solved

Question
Answered
Asked by DukeFlower8865

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 week
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; currently in a monogamous relationship
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
What are the priority nursing diagnoses for Mr. D. at this time? Include a psychosocial component
SCIENCE
HEALTH SCIENCE
NURSING