The client has been diagnosed with AIDS and is managing this condition with medications. The client currently suffers from pneumocystis carinii pneumonia. Which of the following nursing diagnoses may be applied to this client? (Select all that apply

Question

) 1. Impaired gas exchange
2. Altered urinary elimination
3. Nutrition: altered, more than body requirements
4. Diarrhea
5. Fluid volume excess

Answer 1

1, 4

Rationale: This client has pneumocystis carinii pneumonia and may have an impaired gas exchange. There is nothing to suggest that the client is experiencing altered urinary elimination. Due to the medications used to treat and manage HIV/ AIDS, they are often nauseated and are less likely to eat adequate amounts of kilocalories and nutrients. Clients with HIV can develop encephalopathy, enteropathy, myalgia, and wasting syndrome. The client with HIV and AIDS may be confused and weak. They may have chronic diarrhea. Their metabolism may be increased which can increase their risk of malnutrition. There is nothing to suggest that the client has fluid volume excess. This client is more likely experiencing fluid volume deficit due to the chronic diarrhea and potential nausea.