Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
Diagnostic ResultsJanuary:
ÔÇó Laboratory: CD4 cell count 200 cells/mm┬│ (Normal range: 600-1500 cells/mm┬│)
June:
ÔÇó Laboratory: CD4 cell count 90 cells/mm┬│ (Normal range: 600-1500 cells/mm┬│)
ÔÇó Chest x-ray: Bilateral white infiltrates consistent with pneumonia
A nurse in a community health clinic is caring for a client who has a history of HIV. For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process.
Correct answer
A,C,E
Rationale
CD4 cell count 200 cells/mm³ is consistent with HIV stage II or III, as it indicates significant immunosuppression. Chest x-ray showing bilateral white infiltrates consistent with pneumonia is indicative of HIV stage III (AIDS), as opportunistic infections like pneumonia are common. Latest CD4 cell count (90 cells/mm³) is consistent with HIV stage III (AIDS), as it is below 200 cells/mm³, a threshold for AIDS diagnosis.