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 developing
___
and
_

Answer and Explanation

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

Malnutrition: The client presents with weight loss, anorexia, and difficulty eating due to oral ulcers, all of which increase the risk of malnutrition.

Hemorrhage: There is no indication of active bleeding or conditions predisposing the client to hemorrhage.

Tuberculosis: Clients with HIV are at increased risk for opportunistic infections, including tuberculosis, especially with symptoms of cough and weight loss.

Sepsis: Although immunosuppressed clients are at risk for infections, there is no current evidence of systemic infection requiring immediate sepsis evaluation.

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Correct Answer is B

Explanation

Histamine release: Histamine release is characteristic of Type I hypersensitivity reactions (immediate hypersensitivity) rather than Type IV.

T-lymphocyte memory cells: Type IV hypersensitivity is a delayed response mediated by T-lymphocytes, not antibodies.

Immunosuppression: Immunosuppression is not directly related to hypersensitivity reactions.

Antigen/antibody interaction: This is characteristic of Types I, II, and III hypersensitivity reactions, not Type IV.

A. Obtain the client's vital signs. B. Notify the charge nurse. C. Stop the transfusion. D. Administer prescribed diphenhydramine.

Correct Answer is C

Explanation

A. Obtain the client's vital signs: Although vital signs are essential, stopping the transfusion is the first priority to prevent further reaction.
B. Notify the charge nurse: Communication is important but not the immediate action.
C. Stop the transfusion: The first action is to stop the infusion to halt exposure to the potential allergen.
D. Administer prescribed diphenhydramine: Medication administration is secondary to stopping the transfusion.

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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 developing _______ and _____

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that Type IV Hypersensitivity Reaction involves which of the following?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is receiving packed red blood cells. During the infusion, the client states, 'My heart is racing. The nurse notes that the client's face has become flushed. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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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 developing
___
and
_