A home health nurse is conducting home visits for several clients who are diagnosed with acquired immunodeficiency syndrome (AIDS). Which client would the nurse see first?
A) A client who is receiving lamivudine (Epivir) because of a diagnosis of a low CD4 cell count
B) A client with Pneumocystis carinii pneumonia (PCP) who called the office this morning to report a new onset of fever, cough, and shortness of breath
C) A client with wasting syndrome who needs modifications and education regarding dietary changes
D) A client who is receiving IV antibiotics daily for toxoplasmosis
Answer: B
The home health nurse should see the client with PCP because of the complaint of shortness of breath with the new onset of fever. All of the clients need to be seen by the nurse, but based on the ABCs (airway, breathing, and circulation), the nurse should visit this client first to obtain vital signs and perform a respiratory assessment.
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