The nurse is educating a client who contracted HIV regarding the nature of the human cells that are invaded by the virus. Which type of cell is the main cell affected by HIV?
A) B cells
B) C cells
C) Lymphocytes in bone marrow
D) CD4 cells
D
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This retrovirus commonly invades two types of cells: T cells (lymphocytes that mature in the thymus) and B cells (lymphocytes that originate in the bone marrow). Normally, T cells and B cells function to fight infection and to produce antibodies for specific immune responses. The main cell affected by HIV is the helper T4 lymphocytes, better known as CD4 cells.
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The nurse is providing care to a client who is 36 months old. How old is the client in years? Round the answer to the nearest whole number
What will be an ideal response?
While performing a physical assessment of the client experiencing an endocrine disorder, the nurse includes which of the following? (Select all that apply.)
1. Measurement of height and weight 2. Assessment of skin, hair, and nails 3. Evaluation of deep tendon reflexes 4. Evaluation of the respiratory system 5. Assessment of the musculoskeletal system
The nurse is preparing a client diagnosed with amyotrophic lateral sclerosis (ALS) for discharge. The nurse realizes that interventions for the following nursing diagnosis should be stressed for this client:
1. Ineffective Breathing Pattern related to neuromuscular dysfunction. 2. Impaired Urinary Elimination related to spastic or flaccid bladder. 3. Alteration in Vision acuity related to ocular muscle involvement. 4. Disturbed Thought Processes related to cognitive decline.
Which relief measure would be most appropriate for a postpartum client with superficial thrombophlebitis?
1. Urge ambulation 2. Apply ice to the leg 3. Elevate the affected limb 4. Massage her calf