Å nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?
Night sweats
Increased WBC count
Increased hemoglobin
Weight gain
The Correct Answer is A
A. Night sweats are a common symptom in clients with AIDS, often related to opportunistic infections like tuberculosis or certain types of cancers.
B. In HIV/AIDS, WBC counts are often decreased due to immune suppression, so an increased WBC count is not typical.
C. Decreased, rather than increased, hemoglobin levels are often seen in AIDS due to anemia of chronic disease.
D. Weight loss, rather than gain, is more commonly associated with AIDS due to malnutrition and wasting syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E","F"]
Explanation
A. Heart rate: The increased heart rate (108/min) may indicate a developing complication such as hypovolemia or pain. This requires monitoring as it could signal deteriorating status.
B. Oxygen saturation: The SpO₂ level is stable at 96%, which is within an acceptable range and does not indicate an immediate concern.
C. Edema: The increase in sacral and iliac region edema (2+) from day 1 to day 2 suggests worsening swelling and possible fluid accumulation, which could be affecting blood flow and leading to circulatory issues.
D. Temperature: The temperature remains within a normal range, so it does not require immediate intervention.
E. Urine color: Dark, reddish-brown urine suggests possible bleeding or rhabdomyolysis, both of which require immediate follow-up to prevent further complications and assess kidney function.
F. Pedal pulses: The change to 1+ pedal pulses bilaterally and the delayed capillary refill time (6 seconds) indicate reduced perfusion to the lower extremities, which may suggest compromised circulation or increased edema affecting blood flow.
Correct Answer is A
Explanation
A. The location of burns on the face, neck, and upper extremities is critical as it can compromise the airway, making it a priority.
B. Age is important for overall risk assessment, but airway compromise takes precedence.
C. The cause of the burn (e.g., chemical, electrical) impacts treatment but is secondary to addressing airway risks in this scenario.
D. Associated medical history provides context but does not supersede the immediate concerns related to the burn location and airway.
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