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A nurse is caring for a 43-year-old client who has human immunodeficiency virus (HIV).

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

The client is at risk for developing

and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

  Sepsis: The client's low CD4 count indicates a weakened immune system, making them susceptible to infections. The presence of fever, cough, and other symptoms suggests a potential infection, which can lead to sepsis if not treated promptly.

  Malnutrition: The client's weight loss, diarrhea, anorexia, and difficulty eating are all signs of malnutrition. A compromised immune system can also contribute to malnutrition.


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Related Questions

Correct Answer is ["11.074"]

Explanation

To calculate the infusion rate, we'll use the following formula:

Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of heparin (units/mL)

First, calculate the desired dose in units/hr:

  • 14 units/kg/hr x 79.1 kg = 1107.4 units/hr

Next, calculate the concentration of heparin in the IV bag:

  • 25,000 units / 250 mL = 100 units/mL

Finally, plug the values into the formula:

  • Infusion rate = 1107.4 units/hr / 100 units/mL = 11.074 mL/hr

Correct Answer is C

Explanation

A. Obtaining pulmonary function tests can help assess the extent of respiratory involvement but is not the immediate priority in an emergency situation like anaphylaxis.
B. Assessing blood pressure is important to monitor for signs of shock, but administering epinephrine takes precedence in treating anaphylaxis.
C. Administering epinephrine is the first-line treatment for anaphylaxis. Epinephrine rapidly reverses the symptoms of anaphylaxis, such as airway constriction and low blood pressure, making it the highest priority intervention.
D. Assessing the client's level of consciousness is important but should occur after the administration of epinephrine, which is critical in reversing the anaphylactic reaction.

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