A patient with human immunodeficiency virus (HIV) has sought care because of the recent development of new skin lesions. The nurse should interpret these lesions as most likely suggestive of what?
A) A reduction in the patient's CD4 count
B) A reduction in the patient's viral load
C) An adverse effect of antiretroviral therapy
D) Virus-induced changes in allergy status
Ans: A
Feedback:
Cutaneous signs may be the first manifestation of human immunodeficiency virus (HIV), appearing in more than 90% of HIV-infected people as immune function deteriorates. These skin signs correlate with low CD4 counts and may become very atypical in immunocompromised people. Viral load increases, not decreases, as the disease progresses. Antiretrovirals are not noted to cause cutaneous changes and viruses do not change an individual's allergy status.
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