Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
CASE STUDY - HIV Infection
Patient ProfileA.D. is a 37-year-old man who has been positive for human immunodeficiency virus (HIV) for six 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:• Efavirenz (Sustiva) 600 mg PO daily at bedtime• Tenofovir DF and emtricitabine (Truvada) 1 tablet PO daily at bedtime Subjective Data• Has had increasing fatigue and shortness of breath over the past week• States "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 coughing• Has lost 13 pounds over the past two months• States he is taking his ART medications as prescribed• Has had multiple sexual partners; is currently in a monogamous relationship• Denies tobacco use• Has history of IV drug abuse but has not used any drugs since receiving HIV diagnosis• Denies recent travel out of the country Objective DataPhysical Examination• Vital signs: blood pressure 115/70, pulse 112, temperature 102° F, respiration 20• Cachectic• Crackles at bases of lungs, left side greater than right• Heart rate and rhythm regular, no murmurs• Nonproductive cough• Pulse oximetry is 90% on room air• One anterior cervical lymph node on left side is palpable Diagnostic Tests• CD4+ lymphocyte count 76 cells/µL• Chest x-ray shows probable pneumonia in left lower lobe Discussion Questions1. What is the likely medical diagnosis for A.D.? What assessment data leads you to this conclusion?2. What are the priority nursing diagnoses for A.D. at this time?3. What are the priority nursing interventions in A.D.'s plan of care?4. Is A.D. now considered to have AIDS?5. 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?6. A.D is continuing on therapy with trimethoprim/sulfamethoxazole after discharge. Why?7. What areas should you address in A.D.'s discharge teaching?
When sharing risks with business partners or friends, is it best to have contracts that specify the details of risk ownership?
Which factors do you think are the most important and why? Which factors do you think are the most and least changeable?
Explain how terrorism and unconventional war influence political thinking and strategy.
Write a minimum essay that compares the professional learning community model with traditional school model.
Child Life services as well as looking at his discharge needs. Describe the role and impact of family-centered care in the planning of Zachary's services
Compare the attitude toward the Native Americans revealed by at least three of the following authors
Explain whether or not the assessment is strengths-based. Identify other professionals in healthcare who may have input into the assessment.
Think about what you have learned in the development of your research findings on the global societal issue you chose in the Week 1 discussion forum.
Explain how these scientific laws apply to energy use, energy conversions, and the need for energy efficiency. Describe pros and cons of the following energy types, writing 1 paragraph for each: Fossil fuel: Oil, natural gas, and coal.
find an article that you believe is evidence of either the individualistic and/or traditionalistic political culture. Discuss the article in your post and explain why you believe it exemplifies one or both of these subcultures.
Why would controlling the access of where people can go in the courthouse be important to overall safety and security?
history where fewer and fewer people listened to so-called "classical music," preferring popular styles instead. Do you think composers shot themselves in foot?
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd