The nurse is monitoring the effectiveness of antiretroviral therapy (ART) for a patient with human immunodeficiency virus (HIV). What laboratory study result indicates the medications are effective?
Decreased neutrophil count
Decreased CD4+ Tell count
Decreased viral load
Decreased white blood cell count
The Correct Answer is C
A. Neutrophil count is not a direct measure of ART effectiveness; a decrease may indicate bone marrow suppression or infection.
B. A decreased CD4+ T-cell count suggests disease progression, not effective treatment.
C. A decreased viral load indicates that ART is effectively suppressing HIV replication. This is the primary goal of treatment to prevent disease progression and maintain immune function.
D. A decreased white blood cell count can result from various factors and does not indicate ART effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Neutrophil count is not a direct measure of ART effectiveness; a decrease may indicate bone marrow suppression or infection.
B. A decreased CD4+ T-cell count suggests disease progression, not effective treatment.
C. A decreased viral load indicates that ART is effectively suppressing HIV replication. This is the primary goal of treatment to prevent disease progression and maintain immune function.
D. A decreased white blood cell count can result from various factors and does not indicate ART effectiveness.
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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