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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Warfarin is an anticoagulant and could worsen bleeding; it is contraindicated in GI bleeding cases.
B. Vitamin D is essential for bone health but does not directly treat anemia.
C. Iron supplements are commonly prescribed for anemia due to GI bleeding because chronic blood loss leads to iron deficiency. Iron supplementation helps replenish iron stores necessary for RBC production.
D. Zidovudine is an antiretroviral medication used for HIV treatment and is unrelated to anemia from GI bleeding.
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.
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