Reference no: EM133953992

Case Study 1: Human Immunodeficiency Virus (HIV) Patient Profile Mr. 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 had a cough that won't go away and increasing shortness of breath. He is being admitted as an inpatient to the nurse's clinical unit. Subjective Data Has had increasing fatigue and shortness of breath over the past week. Has had a nonproductive cough for 2 weeks. Has lost 13 pounds over the past two months. Objective Data Physical 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. Psychosocial Data Has had multiple sexual partners; was in monogamous relationship until partner passed from complications from acquired immunodeficiency syndrome (AIDS). Denies tobacco use. Has history of intravenous drug abuse but has not used any drugs since receiving HIV diagnosis. Denies recent travel out of the country.

Case Study

1. Evaluate what would be the likely the medical diagnosis for Mr. D.

2. Analyze what assessment data would lead the nurse to this diagnosis.

3. Detail collaborative and independent treatments the nurse anticipate for Mr. D.

4. Describe three priority nursing diagnoses for Mr. D.

5. Analyze the data and determine if Mr. D. is now considered to have AIDS.