PM
WEEK 3 BSN266 CASE STUDY HUMAN IMMUNODEFICIENCY VIRUS EXAM QUESTIONS AND
ANSWERS VERIFIED LATEST RELEASE 2025
A.D.'s medical diagnosis is likely PCP (Pneumocystis jiroveci). The elevated
temperature, respiratory rate, crackles in the lungs, nonproductive cough, and
lower than normal oxygen saturation along with his history of HIV leads one to
suspect PCP.
What is the likely medical diagnosis
for A.D.? What assessment data leads you
Should an opportunistic disease occur; nursing care is an essential part of helping
to this conclusion?
the patient adhere to medications and providing supportive care specific to
the opportunistic disease. For example, if the patient has Pneumocystis jiroveci
pneumonia (PCP) (Fig. 14.8), nursing interventions can ensure adequate
oxygenation.
The priority nursing diagnoses for A.D. are Impaired gas exchange, Pain,
Imbalanced nutrition: less than body requirements, Activity intolerance, and Risk
What are the priority nursing diagnoses for infection.
for A.D. currently?
Nursing diagnoses for the patient with HIV disease may include Risk for infection,
Knowledge deficit, Difficulty coping, and Impaired nutritional status.
Nursing care would include frequent respiratory assessments, including lung
sounds, respiratory rate, pulse oximetry, and sputum evaluation; chest
physiotherapy; and the administration of oxygen, IV fluids, and IV antibiotics.
What are the priority nursing interventions
Should an opportunistic disease occur; nursing care is an essential part of helping
in A.D.'s plan of care?
the patient adhere to medications and providing supportive care specific to
the opportunistic disease. For example, if the patient has Pneumocystis jiroveci
pneumonia (PCP) (Fig. 14.8), nursing interventions can ensure adequate
oxygenation.
AIDS is considered present when the CD4+ lymphocyte count drops below 200
cells/µL and is accompanied by the development of an opportunistic
infection. A.D.'s CD4+ lymphocyte count is 76 cells/µL, and he has
developed PCP (an opportunistic infection). Based on these findings, A.D. is
considered to have AIDS.
Is A.D. now considered to have AIDS?
Two laboratory tests are used for monitoring HIV progression: CD4 cell count and
viral load. The CD4 cell count provides a marker of immune function. As the
disease progresses, the number of CD4 cells usually decreases. The goal of
treatment is to suppress the viral load to the lowest level possible, which is below
the level of detection on a commercial assay.
A.D.'s transition to AIDS may be delayed by adhering to his medication regimen
and promoting a healthy immune system through proper nutritional support;
moderation or elimination of alcohol, tobacco, and drug use; keeping up to date
with recommended vaccines; getting adequate rest and exercise; reducing
stress; and avoiding exposure to new infectious agents.
The time between initial HIV infection and a diagnosis of AIDS is about 10 years
A.D. has been HIV positive for 6 years,
in untreated infection. Promoting a healthy immune system, whether the patient
yet he has not developed AIDS. What
chooses to take ART or not, may delay the progression of HIV disease. Useful
factors might have delayed A.D.'s
interventions for HIV-infected patients include (1) getting nutritional support to
transitioning to AIDS?
maintain lean body mass and ensure appropriate levels of vitamins and
micronutrients (2) moderating or eliminating alcohol, tobacco, and drug use (3)
keeping up to date with recommended vaccines (4) getting adequate rest and
exercise (5) reducing stress (6) avoiding exposure to new infectious agents (7)
accessing counseling (8) getting involved in support groups and community
activities (9) developing a consistent relationship with HCPs, including attending
regular appointments.
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