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)
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.
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