The patient with human immunodeficiency virus and a CD4 count of 158 has a purified protein derivative (PPD) skin test performed and is found to have a 7-mm induration with circumferential erythema. Which statement does the nurse make to the patient?

“You will need a chest x-ray and further blood work before we discuss treatment options.”. The patient with HIV and a low CD4 count is at risk for tuberculosis (TB) but might not be able to mount an inflammatory response sufficient for a “positive” purified protein derivative (PPD) test. Therefore, a chest x-ray and further blood work is performed to diagnose TB and direct treatment. Waiting to retest delays necessary treatment and is not appropriate. However, beginning TB treatment without diagnosis is inappropriate as well.

The patient with human immunodeficiency virus and a CD4 count of ...

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Reduction of Risk Potential
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Category: Reduction of Risk Potential
Difficulty: 9

Topics: Communication & Documentation Immunity Infection Lifestyle Choices and High Risk Behavior Patient Education Radiology Respiratory

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