A client's current antiretroviral regimen includes enfuvirtide (T-20). What dietary counseling will the nurse provide based on the client's medication regimen?

Correct Answer: D

Rationale: The correct answer is D: Take this medication without regard to meals. Enfuvirtide is administered by injection and should be taken with or without food. It is not affected by food intake, so there is no specific dietary counseling needed. A: Avoiding high-fat meals is not necessary for enfuvirtide. B: There is no need to limit fluid intake for this medication. C: Limiting sodium intake is not specifically related to enfuvirtide therapy. In summary, the other choices are incorrect because enfuvirtide does not require any specific dietary restrictions or recommendations.

Correct Answer: A

Rationale: The correct answer is A: Bleeding tendencies. Aplastic anemia is characterized by decreased production of blood cells, leading to a low platelet count and increased risk of bleeding. Monitoring for changes in bleeding tendencies is crucial to assess the severity of the condition and intervene promptly if necessary. Choices B, C, and D are incorrect as they are not directly related to the pathophysiology of aplastic anemia. Tracking intake and output is important for renal function, peripheral sensation for neurological assessment, and bowel function for gastrointestinal health, but they are not primary concerns in managing aplastic anemia.

Correct Answer: A

Rationale: The correct answer is A: Easy bruising. Autoimmune hemolytic anemia is characterized by the destruction of red blood cells by the immune system, leading to symptoms such as fatigue, mild jaundice, and spleen enlargement. Easy bruising is not a typical symptom of autoimmune hemolytic anemia because it is primarily related to platelet disorders or clotting abnormalities, not red blood cell destruction. Therefore, easy bruising is not directly associated with this specific type of anemia.

Correct Answer: B

Rationale: Step-by-step rationale for why Choice B is correct: 1. Iron-deficiency anemia is due to low iron levels in the body. 2. Ferrous sulfate is a common iron supplement used to increase iron levels. 3. Non-enteric-coated form is preferred for better absorption. 4. Enteric-coated or sustained-release forms hinder absorption. Summary: A: Vitamin B12 is not used for iron-deficiency anemia. C: Enteric-coated or sustained-release forms hinder absorption. D: Whole blood transfusion is not the first-line treatment for iron-deficiency anemia.

Correct Answer: C

Rationale: The correct answer is C: Intestinal polyps. Intestinal polyps can cause long-term blood loss without noticeable symptoms because the blood loss is gradual and may not be enough to cause visible signs like anemia. Bleeding from the kidneys (A), heavy menstrual bleeding (B), and a ruptured blood vessel (D) are more likely to cause noticeable symptoms such as blood in urine, excessive menstrual bleeding, and sudden severe bleeding, respectively.