A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply.

Choice A reason: Lymph nodes are important components of the immune system and play a crucial role in filtering harmful substances and housing lymphocytes. While HIV/AIDS can affect lymph nodes, it is not the primary target of the virus.
Choice B reason: The spleen is another vital organ in the immune system that helps filter blood and fight infections. However, it is not the specific target of HIV.
Choice C reason: T cells, specifically CD4+ T cells, are the main target of HIV (the virus that causes AIDS). HIV infects and destroys these cells, leading to a weakened immune system. The progressive loss of CD4+ T cells impairs the body's ability to fight off infections and certain cancers, which is characteristic of AIDS.
Choice D reason: B cells are responsible for producing antibodies and play a key role in the humoral immune response. While HIV/AIDS can indirectly impact B cell function due to the overall compromised immune system, B cells are not the primary cells affected by the virus.

Choice A reason: Asking the client about any changes in vision can provide valuable information regarding the client's subjective experience and any potential progression of cataracts. However, given the observation of milky white pupils, which may indicate a more serious issue such as advanced cataracts or another underlying condition, it is crucial to take immediate and appropriate action. While gathering subjective data is important, notifying the charge nurse ensures that the finding is promptly addressed by the healthcare team.
Choice B reason: Notifying the charge nurse of the finding is the most appropriate action in this scenario. The observation of milky white pupils in a client with cataracts could indicate significant changes or complications that require further evaluation and potential intervention. By promptly reporting this finding to the charge nurse, the practical nurse ensures that the client receives timely and appropriate care, including potential diagnostic tests and consultations with specialists if necessary.
Choice C reason: Assisting the client to a semi-Fowler's position can be beneficial for comfort and to facilitate breathing, especially in bedfast clients. However, this action does not directly address the observation of milky white pupils. The immediate priority is to notify the charge nurse to ensure that the finding is properly evaluated and managed. Positioning the client can be done as part of routine care, but it is not the most urgent response to the observed change.
Choice D reason: Assessing the client using the Glasgow Coma Scale (GCS) is appropriate for evaluating the level of consciousness and neurological status. However, in this context, the observation of milky white pupils is more likely related to an ocular condition rather than a neurological issue. While it is always important to monitor the client's overall status, the immediate priority is to report the finding to the charge nurse for appropriate ocular assessment and management.