The nurse is evaluating the goal "Client will remain free of opportunistic infections" for an HIV-positive pregnant client

Question

The nurse determines the goal was met when the client has which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. An absolute CD4+ T-lymphocyte count below 200
2. No complaint of chills or fever during the pregnancy
3. Weight gain of 30 lbs during the pregnancy
4. ESR above 20 mm/hr
5. Normal erythrocyte sedimentation rate maintained during the pregnancy

Answer 1

2, 3, 5
Explanation: 2. Not having chills, fever, or a sore throat throughout the pregnancy is an indication the client did not have an infection.
3. Weight gain of 25 to 35 pounds is normal for a pregnancy. This client met the goal for nutrition and remaining infection-free.
5. Having a normal erythrocyte sedimentation rate during the pregnancy is an expected outcome.