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Chest Radiography


                  ▪ To detect Pneumocystis jiroveci infection or tuberculosis


                  ALT, Alanine aminotransferase; AST, aspartate aminotransferase; Ig,
               immunoglobulin; WBC, white blood cell.


               Data from Copstead-Kirkhorn L, Banasik J: Pathophysiology, ed 5, St. Louis, 2014,
               Mosby.




               Box 62-5

               Diagnostic Criteria for Acquired
               Immunodeficiency Syndrome (AIDS)



                        +
                  ▪ CD4  T cell count drops below 200 cells/L
                  ▪ Presence of a fungal, viral, protozoal, or bacterial infection
                            ▪ Candidiasis of bronchi, trachea, lungs, or esophagus
                            ▪ Pneumocystis jiroveci pneumonia
                            ▪ Disseminated or extrapulmonary coccidiomycosis
                            ▪ Disseminated or extrapulmonary histoplasmosis
                            ▪ Cytomegalovirus
                            ▪ Herpes simplex
                            ▪ Progressive multifocal leukoencephalopathy
                            ▪ Toxoplasmosis
                            ▪ Mycobacterium tuberculosis
                            ▪ Recurrent pneumonia
                            ▪ Recurrent salmonella septicemia
                  ▪ Presence of an opportunistic cancer
                            ▪ Invasive cervical cancer
                            ▪ Kaposi’s sarcoma
                            ▪ Burkitt’s lymphoma
                            ▪ Immunoblastic lymphoma
                            ▪ Primary lymphoma of the brain
                  ▪ Wasting syndrome (10% or more of ideal body mass)
                  ▪ AIDS dementia complex


               Adapted from Lewis S, Dirksen S, Heitkemper M, Bucher L: Medical-surgical nursing:
               assessment and management of clinical problems, ed 9, St. Louis, 2014, Mosby.


               Practice Questions



                   763. The nurse prepares to give a bath and change the bed linens of a client with




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