A nurse is collecting data from a client who has AIDS. The nurse notes that the client has multiple, widespread purplish-brown skin lesions. The nurse should suspect that the client has developed which of the following types of skin lesions?

Choice A reason: Cushing's disease often causes hypokalemia, or low potassium levels, due to increased aldosterone production. Therefore, limiting potassium-rich foods is not advisable; rather, patients may need to increase their potassium intake to maintain electrolyte balance.

Choice B reason: The correct answer is b because Cushing's disease leads to sodium retention and fluid retention, causing hypertension and edema. Decreasing sodium intake helps manage these symptoms by reducing fluid retention and controlling blood pressure.

Choice C reason: Increasing calorie intake is not recommended for clients with Cushing's disease. The condition often leads to weight gain and increased adipose tissue, so a balanced diet with controlled calorie intake is more appropriate.

Choice D reason: Consuming more calories from carbohydrates than protein is not a specific recommendation for Cushing's disease. A balanced diet with adequate protein is important for maintaining muscle mass and supporting overall health, especially since Cushing's disease can cause muscle weakness and loss of muscle mass.

Choice A reason: The correct answer is a because refusing to look at the dressing or surgical incision can indicate that the client is having difficulty accepting the loss of her breast. This behavior may suggest that the client is struggling with body image issues, grief, or denial about the changes to her body.

Choice B reason: Requesting pain medication every 3 hours is a common postoperative behavior to manage pain and does not necessarily indicate difficulty adjusting to the loss of a breast. Pain management is a normal part of recovery.

Choice C reason: Asking questions about the information on the postoperative care pamphlet demonstrates an interest in understanding and managing her care. This behavior indicates that the client is engaged in her recovery process, rather than struggling to adjust.

Choice D reason: Performing arm exercises once or twice each day shows that the client is following postoperative care instructions and is actively participating in her rehabilitation. This behavior does not suggest difficulty adjusting to the loss of her breast.