A nurse is caring for a client who has HIV.
Select words from the choices below to fill in each blank in the following sentence.
The client is at risk for developingdropdown and dropdown.
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
• Malnutrition: The client has experienced significant weight loss (6.8 kg/15 lb), reports anorexia, diarrhea, and difficulty eating due to oral ulcers. These factors increase the risk for malnutrition, which can further compromise immune function. In clients with HIV, inadequate nutrient intake exacerbates immunosuppression and delays recovery from infections.
• Tuberculosis: The client has a CD4 count of 220 cells/mm³, indicating advanced immunosuppression. HIV-positive individuals with low CD4 counts are at increased risk for opportunistic infections, including tuberculosis (TB). Flu-like symptoms, persistent cough, and lymphadenopathy further suggest vulnerability to TB.
• Sepsis: Although the client has an elevated WBC count, there are no signs of systemic infection such as hypotension, tachycardia, or altered mental status. Sepsis is a potential risk but not immediately indicated by the current presentation. Monitoring for infection remains important, but malnutrition and TB represent more immediate risks.
• Hemorrhage: Platelet count, hemoglobin, and hematocrit are within normal limits. There is no evidence of bleeding or coagulation disorders. Hemorrhage is not a current risk factor in this client. Focus should remain on immunosuppression and nutritional deficits rather than bleeding complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1","780"]
Explanation
Calculation:
- Identify and convert all intake to mL
0.9% sodium chloride IV solution = 1,000 mL
Coffee (8 oz) = 8 × 30 = 240 mL
Water (6 oz) = 6 × 30 = 180 mL
Soup = 180 mL
Flavored gelatin (3 oz) = 3 × 30 = 90 mL
Ice cream (3 oz) = 3 × 30 = 90 mL
- Add all volumes together
Total Intake = 1,000 + 240 + 180 + 180 + 90 + 90
= 1,780 mL
Correct Answer is A
Explanation
A. Encourage the client to drink 3 L of fluids per day: High fluid intake is a cornerstone of urolithiasis management because it increases urine volume and helps dilute minerals that form stones. Adequate hydration promotes stone passage and reduces the risk of stone enlargement or recurrence.
B. Provide the client a high protein diet: High-protein diets increase calcium and uric acid excretion while lowering urinary citrate, all of which promote stone formation. Clients with urolithiasis are usually advised to moderate protein intake rather than increase it.
C. Tell the client to expect a decrease in urine output: Decreased urine output increases urinary concentration, which can worsen stone formation and obstruction. The goal of care is to increase urine output, not reduce it.
D. Maintain the client on bed rest: Bed rest does not aid in stone passage and may actually slow mobility-related benefits such as gravitational movement of stones. Ambulation is generally encouraged unless contraindicated.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.