The home health nurse is planning the day. Which of the following clients should the nurse see first?
1. A client with wasting syndrome who has end-stage AIDS who needs modifications and education regarding dietary changes
2. A client with a long history of AIDS who is receiving IV antibiotics daily for toxoplasmosis
3. A client with Pneumocystis carinii pneumonia (PCP) who called the office to report a new onset of fever, cough, and SOB this a.m.
4. A client with AIDS who is receiving lamivudine (Epivir ) because of a diagnosis of a low CD4 cell count.
3. A client with Pneumocystis carinii pneumonia (PCP ) who called the office to report a new onset of fever, cough, and SOB this a.m.
Rationale:
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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