The nurse is working with a client at a public health clinic. The client says to the nurse, "The doctor said that my CD4+ count is 450 . Is that good?" What is the nurse's best response?
a. "Your count is high so you can cut back on your medication."
b. "Your count is normal because your me-dications are working well."
c. "Your count is a bit low and you are sus-ceptible to infection."
d. "Your count is very low and you actually now have AIDS."
C
A CD4+ T-cell count of 450 cells/mm3 of blood is low, and the client is at increased risk for de-veloping an infection. Normal CD4+ counts range from 800 to 1000 cells/mm3 . To be diagnosed with AIDS, a client must have a CD4+ T-cell count of <200 cells/mm3 (or a CD4+ T-cell per-centage of <4%) and/or an opportunistic infection.
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