Human Immunodeficiency Virus InfectionPatient ProfileEfavirenz (Sustiva) 600 mg PO daily at bedtime 

Human Immunodeficiency Virus InfectionPatient ProfileEfavirenz (Sustiva) 600 mg PO daily at bedtime  A.D. is a 37-year-old man who has been positive for human immunodeficiency virus (HIV) for 6 years. He went to the outpatient clinic today, stating that he has a cough that will not go away and increasing shortness of breath. He is being admitted as an inpatient on the medical unit of the hospital. He is taking:Tenofovir DF and emtricitabine (Truvada) 1 tablet PO daily at bedtimeSubjective DataHas had increasing fatigue and shortness of breath over the past weekStates, “I can’t even walk to the bathroom without stopping to catch my breath”Has had a nonproductive cough for two weeks and pain with coughingHas lost 13 lb over the past 2 monthsStates he is taking his ART medications as prescribedHas had multiple sexual partners; is currently in a monogamous relationshipDenies tobacco useHas history of IV drug use but has not used any drugs since receiving HIV diagnosisDenies recent travel out of the country Objective DataPhysical ExaminationVital signs: blood pressure 115/70, pulse 112, temperature 102°F, respiration 20CachecticCrackles at bases of lungs, left side greater than rightHeart rate and rhythm regular, no murmursNonproductive coughPulse oximetry is 90% on room airOne anterior cervical lymph node on left side is palpableDiagnostic TestsCD4+ lymphocyte count 76 cells/µLChest x-ray shows probable pneumonia in left lower lobe Discussion QuestionsWhat is the likely medical diagnosis for A.D.? What assessment data leads you to this conclusion?  What are the priority nursing diagnoses for A.D. currently?  What are the priority nursing interventions in A.D.’s plan of care?  Is A.D. now considered to have AIDS? A.D. has been HIV positive for 6 years, yet he has not developed AIDS. What factors might have delayed A.D.’s transitioning to AIDS?  A.D is continuing therapy with trimethoprim-sulfamethoxazole (TMP-SMX) after discharge. Why?   What areas should you address in A.D.’s discharge teaching? Health Science Science Nursing RNSG 1361 Share QuestionEmailCopy link Comments (0)

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