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(Solved): The public health nurse is assessing a 35-year-old male client at a sexual health clinic. He arrives ...



The public health nurse is assessing a 35-year-old male client at a sexual health clinic. He arrives to the clinic alone with complaints of night sweats, headache, muscle ache, sore throat, and chills.

Sexual Health History:

Client says he slept with multiple partners of both sexes in the last 5 months; unprotected sex "most of the time." He says that he never had oral sex, only vaginal or rectal intercourse. He has a history of chlamydia and was treated appropriately. The only reason he came today is because he got a call from public health last week stating that he was exposed to a HIV+ client who remained anonymous. Vital signs: P 88, RR 18, BP 128/77, T 38.7 C (101.7 F), pulse oximetry reading 99% on room air.

Laboratory Results:

Urinalysis:

Microorganism Result Reference range
Neisseria Gonnorrhoeae Negative Negative
Chlamydia Trachomatis Positive Negative

ELISA Test:

Laboratory test Result
Antibodies against human immunodeficiency virus high titres of antibodies detected

Blood work:

Laboratory Test Results Reference Range
CD4 count 493 cells/mm3 500-1500 cells/mm3

After one year of the following the treatment regimen, the client return to the clinic with good news that his viral load is undetectable.

Complete the following sentences by choosing from the list of options

This means that the client's ______

a. infection is low enough to not be transmissible

b. infection has been cleared

c. no longer needs to wear a condom during sexual intercourse

His antiretroviral therapy should be ______

a. continued

b. decreased

c. stopped



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This means that the client's infection is low enough to not be transmiss
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