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: A low-sodium diet is essential for clients with acute glomerulonephritis to prevent fluid retention and reduce the workload on the kidneys. This dietary modification helps manage edema and hypertension, common complications of the condition. By limiting sodium intake, the body retains less water, which helps control swelling and blood pressure, making it a crucial intervention in the plan of care.

Choice B reason: Encouraging increased fluid intake is not recommended for clients with acute glomerulonephritis. Excessive fluid intake can lead to fluid overload, worsening edema and hypertension. The kidneys are already compromised in their ability to excrete fluid efficiently, so increasing fluid intake would exacerbate these issues. Instead, fluid intake should be carefully monitored and potentially restricted to prevent further strain on the kidneys.

Choice C reason: Obtaining weekly weight is not specific enough to monitor the acute phase of glomerulonephritis. Daily weights are more appropriate to closely monitor fluid balance and detect changes in edema. Daily weight measurements can help in assessing the effectiveness of interventions such as a low-sodium diet or diuretics and provide timely information for adjusting the plan of care.

Choice D reason: Encouraging frequent ambulation, while generally beneficial for overall health, is not a specific intervention for managing acute glomerulonephritis. The primary focus should be on dietary modifications and monitoring fluid balance to manage symptoms and prevent complications. Ambulation should be encouraged based on the client's overall condition and ability but is not a direct intervention for glomerulonephritis.

Choice A reason: The correct answer is a because hyperkalemia, or high serum potassium levels, often leads to peaked T waves on an ECG. A reduction of T wave amplitude indicates that potassium levels are decreasing and the medication is effective.

Choice B reason: P wave duration is not typically affected by hyperkalemia. Changes in the P wave are more commonly associated with atrial abnormalities, not electrolyte imbalances.

Choice C reason: Widening of the QRS complex is a sign of severe hyperkalemia and indicates worsening of the condition. The goal of treatment is to prevent such changes, not to observe them as an indication of effectiveness.

Choice D reason: Restoration of QRS complex amplitude is not a specific indicator of hyperkalemia or its treatment. The focus should be on changes in the T wave and other signs of electrolyte normalization.