

A. Increasing the consumption of protein-rich foods like baked salmon is beneficial for clients with AIDS, as they often require higher protein intake to support their immune system and overall health.

B. Eating raw fruits and vegetables can pose a risk for clients with compromised immune systems, as these foods may harbor pathogens that can lead to infections. This statement indicates a need for further education regarding safe food handling and preparation.

C. Washing plates and utensils with soap and hot water is a proper practice to maintain hygiene and prevent infections, especially for clients with weakened immune systems.

D. Asking a partner to clean the cat's litter box is a good precaution since cat litter can be a source of toxoplasmosis, which can be harmful to immunocompromised individuals.

A. "If I don't take my medication as scheduled, the virus may become resistant to treatment." B. "If I don't take my medication as scheduled, it may cause my RNA to convert to DNA." C. "If I don't take my medication as scheduled, it may prevent the HIV from being assembled." D. "If I don't take my medication as scheduled, my CD4 lymphocyte count may increase."

Correct Answer is A

Explanation

A. This statement accurately reflects the importance of adherence to ART; if medication is missed, the virus may replicate unchecked, leading to drug resistance, which is a significant concern in HIV treatment.

B. This statement is incorrect because the conversion of RNA to DNA is a normal part of the HIV life cycle and is not directly prevented by taking medication on time.

C. While protease inhibitors do help prevent the assembly of new virions, the primary concern when missing doses is the risk of resistance rather than assembly prevention.

D. This statement is misleading; while effective ART can lead to an increase in CD4 counts over time, missing doses would not directly cause an increase in CD4 lymphocyte counts.

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A nurse is caring for a client with HIV. Which laboratory test would be used to assess the effectiveness of therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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