Which statement by a patient diagnosed with AIDS should lead a nurse to suspect an infection by CMV?

A. "I need to get glasses; I can't see as well as I did a few months ago.": Cytomegalovirus (CMV) retinitis is a common opportunistic infection in AIDS patients that can lead to blindness. Any change in visual acuity must be investigated immediately. B. "I need to drink more water. This diarrhea has really dehydrated me." : This suggests a GI infection like Cryptosporidiosis, not typically the hallmark presentation of CMV (though CMV can affect the GI tract, vision changes are more classic for suspicion). C. "I need to take some pep pills. I don't have any energy ": This indicates fatigue, which is non-specific and found in almost all AIDS-related complications. D. "I need to get smaller clothes. I have lost 10 lb in the past 6 weeks..": This describes wasting syndrome, which is a general progression of the disease rather than a specific indicator of CMV.