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.
Explanation & Rationale
• 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.