A nurse is caring for a client who has HIV and a CD4-T-cell count of 150/mm³. Which of the following conditions should the nurse monitor the client for?
Hepatitis
Tuberculosis
Gonorrhea
Chlamydia
The Correct Answer is B
A. Hepatitis is a concern for individuals with HIV, but it is not specifically indicated by a low CD4-T-cell count.
B. A CD4-T-cell count of 150/mm³ indicates severe immunosuppression, making the client highly susceptible to opportunistic infections like tuberculosis, which is common in individuals with HIV.
C. While gonorrhea is a risk for sexually active individuals, it is not specifically related to the low CD4-T-cell count.
D. Chlamydia is also a sexually transmitted infection, but similar to gonorrhea, it is not directly linked to the immunocompromised state indicated by the CD4-T-cell count.
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Correct Answer is B
Explanation
A. Metabolic alkalosis is characterized by an increased pH and increased HCO3 levels, which does not fit the provided values.
B. The low HCO3 of 18 mEq indicates a metabolic acidosis, as the body is unable to retain enough bicarbonate to balance the acid levels, and the pH is also low at 7.30, confirming acidosis.
C. Respiratory alkalosis would show a high pH and low PaCO2, which is not the case here.
D. Respiratory acidosis would be indicated by a high PaCO2 and a low pH, but the HCO3 level is low, indicating a metabolic issue rather than a respiratory one.
Correct Answer is B
Explanation
A. Hepatitis is a concern for individuals with HIV, but it is not specifically indicated by a low CD4-T-cell count.
B. A CD4-T-cell count of 150/mm³ indicates severe immunosuppression, making the client highly susceptible to opportunistic infections like tuberculosis, which is common in individuals with HIV.
C. While gonorrhea is a risk for sexually active individuals, it is not specifically related to the low CD4-T-cell count.
D. Chlamydia is also a sexually transmitted infection, but similar to gonorrhea, it is not directly linked to the immunocompromised state indicated by the CD4-T-cell count.