A clinic nurse is caring for a client admitted with acquired immunodeficiency syndrome (AIDS). The nurse has assessed that the client is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of which complication?

Correct Answer: A

Rationale: The correct answer is A: Human immunodeficiency virus (HIV) encephalopathy. This condition, also known as HIV-associated neurocognitive disorder (HAND), is a common neurological complication of AIDS. It is caused by direct infection of the central nervous system by the HIV virus, leading to cognitive, behavioral, and motor impairments. Other choices are incorrect because B-cell lymphoma typically presents with lymphadenopathy, Kaposi sarcoma with skin lesions, and wasting syndrome with severe weight loss and muscle wasting.

Correct Answer: B

Rationale: The correct answer is B: Impaired skin integrity related to Kaposi sarcoma. Kaposi sarcoma is a type of cancer that affects the skin and mucous membranes. It can cause skin lesions that may lead to impaired skin integrity. The nurse should prioritize this nursing diagnosis to prevent infection and promote healing. Choice A is incorrect as disuse syndrome is not directly related to Kaposi sarcoma. Choice C is incorrect as diarrhea is not a common manifestation of Kaposi sarcoma. Choice D is incorrect as impaired swallowing is not typically associated with Kaposi sarcoma.

Correct Answer: A

Rationale: Rationale: 1. Eggs are high in iron, essential for treating microcytic hypochromic anemia. 2. Iron is crucial for red blood cell production to improve anemia. 3. Eggs also provide protein and other nutrients needed for overall health. Summary: B, C, D are incorrect as they do not provide significant iron content required for treating microcytic hypochromic anemia. Lettuce, citrus fruits, and cheese may have other health benefits but are not specifically helpful for this type of anemia.

Correct Answer: C

Rationale: The correct answer is C. A significant blood pressure change from $130 / 90 \mathrm{~mm} \mathrm{Hg}$ to $148 / 98 \mathrm{~mm} \mathrm{Hg}$ indicates a potential hypertensive crisis which could be a serious adverse effect of epoetin alfa. Holding the dose and notifying the healthcare provider is crucial to prevent further complications. A: A hematocrit of $28 \%$ is low but expected in bone marrow suppression and is not an immediate concern. B: A total white blood cell count of 6200 cells $/ \mathrm{mm} 3$ is within normal range and not a reason to hold the dose. D: A temperature change from $99^{\circ} \mathrm{F}$ to $100 \mathrm{~F}$ is a mild elevation and not directly related to epoetin alfa administration.

Correct Answer: A

Rationale: The correct answer is A: Measuring hemoglobin or hematocrit levels in a blood sample. This is the most common way to confirm a diagnosis of anemia because anemia is characterized by a decrease in red blood cells or hemoglobin levels. By measuring these levels in a blood sample, healthcare professionals can determine if a patient's red blood cell count is below the normal range, indicating anemia. Choice B is incorrect because a cardiac stress test measures the heart's ability to respond to external stressors, not related to diagnosing anemia. Choice C is incorrect because measuring the number of red blood cells in a bone marrow sample is not the most common method for confirming anemia. Choice D is incorrect because visually examining the color of a blood sample is not a reliable or accurate method for diagnosing anemia.