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A nurse in a health clinic is caring for a client.

Select 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing

due to 

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

​​​​​​​Condition Choices

  • Dysrhythmias: Dysrhythmias are often linked to electrolyte imbalances, particularly potassium abnormalities, rather than WBC count changes. The client’s potassium level remains within normal limits, making dysrhythmias unlikely.
  • Infection: A decreasing WBC count below the normal range weakens the immune response, increasing susceptibility to infections. The client’s WBC count has declined from 4,500/mm³ to 4,100/mm³, placing them at higher risk for opportunistic infections, a major concern in HIV.
  • Renal failure: Renal failure is typically assessed through elevated BUN and creatinine levels, along with signs of fluid imbalance. The client’s BUN is slightly elevated but not significantly high, and there are no other indicators of renal failure.
  • Bleeding: Bleeding risk is associated with low platelet levels, which impair clotting ability. The client’s platelet count remains within normal limits, reducing the likelihood of bleeding complications.
  • Seizures: Seizures can result from severe electrolyte imbalances, neurological conditions, or uncontrolled infections. The client does not exhibit signs of neurological dysfunction, and electrolyte levels are stable, making seizures unlikely.

Finding Choices

  • WBC count: A declining WBC count below the normal range weakens the immune response, making the client more susceptible to infections. This is particularly concerning for individuals with HIV, as they are already at an increased risk for opportunistic infections.
  • Potassium level: Potassium levels are crucial for cardiac function and neuromuscular stability. The client’s potassium level remains within normal limits, making it an unlikely contributor to any immediate risk.
  • Platelets: Platelets play a key role in clot formation. The client’s platelet count is within the normal range, so they are not currently at increased risk for bleeding.
  • Sodium level: Sodium is essential for fluid balance and neurological function. The client’s sodium level remains within the normal range, meaning it is not contributing to any immediate concerns.
  • BUN level: Elevated BUN levels can indicate impaired kidney function, dehydration, or increased protein metabolism. The client’s BUN level has increased slightly but is still within the normal range, making renal failure unlikely at this time.


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Related Questions

Correct Answer is A

Explanation

A. Begin a weight-bearing exercise program: Activities like walking, dancing, and resistance training help maintain bone density by stimulating osteoblast activity. Regular weight-bearing exercise strengthens bones and reduces the risk of fractures.

B. Avoid practicing yoga: Yoga can actually be beneficial for individuals with osteoporosis by improving balance, flexibility, and posture. However, certain high-impact or extreme bending poses should be avoided.

C. Continue jogging 1 to 2 miles per day: High-impact activities such as jogging can increase the risk of fractures in individuals with osteoporosis. Lower-impact exercises like walking or strength training are safer alternatives.

D. Walk at least 60 min every day: While walking is a good low-impact exercise, excessive walking without resistance or strength training may not provide sufficient bone-strengthening benefits. A structured weight-bearing exercise program is more effective.

Correct Answer is D

Explanation

A. Remain at least 1 foot away from young children during treatment: Clients receiving radioactive isotope therapy should maintain a greater distance, typically at least 6 feet from children and pregnant individuals, to minimize radiation exposure.

B. Use cloth handkerchiefs instead of disposable tissues: Disposable tissues are recommended for nasal secretions because they can be discarded immediately, reducing contamination risk. Cloth handkerchiefs may retain radioactive particles, increasing exposure.

C. Use absorbent briefs for incontinence as needed: While managing incontinence is important, absorbent briefs may retain radioactive urine, increasing the risk of prolonged exposure. Frequent voiding and proper disposal of contaminated materials are preferred.

D. Flush the toilet with the lid closed three times after use: This helps minimize radiation exposure to others by ensuring radioactive waste is thoroughly diluted and flushed away, reducing contamination in the surrounding environment.

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