Eight years after beginning antiretroviral therapy (ART), a patient with human immunodeficiency virus infection has a CD4+ cell count of 81 cell/L and an "undetectable" viral load. Which intervention would the nurse include in the plan of care?

Advise the client that they are currently at high risk for transmitting the disease.

Encourage adequate nutrition. exercise, sleep. and standard infection prevention practices.

Encourage antibiotic prophylaxis to keep viral load from elevating,

Inform the client that they have been cured of their condition and will no longer require treatment.

Answer and Explanation

The Correct Answer is B

A. An "undetectable" viral load means the risk of HIV transmission is significantly reduced ("Undetectable = Untransmittable" or U=U), though precautions should still be followed.

B. Clients with a low CD4+ count (<200 cells/µL) are at increased risk for opportunistic infections. Encouraging a healthy lifestyle and infection prevention helps maintain immune function.

C. Antibiotic prophylaxis is considered for clients with CD4+ counts <200 cells/µL, but it does not prevent viral load elevation.

D. There is no cure for HIV; lifelong ART is required to maintain viral suppression.

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Correct Answer is ["A","D","E"]

Explanation

A. Tachycardia occurs as a compensatory mechanism to maintain oxygen delivery when hemoglobin levels are low.

B. Heat intolerance is associated with hyperthyroidism, not blood loss anemia.

C. An abnormal Schilling test is related to vitamin B12 deficiency (pernicious anemia), not blood loss anemia.

D. Weak peripheral pulses result from reduced blood volume and decreased perfusion.

E. Pale, cool skin is due to vasoconstriction and decreased perfusion in response to hypovolemia.

A. Increase oxygen to 6 liters per minute. B. Administer PRN Morphine Sulfate IV push for pain. C. Request an order for a PRN antihypertensive medication. D. Begin administering prescribed IV fluids.

Correct Answer is B

Explanation

A. The client’s SpO2 is already at 97%, so increasing oxygen is unnecessary. Oxygen is only required if hypoxia is present.

B. Pain management is the priority in vaso-occlusive crisis. Severe pain leads to stress, increasing oxygen demand and worsening sickling. IV opioids (e.g., morphine) are the standard treatment.

C. The BP is elevated but not critically high, and pain-related stress may be contributing. Treating pain first is the priority.

D. IV fluids help with hydration and reducing sickling, but pain management should be addressed first to provide immediate relief.

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Eight years after beginning antiretroviral therapy (ART), a patient with human immunodeficiency virus infection has a CD4+ cell count of 81 cell/L and an "undetectable" viral load. Which intervention would the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on a client with a diagnosis of anemia that developed as a result of blood loss after a traumatic injury. The nurse would expect to find which potential signs or symptoms in the client as a result Of severe blood loss anemia? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

Correct Answer is B

Explanation

A client is tested for human immunodeficiency virus (HIV) infection with an enzyme-linked immunosorbent assay (ELISA), and the test result is positive. What would the nurse tell the client?

Eight years after beginning antiretroviral therapy (ART), a patient with human immunodeficiency virus infection has a CD4+ cell count of 81 cell/L and an "undetectable" viral load. Which intervention would the nurse include in the plan of care?

The nurse is monitoring the effectiveness of antiretroviral therapy (ART) for a patient with human immunodeficiency virus (HIV). What laboratory study result indicates the medications are effective?

A nurse is caring for a patient with aplastic anemia. Which of the following would not be appropriate to include in the care plan?

should assess further before administering it.

The nurse is providing discharge teaching to a client newly diagnosed With HIV. Which of the following statements would the nurse include in the teaching to reduce the risk of opportunistic infections? Select all that apply.

The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?