The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS?

1,000 cells/mm3

700 cells/mm3

450 cells/mm3

200 cells/mm3

Answer and Explanation

The Correct Answer is D

A. 1,000 cells/mm3:

A CD4 cell count of 1,000 cells/mm3 is within the normal range for a healthy individual. In HIV-positive individuals, a CD4 count at this level would generally indicate that the immune system is functioning well and has not been significantly compromised by the virus. Therefore, a CD4 count of 1,000 cells/mm3 would not suggest a diagnosis of AIDS.

B. 700 cells/mm3:

Similarly, a CD4 cell count of 700 cells/mm3 is also within the normal range for immune function. While this count may be lower than the typical CD4 count in a healthy individual, it is still considered relatively high and would not indicate immune compromise to the extent seen in AIDS.

C. 450 cells/mm3:

A CD4 cell count of 450 cells/mm3 is also within a range that suggests the immune system is functioning reasonably well. While it may be lower than normal, it is not at a level indicative of severe immune suppression characteristic of AIDS.

D. 200 cells/mm3:

When the CD4 cell count drops below 200 cells/mm3, it indicates significant immune suppression and an increased risk of opportunistic infections. This threshold is used to diagnose AIDS in HIV-positive individuals. At this level, the immune system is severely compromised, leaving the individual vulnerable to various infections and diseases associated with AIDS.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

A. Rectocele:

A rectocele is a type of pelvic organ prolapse where the rectum bulges into the back wall of the vagina. Management and care of women with rectocele are relevant to the topic of pelvic organ prolapse.

B. Fecal incontinence:

Fecal incontinence refers to the inability to control bowel movements, which is not a typical symptom or complication of pelvic organ prolapse. While pelvic floor dysfunction can contribute to fecal incontinence, it is not the primary focus of care for women with pelvic organ prolapse.

C. Urinary incontinence:

Urinary incontinence, particularly stress urinary incontinence, can coexist with pelvic organ prolapse due to pelvic floor muscle weakness. However, urinary incontinence is a separate condition that may require different management approaches compared to pelvic organ prolapse. While relevant in the context of pelvic floor dysfunction, urinary incontinence is not specific to the care of women with pelvic organ prolapse.

D. Cystocele:

A cystocele is a type of pelvic organ prolapse where the bladder protrudes into the front wall of the vagina. Management and care of women with cystocele are also pertinent to the topic of pelvic organ prolapse.

E. Enterocele:

An enterocele is a type of pelvic organ prolapse where the small intestine bulges into the upper vaginal wall. Information about the care of women with enterocele would be expected in a journal article about pelvic organ prolapse.

A. cervical insufficiency B. maternal disease C. uterine fibroids D. fetal genetic abnormalities

Correct Answer is D

Explanation

A. Cervical insufficiency:

Cervical insufficiency, also known as incompetent cervix, is a condition where the cervix begins to dilate and efface prematurely without contractions during the second trimester. While it can lead to second-trimester pregnancy loss, it's not typically the most common cause of first-trimester abortions.

B. Maternal disease:

While certain maternal conditions or diseases can contribute to pregnancy complications, such as pre-eclampsia or diabetes, they are not typically the most common cause of first-trimester abortions.

C. Uterine fibroids:

Uterine fibroids are noncancerous growths of the uterus that can lead to various pregnancy complications, including miscarriage. However, they are not typically the most common cause of first-trimester abortions.

D. Fetal genetic abnormalities:

This option is correct. Fetal genetic abnormalities, such as chromosomal abnormalities, are the most common cause of first-trimester spontaneous abortions, also known as miscarriages. These abnormalities can lead to developmental issues incompatible with life, resulting in spontaneous abortion.

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The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?

Correct Answer is D

Explanation

A sexual health public health nurse is presenting information on sexually transmitted infections (STIs) to adolescent girls and is asked, "Why are females more at risk for STIS?" Which statements by the nurse would best answer this question? Select all that apply.

A nurse is reviewing a client's history and physical examination findings. Which information would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

Which approach would be most appropriate when counseling a client who is a suspected victim of intimate partner violence?

It is determined that a client's blood Rh is negative and her partner's is Rh positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

A woman pregnant with twins comes to the clinic for an evaluation. While assessing the client, the nurse would be especially alert for signs and symptoms for which potential problem?

When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?