Reference no: EM133949490

Question

Joe Dean, a 38-year-old male client, is admitted to the medical-surgical unit with newly diagnosed acquired immunodeficiency syndrome (AIDS) and pneumocystic pneumonia (PCP). He states that he shares needles with other IV drug users. He has had unprotected sexual intercourse with several partners. The client has a nonproductive cough, chills, shortness of breath with exertion, and, at times, chest pain. The vital signs: T, 101°F; BP, 110/70 mm Hg; HR,100 beats/minute; RR, 28 breaths/minute. The prescriber started the client on Atripla once daily dosing. The medication is a combination drug containing efavirenz, a non-nucleoside reverse transcriptase inhibitor (NNRTI); emtricitabine, a nucleoside reverse transcriptase inhibitor (NRTI); and tenofovir disoproxil fumarate, a NRTI. The client is also taking Bactrim DS (trimethoprim-sulfamethoxazole) for the PCP. The client refuses to enter a drug rehabilitation program. The client asks the LPN/LVN about a needle exchange program, so he can help protect the other IV drug abusers. (Learning Objective 13)

1. Explain the nursing management needed for Mr. Dean.

2. What client teaching should the nurse provide?