Which finding indicates that a client receiving antiretroviral therapy is having an effective response?

Decreased surface antigens

Increased CD4 cells

Decreased killer T cells

Increased viral burden

Answer and Explanation

The Correct Answer is B

A. Decreased surface antigens are more relevant to hepatitis B infection than to monitoring HIV treatment effectiveness.
B. Increased CD4 cells indicate an effective response to antiretroviral therapy, as CD4 cells are a key component of the immune system that HIV targets and destroys. Effective therapy allows CD4 counts to recover.
C. Decreased killer T cells (CD8 cells) would not be a desired effect; these cells help control viral infections, including HIV.
D. Increased viral burden (or viral load) suggests worsening of the infection, not improvement. Effective therapy should decrease the viral load.

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Correct Answer is B

Explanation

A. While pain is expected after any surgery, the focus of preoperative teaching should be on immediate post-operative expectations such as the presence of a chest tube, which is more critical for the nurse to prepare the client for. Pain management will be addressed postoperatively.
B. After a lobectomy, a chest tube is commonly placed to help drain excess air, fluid, or blood from the pleural space and prevent pneumothorax or other complications. This is a key part of the post-operative care for lung surgery.
C. Pulmonary function tests may be done before surgery to assess lung capacity and function, but they are not typically expected immediately after a lobectomy unless specified by the physician.
D. A lobectomy involves the removal of a portion of the lung, and the incision is usually made between the ribs, not through the sternum. The incision is generally intercostal, meaning it’s made between the ribs, not through the chest bone.

Correct Answer is ["66.7"]

Explanation

Step 1: Write down the formula
Rate (mL/hr) = Total Volume (mL) ÷ Time (hours)

Step 2: Plug in the values
Rate = 1600 mL ÷ 24 hr

Step 3: Calculate
Rate = 66.6667 mL/hr

Step 4: Round to the nearest tenth
Rate ≈ 66.7 mL/hr

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Which finding indicates that a client receiving antiretroviral therapy is having an effective response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?

Correct Answer is B

Explanation

The nurse is preparing to administer 1600 mL of total parental nutrition (IPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Do not use trailing zeros, use a leading zero if it applies)

Correct Answer is ["66.7"]

Explanation

Which finding indicates that a client receiving antiretroviral therapy is having an effective response?

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