A woman is married to an intravenous drug user. She had a negative HIV screening test just after missing her first menstrual period. Which of the following would indicate that the client needs to be retested for HIV?
1. A hemoglobin of 11 g/dL and a rapid weight gain
2. Elevated blood pressure and ankle edema
3. Shortness of breath and frequent urination
4. Unusual fatigue and recurring candida vaginitis
4
Rationale:
1. The client would be anemic and anorexic.
2. The client would have a decrease in blood pressure and no ankle edema.
3. Shortness of breath and frequent urination are not signs of a need to retest for HIV.
4. The client who is HIV-positive would have a suppressed immune system, and would experience symptoms of fatigue and an opportunistic infection, such as candida vaginitis.
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