Author Question: A client has received testing for human immunodeficiency virus (HIV). The client's results of two ... (Read 61 times)

CBme · **on:** Jul 22, 2018

A client has received testing for human immunodeficiency virus (HIV). The client's results of two enzyme-linked immunosorbent assay (ELISA) tests have been positive.

In explaining the next step, the nurse's response is based on the understanding that: a. the client will have a bone marrow biopsy to confirm the diagnosis
b. a Western blot test will be done to confirm the diagnosis
c. a CD4+ cell count will be obtained to measure T-helper lymphocytes
d. the client will be diagnosed as HIV-positive and begin medical treatment

Question 2

A client is exhibiting signs of postpartum depression. Which of the following symptoms would indicate the client's condition has advanced to that of postpartum psychosis?

a. decreased concentration
b. insomnia
c. obsessive concerns about the infant's health
d. spontaneous crying

kthug · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Once the results of two ELISA tests are positive, the Western blot test is done to confirm the diagnosis. If the result of the Western blot test is positive, the client is diagnosed as positive for HIV.

Answer to Question 2

C
Postpartum psychosis is more severe and is characterized by delusions and thoughts of self-harm or infant harm. Symptoms, which usually begin within 2 to 3 weeks after birth, include fatigue, restlessness, insomnia, crying, labile emotions, inability to move, irrational statements, incoherence, confusion, and obsessive concerns about the infant's health. Postpartum psychosis is a psychiatric emergency.