Practice Question
A patient who has tested positive for the human immunodeficiency virus (HIV) arrives at the clinic with a report of fever, nonproductive cough, and fatigue. The patient's CD4 count is 184 cells/mcL. How should the healthcare provider interpret these findings? Please choose from one of the following options
Answer Choices:
Correct Answer:
The patient is diagnosed with acquired immunodeficiency syndrome (AIDS)
Rationale:
🧬 AIDS diagnosis is made when a client with HIV has a CD4 count below 200 cells/mcL OR develops an AIDS-defining opportunistic illness.
🧬 This patient has CD4 = 184 plus respiratory symptoms (likely Pneumocystis pneumonia), which fits AIDS criteria.
🧬 “Seroconversion” refers to the early stage when HIV antibodies develop, not at this late immunocompromised stage.
🧬 “Latent stage” occurs when HIV is asymptomatic with higher CD4 counts (>500).
🧬 These findings are not expected in someone who is simply HIV-positive; they indicate progression to AIDS.
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This question is from Custom VN 410 PEDS FINALS which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4