A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

The client is assigned to a room with negative airflow.

The client's meal tray includes ice cream with fresh fruit.

The client has artificial flowers in the room.

The client's meal tray contains hard-boiled eggs.

Answer and Explanation

The Correct Answer is B

A.   A room with negative airflow helps prevent the spread of airborne pathogens, which is helpful for immunocompromised clients like those with HIV, but it doesn't directly increase the risk of infection.
B.   Correct. Neutropenic clients have reduced immune responses, and consume fresh fruit (which might carry bacteria. can increase the risk of infection.
C.   Artificial flowers might be removed due to infection control concerns, but their presence doesn't significantly increase infection risk.
D.   Hardboiled eggs are not necessarily a high-risk food for infection in neutropenic clients.

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Correct Answer is D

Explanation

A. Incorrect. Weight loss is not a manifestation of fluid overload but rather of insufficient nutrition.
B. Incorrect. Decreased blood pressure is not a manifestation of fluid overload but could indicate hypovolemia.
C. Incorrect. Decreased skin turgor is a sign of dehydration, not fluid overload.
D. Correct. Crackles heard in the lungs can indicate fluid overload in the lungs, also known as pulmonary edema. This is often caused by an excess of fluid in the body.

A. The client can shower with the cast after 24 hr. B. The client's extremity should be elevated after the cast is applied. C. The client should use a hair dryer in a warm setting to relieve itching inside the cast. D. The client should keep the cast covered until it is dry.

Correct Answer is B

Explanation

A. Incorrect. Plaster casts are not waterproof and can become weakened if exposed to moisture, so showering with the cast is generally not recommended.
B. Correct. Elevating the extremity can help reduce swelling and promote comfort after the cast is applied.
C. Incorrect. Using a hair dryer inside the cast can cause burns and is not recommended for relieving itching.
D. Incorrect. Keeping the cast covered is not necessary, and covering it can trap moisture, potentially causing skin problems.

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A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

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