A client is admitted to the emergency department after being ...

[BrownTown3]

A client is admitted to the emergency department after being found sick at home by the visiting nurse. The visiting nurse's assessment indicates the client was confused, tachycardic bradycardic, and febrile with a temperature of 102 degrees F.
 
  The most appropriate nursing diagnosis is: 1. Altered fluid status.
   2. Viral infection.
   3. Increased heart rate.
   4. Fever.

Question 2

The HIV client has developed lipodystrophy. What may lipodystrophy result in? Select all that apply.
 
  A) Weight change D) Social stigmatization
  B) Insulin resistance E) Lowered triglycerides
  C) Hypertriglyceridemi a

[cam1229]

Answer to Question 1

1
Rationale: The nursing diagnosis for this client was altered fluid status. Although a viral infection may be the cause of the symptoms she observed, it would be a medical diagnosis. Increased heart rate and fever are two signs of an altered fluid status.

Answer to Question 2

B, C, D
Feedback:
HIV lipodystrophy is a metabolic alteration characterized by changes in the distribution of body fat and metabolism. It may also cause insulin resistance, hypertriglyceridemi a, and excess fat in liver and skeletal muscles. The significant changes in body shape may lead to social stigmatization.