A client with acquired immune deficiency syndrome is in the ...

[dollx]

A client with acquired immune deficiency syndrome is in the hospital with severe diarrhea. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Assessing the client's fluid and electrolyte status
  b. Assisting the client to get out of bed to prevent falls
  c. Obtaining a bedside commode if the client is weak
  d. Providing gentle perianal cleansing after stools
  e. Reporting any perianal abnormalities

Question 2

A client with acquired immune deficiency syndrome (AIDS) is hospitalized with Pneumocystis jiroveci pneumonia and is started on the drug of choice for this infection. What laboratory values should the nurse report to the provider as a priority?
 
  (Select all that apply.)
  a.
  Aspartate transaminase, alanine transaminase: elevated
  b.
  CD4+ cell count: 180/mm3
  c.
  Creatinine: 1.0 mg/dL
  d.
  Platelet count: 80,000/mm3
  e.
  Serum sodium: 120 mEq/L

[ynlevi]

Answer to Question 1

ANS: B, C, D, E
The UAP can assist the client with getting out of bed, obtain a bedside commode for the client's use, cleanse the client's perianal area after bowel movements, and report any abnormal observations such as redness or open areas. The nurse assesses fluid and electrolyte status.

Answer to Question 2

ANS: A, D, E
The drug of choice to treat Pneumocystis jiroveci pneumonia is trimethoprim with sulfamethoxazole (Septra). Side effects of this drug include hepatitis, hyponatremia, and thrombocytopenia. The elevated liver enzymes, low platelet count, and low sodium should all be reported. The CD4+ cell count is within the expected range for a client with an AIDS-defining infection. The creatinine level is normal.