The nurse is reviewing the CD4 count results of a patient with AIDS. What can the nurse expect to find?
A CD4 count 300/μL
A CD4 count 100/μL
A CD4 count of 800/pL
A CD4 count of 600/ul
The Correct Answer is B
A. A CD4 count 300/μL: Although this may indicate immunosuppression, it is not consistent with AIDS, which requires a CD4 count below 200/μL.
B. A CD4 count 100/μL: This count is indicative of advanced AIDS, where patients are highly susceptible to opportunistic infections.
C. A CD4 count of 800/μL: This is within the normal range for a healthy individual.
D. A CD4 count of 600/μL: This is still within the normal range and does not indicate AIDS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Request that the surgeon prescribe a different antibiotic: Cephalexin is a cephalosporin, and there is a risk of cross-reactivity in clients with a history of anaphylaxis to penicillin.
Ask the provider to prescribe diphenhydramine as a precaution: While antihistamines may alleviate mild allergic reactions, they are not a substitute for avoiding high-risk medications in clients with anaphylaxis history.
Confirm with the client that the reaction he had was truly anaphylaxis: The client's medical record already documents anaphylaxis, which should be taken seriously without further questioning.
Administer the medication: This action disregards the client's history of anaphylaxis to a related drug class.
Correct Answer is A
Explanation
A. Hemolytic transfusion reaction: Administering the wrong blood type can lead to a hemolytic transfusion reaction, where the immune system attacks the transfused red blood cells, causing serious complications.
B. Pernicious anemia: Pernicious anemia is related to a lack of intrinsic factor and vitamin B12 absorption, not blood transfusions.
C. Angioedema: Angioedema involves swelling of the skin or mucous membranes, typically due to allergic reactions, not blood transfusions.
D. Contact dermatitis: Contact dermatitis is a skin condition caused by direct contact with allergens, irritants, or chemicals, not by blood transfusions.
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