Which finding indicates that a client receiving antiretroviral therapy is having an effective response?

Decreased surface antigens

Increased CD4 cells

Decreased killer T cells

Increased viral burden

Answer and Explanation

The Correct Answer is B

A. Decreased surface antigens are more relevant to hepatitis B infection than to monitoring HIV treatment effectiveness.
B. Increased CD4 cells indicate an effective response to antiretroviral therapy, as CD4 cells are a key component of the immune system that HIV targets and destroys. Effective therapy allows CD4 counts to recover.
C. Decreased killer T cells (CD8 cells) would not be a desired effect; these cells help control viral infections, including HIV.
D. Increased viral burden (or viral load) suggests worsening of the infection, not improvement. Effective therapy should decrease the viral load.

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Free Nursing Study Resources

Correct Answer is ["66.7"]

Explanation

Step 1: Write down the formula
Rate (mL/hr) = Total Volume (mL) ÷ Time (hours)

Step 2: Plug in the values
Rate = 1600 mL ÷ 24 hr

Step 3: Calculate
Rate = 66.6667 mL/hr

Step 4: Round to the nearest tenth
Rate ≈ 66.7 mL/hr

A. Encourage rinsing mouth twice a day with a sodium bicarbonate solution B. Encourage client to perform mouth care before and after every meal C. Assess oral pain level once a shift D. Offer 3 meals per day with a snack at bedtime

Correct Answer is B

Explanation

A. While mouth rinses can be helpful for some oral conditions, sodium bicarbonate solutions may not be appropriate for all types of oral lesions, and there are other more effective mouth care strategies for managing painful lesions.
B. This is a key intervention for managing painful oral lesions. Regular mouth care helps to maintain oral hygiene, reduce the risk of infection, and decrease discomfort while eating. It also promotes healing and prevents further complications.
C. While assessing pain is important, doing it just once a shift may not be sufficient. The nurse should assess pain more frequently, especially before and after meals, as pain from oral lesions can significantly impact a client’s ability to eat.
D. Offering small, frequent meals is typically more effective in improving nutrition for clients with painful oral lesions. The client may be more willing to eat smaller amounts rather than large meals, especially if pain is a significant issue.

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Which finding indicates that a client receiving antiretroviral therapy is having an effective response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer 1600 mL of total parental nutrition (IPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Do not use trailing zeros, use a leading zero if it applies)

Correct Answer is ["66.7"]

Explanation

The nurse is caring for a client with the nursing problem of Imbalanced Nutrition: Less than Body Requirements related to painful oral lesions. Which intervention would the nurse include in the plan of care?

Correct Answer is B

Explanation

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Which finding indicates that a client receiving antiretroviral therapy is having an effective response?