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 B

Explanation

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.

A. This medication helps you absorb vitamin B12. B. Take your medication with a glass of milk instead of water. C. Decrease your intake of meat and green leafy vegetables. D. Drink acidic juices with the medication to help with absorption.

Correct Answer is D

Explanation

A. Ferrous sulfate does not aid in vitamin B12 absorption; vitamin B12 requires intrinsic factor for absorption in the ileum.

B. Milk contains calcium, which can inhibit iron absorption, making it a poor choice for administration.

C. Meat and green leafy vegetables are high in iron, and their intake should not be reduced as they help maintain iron levels.

D. Acidic juices (such as orange juice) enhance iron absorption by keeping iron in its more soluble ferrous form.

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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

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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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?

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