18.A client was diagnosed as HIV positive several years ago. Which of the following blood test results reflects the fact that the client now has developed AIDS?A)350,000 platelets/LB)CD4+T-cell count less than 200 cells/LC)Viral load 500,000 copies/mLD)White blood cell count of 5300 cmmAns:BFeedback:CD4+cell counts are the primary measure that is used for the staging of HIV infection. Viral load, platelets, and leukocytes are also important assessments, but these are not usedto stage HIV.19.HIV-positive persons who display manifestations of laboratory category 3 or clinical category C are considered to have:20.A client has been admitted to the hospital for the treatment of HIV infection, which has recently progressed to overt AIDS. Which of the following nursing actions should the nurse prioritize when providing care for this client?21.The nurse caring for a population of HIV clients needs to be assessing for which of the following diseases that amounts to the leading cause of death for people with HIV?Page 7
22.The nurse can anticipate which of the following interventions to be prescribed for a clientwith AIDS who is experiencing involuntary weight loss of more than 10% of baseline body weight and frequent diarrhea daily? Select all that apply.A)Enteral or parental nutritionB)Order for megestrol acetateC)Calcium carbonate for mineral replacementD)Benadryl, an antihistamineE)Prenatal vitaminsAns:A, BFeedback:Wasting syndrome is at least 10% weight loss in the presence of diarrhea, more than two stools a day, or chronic weakness and fever. Treatment for wasting syndrome includes nutritional interventions such as oral supplements or enteral or parenteral nutrition, as well as pharmacologic agents, including appetite stimulants, cannabinoids, and megestrolacetate.
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