A nurse is caring for a client who has HIV.
Select words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Malnutrition: The client presents with weight loss, anorexia, and difficulty eating due to oral ulcers, all of which increase the risk of malnutrition.
Hemorrhage: There is no indication of active bleeding or conditions predisposing the client to hemorrhage.
Tuberculosis: Clients with HIV are at increased risk for opportunistic infections, including tuberculosis, especially with symptoms of cough and weight loss.
Sepsis: Although immunosuppressed clients are at risk for infections, there is no current evidence of systemic infection requiring immediate sepsis evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Perform hand hygiene before and after care: Hand hygiene is the most effective way to prevent infection transmission.
B. Implement neutropenic precautions: This is important but comes after basic infection control measures.
C. Move the client to a positive-airflow room: Positive airflow rooms are used for highly immunocompromised clients but are not the first action.
D. Ensure all visitors wear masks: This is a precautionary measure but secondary to hand hygiene.
Correct Answer is D
Explanation
A. Slow respirations: Tachypnea, not slow respirations, is more likely during a transfusion reaction.
B. Bradycardia: Tachycardia is more common due to the body's response to stress or inflammation.
C. Hypertension: Hypotension is more typical in severe reactions.
D. Fever/chills: Fever and chills are hallmark signs of febrile or hemolytic transfusion reactions due to the immune system's response to foreign antigens.
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