Author Question: When HIV progresses to AIDS, there is a gradual destruction of the immune system, measured by: 1. ... (Read 21 times)

jhjkgdfhk · **on:** Jul 23, 2018

When HIV progresses to AIDS, there is a gradual destruction of the immune system, measured by:

1. decline in CD4 receptors.
2. decline in CD4 lymphocytes.
3. decline in platelet count.
4. decline in red blood cells.

Question 2

The nurse determines that instruction of a client taking ganciclovir (Cytovene) is effective when the client states:

1. I can take this medication on an empty stomach.
2. This medication is OK to take during pregnancy.
3. I should avoid becoming pregnant while on this medication.
4. I can stop taking the medication when my symptoms are gone.

robbielu01 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: The progression to AIDS is measured by a decline in CD4 lymphocytes, not in the amount of CD4 receptors.
Rationale 2: The progression to AIDS is measured by a decline in CD4 lymphocytes.
Rationale 3: The progression to AIDS is measured by a decline in CD4 lymphocytes, not in the platelet count.
Rationale 4: The progression to AIDS is measured by a decline in CD4 lymphocytes, not in red blood cells.
Global Rationale: Progression to AIDS is characterized by gradual destruction of the immune system, as measured by the steady decline in the number of CD4 lymphocytes. Progression is not measured by the amount of CD4 receptors, platelet count or red blood cell count.

Answer to Question 2

Correct Answer: 3
Rationale 1: Ganciclovir should be taken with food.
Rationale 2: Ganciclovir is in pregnancy category C and should be avoided during pregnancy.
Rationale 3: This response is correct. Ganciclovir is in pregnancy category C and should be avoided during pregnancy.
Rationale 4: Clients should talk with their doctor before stopping the medication, as it may need to be taken even after symptoms subside.
Global Rationale: An adverse effect of ganciclovir is bone marrow suppression, which can manifest as anemia, neutropenia, thrombocytopenia, or pancytopenia. As a result, clients should inform their health care provider of signs of illness to prevent further decrease in lab levels. Ganciclovir should be taken with food. Ganciclovir is in pregnancy category C and should be avoided during pregnancy. Clients should talk with their doctor before stopping the medication, as it may need to be taken even after symptoms subside.