Final answer:
A woman with an HIV infection may experience vaginal itching and discharge due to the increased risk of sexually transmitted infections, but also systemic symptoms like fever, fatigue, and night sweats, which are common in the acute phase of HIV and later stages such as AIDS. While dysuria and urinary frequency could be present, they are not specifically indicative of HIV. Breast tenderness is not associated with HIV. D) Fever, fatigue, and night sweats
Step-by-step explanation:
Symptoms of HIV in Women
A client infected with HIV may present with a variety of symptoms, which in women can include both gynecological and general systemic issues. The symptoms can span across different stages of HIV, from acute infection to the development of AIDS. Among the symptoms you've mentioned, vaginal itching and discharge is often associated with HIV infection in women and can be a focus of a medical complaint. This is because HIV can increase the risk of various other sexually transmitted infections that cause such symptoms.
However, it's important to note that option D, fever, fatigue, and night sweats, is also symptomatic of HIV infection, as well as many of the other symptoms listed such as weight loss and malaise, which are more generalized and can occur regardless of gender. These flu-like symptoms are especially common during the acute stage of HIV infection. As the disease progresses to AIDS, symptoms become more severe, including opportunistic infections and rare cancers.
Symptoms such as dysuria and urinary frequency (option A), while related to urogenital infections, are not specifically indicative of HIV by themselves but could be present due to HIV-related complications such as a concurrent urinary tract infection. Breast tenderness and engorgement (option B) are not typically associated with HIV infection.
It's essential for a client presenting such symptoms to undergo a thorough medical evaluation to rule out other causes and to confirm HIV infection, as these symptoms can overlap with many other conditions.