A nurse is caring for an adult client in the clinic. Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing _____ and _____ .

Sepsis The client’s CD4 count dropped drastically (from 650 to 150 cells/mm³), indicating severe immunosuppression. They already have opportunistic pneumonia caused by Pneumocystis jirovecii, which places them at high risk for systemic infection spreading into the bloodstream. Vital signs show fever, tachycardia, and tachypnea, which are early indicators of systemic inflammatory response that can progress to sepsis. Malnutrition The client has experienced significant weight loss (15 lb in 3 months). Reports of diarrhea, anorexia, and difficulty eating due to oral ulcers further compromise nutritional intake. Chronic alcohol use, smoking, and HIV infection exacerbate poor nutritional status and increase risk for malnutrition. Why not the other options? Tuberculosis: While HIV increases TB risk, the diagnostic findings here specifically confirm Pneumocystis jirovecii pneumonia, not TB. Hemorrhage: Platelet count is within normal limits (155,000/mm³), so there is no immediate risk for bleeding disorders.