A client newly diagnosed with HIV asks, "Why did my sore throat and rash go away? Does this mean I'm better? Which is the best response to give to the client?

“After the initial infection. you may become asymptomatic for a long time until your CD4+ Tell count nears 200.”

“Your Symptoms will come back once your CD4• Tell count reaches around 500."

“You won't have any more signs and symptoms until your CD4• cell count IS undetectable."

“This means you cannot transmit the disease during this time."

Answer and Explanation

The Correct Answer is A

A. After initial HIV infection, clients typically enter a latent phase where symptoms subside, but the virus continues to replicate. This phase can last for years before progressing to AIDS when the CD4+ T-cell count drops below 200.

B. Symptoms generally do not correlate with a CD4+ count of 500; mild immunosuppression may begin at this level, but the client remains asymptomatic.

C. The virus is still active and causing immune system damage, even when symptoms are absent.

D. HIV transmission can still occur during the asymptomatic phase, especially if viral load is detectable.

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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. Ensure the blood is spiked with primary tubing and the saline with secondary tubing, B. Start a 24 gauge IV in a large peripheral vein. C. Keep the line open with the saline from the blood tubing in the event of a reaction. D. Initiate the transfusion within half an hour of receiving the blood.

Correct Answer is D

Explanation

A. Blood should be administered with a Y-tubing set that has normal saline as the only compatible fluid.

B. A 24-gauge IV is too small; at least an 18- or 20-gauge IV is recommended for blood administration.

C. If a transfusion reaction occurs, the line should be discontinued, and the normal saline should not be used to flush the remaining blood.

D. Blood transfusions must be initiated within 30 minutes of receipt from the blood bank to reduce the risk of bacterial contamination.

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A client newly diagnosed with HIV asks, "Why did my sore throat and rash go away? Does this mean I'm better? Which is the best response to give to the client?

Nursing Test Bank

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

A client has an order for one unit of packed cells. What is a correct nursing action in the administration of this product?

Correct Answer is D

Explanation

While receiving a unit of packed RBCs, the patient develops chills. itching hives. and a temperature of 1022 F (39.0 C). What is the priority action for the nurse to take?

The nurse is providing discharge education for a client who will be taking ferrous sulfate orally. Which of the following statements should the nurse include in the teaching?

A nurse is assessing a client who was brought to the emergency department with an ankle injury presenting as swelling pain, and erythema. Which of the following should the nurse identify as part of the body s inflammatory response? (Select All that Apply.)

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

The nurse is caring for a client who presented to the emergency room with hemorrhage from a motor vehicle accident. The client's hemoglobin is 6.3gfdL. Which Of the following treatments would the nurse anticipate the physician ordering?

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?

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?