A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. The client's purified protein derivative (PPD) test, placed 3 days ago in the clinic, is neg-ative
Which action by the nurse is most appropriate? a. Place the client in Airborne Precautions.
b. Facilitate the client's chest x-ray.
c. Initiate a 3-day calorie count.
d. Start an IV of normal saline.
A
The client's symptoms are indicative of tuberculosis (TB). With AIDS, the client's CD4+ T-cell count is so low that the client cannot mount an immune response to the PPD; thus it appears neg-ative. The client needs to be placed in Airborne Precautions until other diagnostic tests rule out TB. The other interventions are appropriate, but they do not take priority over infection control principles.
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