The nurse is providing care for a group of clients on a medical-surgical unit. Which client does the nurse anticipate as being at greatest risk for a serious fungal infection?
1. 35-year-old client with a urinary tract infection
2. 76-year-old client with hypertension
3. 12-year-old client with a renal transplant
4. 18-year-old client with asthma
3
Rationale 1: A client with a urinary tract infection does not have a serious risk of a fungal infection.
Rationale 2:Hypertension medications do not affect the immune response of the client.
Rationale 3: Those with suppressed immune systems, such as patients infected with HIV or those receiving immunosuppressant therapy following a transplant, can acquire frequent fungal infections, some of which could require intensive drug therapy.
Rationale 4:A client with asthma may be taking glucocorticoids that may suppress the immune response. The client with a renal transplant has a higher risk of systemic fungal infections.
Global Rationale: Those with suppressed immune systems, such as patients infected with HIV or those receiving immunosuppressant therapy following a transplant, can acquire frequent fungal infections, some of which could require intensive drug therapy. While the other clients may be at risk, this client poses the highest risk.
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