Four years after seroconversion, an HIV-infected patient has a CD4+ cell count of 800/µl and a low viral load. The nurse teaches the patient that
a. the patient is at risk for development of opportunistic infections because of CD4+
b. the patient is in a clinical and biologic latent period, during which very few viruses are being replicated.
c. anti-HIV antibodies produced by B cells enter CD4+ cells infected with HIV to stop replication of viruses in the cells.
d. the body currently is able to produce an adequate number of CD4+ cells to replace those destroyed by viral activity.
- Correct Answer: D
- Rationale: The patient is the early chronic stage of infection, when the body is able to produce enough CD4+ cells to maintain the CD4+ count at a normal level. The risk for opportunistic infection is low because of the normal CD4+ count. Although the viral load in the blood is low, intracellular reproduction of virus still occurs. Anti-HIV antibodies produced by B cells attack the viruses in the blood, but not intracellular viruses.