In a client with AIDS and a significantly decreased CD4-T cell count, which oral condition should the nurse expect?

In a client with AIDS and a significantly decreased CD4-T cell count, the nurse should expect the presence of candidiasis. This expectation arises from the fact that a low CD4-T cell count is indicative of immunosuppression, which is characteristic of advanced HIV/AIDS. Candidiasis, commonly known as oral thrush, is caused by the overgrowth of the fungus Candida, particularly Candida albicans, which typically remains in check by a healthy immune system.

As the immune system deteriorates in individuals with a significantly decreased CD4-T cell count, they become more susceptible to opportunistic infections. Candidiasis is one of the most common opportunistic infections that occurs in patients with compromised immune function, notably in those with AIDS. The presentation of this condition in the oral cavity can include white patches, soreness, and difficulty swallowing.

While halitosis, gingivitis, and xerostomia may occur in patients with AIDS, they are not as directly linked to the severe immunosuppression that characterizes a low CD4-T cell count. Halitosis can result from poor oral hygiene or certain medical conditions, gingivitis can occur due to inadequate dental care or periodontal disease, and xerostomia (dry mouth) may be associated with