A client has a positive rapid HIV antibody test. For which ...

[lindiwe]

A client has a positive rapid HIV antibody test. For which additional diagnostic tests should the nurse instruct this client? (Select all that apply.)
 
  1. Western blot assay
  2. Sedimentation rate
  3. HIV viral load test
  4. Complete blood count and differential
  5. Enzyme-linked immunosorbent assay (ELISA)

Question 2

The nurse is preparing to draw blood on a client who is suspected of having systemic lupus erythematosus (SLE). Before obtaining the specimen, the nurse should ask the client which question?
 
  1. How long have you had symptoms?
  2. Are you taking oral contraceptives?
  3. Does SLE run in your family?
  4. Are you experiencing pain?

[beccamahon]

Answer to Question 1

Answer: 1, 5

1. Rapid HIV antibody test includes six screening tests that provide HIV results in 20 minutes by obtaining a blood sample from a finger stick. Positive results must be confirmed by the Western blot assay.
2. Sedimentation rate is not used in the diagnosis of HIV.
3. HIV viral load tests measure the amount of HIV viral activity. Viral loads are used to monitor disease progression and response to antiretroviral medications.
4. Complete blood count and differential is not used in the diagnosis of HIV.
5. Rapid HIV antibody test includes six screening tests that provide HIV results in 20 minutes by obtaining a blood sample from a finger stick. Positive results must be confirmed by the ELISA.

Answer to Question 2

Answer: 2

1. Asking about symptoms is done before the physician orders the labs drawn.
2. Oral contraceptives can interfere with the validity of the test and could give a false positive.
3. Discussing family history is completed prior to the decision to obtain laboratory studies.
4. Pain will not affect the results of the lab studies.