A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Halitosis.
Gingivitis.
Candidiasis.
Xerostomia.
The Correct Answer is C
Choice A rationale:
Halitosis (bad breath) is not typically associated with a decreased CD4-T-cell count.
Choice B rationale:
Gingivitis (gum inflammation) is not directly related to a decreased CD4-T-cell count.
Choice C rationale:
Candidiasis (a fungal infection) is common in individuals with AIDS due to their weakened immune system.
Choice D rationale:
Xerostomia (dry mouth) is not typically associated with a decreased CD4-T-cell count.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Inspecting the mouth for signs of inhalation injuries is the priority action. Inhalation injuries can lead to airway obstruction and respiratory failure, which are life-threatening conditions.
Choice B rationale:
Administering intravenous pain medication is important, but it is not the priority. Pain management is necessary but secondary to life-threatening conditions.
Choice C rationale:
Inserting an indwelling urinary catheter is done to monitor renal function and fluid balance, but it is not the priority action in this case.
Choice D rationale:
Drawing blood for a complete blood cell (CBC) count is done to assess the client’s overall health status, but it is not the priority action.
Correct Answer is A
Explanation
Choice A rationale:
Restlessness is a common early sign of increased intracranial pressure (ICP). It can be caused by the brain’s response to the pressure, leading to agitation and restlessness.
Choice B rationale:
Tachycardia, or a rapid heart rate, is not typically a sign of increased ICP. It can be a response to other factors such as pain, anxiety, or certain medications.
Choice C rationale:
Hypotension, or low blood pressure, is not typically a sign of increased ICP. In fact, hypertension, or high blood pressure, is more commonly associated with increased ICP2.
Choice D rationale:
Amnesia, or memory loss, is not typically a sign of increased ICP. It can be a result of the brain injury itself, but it is not a direct indicator of increased ICP2.
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