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In: Nursing

Joe Dean a 38-year-old male client is admitted to the medical surgical unit with newly diagnosed...

Joe Dean a 38-year-old male client is admitted to the medical surgical unit with newly diagnosed acquired immune deficiency syndrome and capacity sarcoma he states that he shares needles with other IV drug users he has had unprotected sexual intercourse with several partners the client has a non-productive cough chill shortness of breath with exertion and at times chest pain the vital signs temperature 101 BP 110 over 70 heart rate 100 beats per minute respirations 28 breaths a minute the client refuses to enter a drug rehabilitation program how do you believe the client contracted HIV if the client has been diagnosed with AIDS what would his CD for sale count be what is capacity sarcoma why is this an important part of the client's diagnosis of AIDS what education would you provide to this client

Solutions

Expert Solution

Acquired immunodeficiency syndrome is a chronic, life threatening condition caused by Human immunodeficiency virus (HIV).

  • CD4 cells are white blood cells that fight infection. CD4 cell count is an indicator of immune function in patients living with HIV.The normal CD4 count for a healthy man is 500 to 1600 cells/mm3. The CD4 count less than 200 cells/mm3 is indicative for the diagnosis of AIDS.
  • Kaposi's sarcoma is one of the most common cancers in people living with HIV. AIDS is caused by the virus HIV. This virus have the highest risk of kaposi's sarcoma due to the damage of immune system.
  • The health education for the patient includes
    • Counsel the patient about the course of the HIV illness and therapeutic options.
    • Encourage the patient to disclose HIV status to sex partners and needle sharing partners
    • Emphasize to HIV positive woman that children should be tested for HIV.
    • Encourage Follow up visits every 3 months with laboratory assessment of CD4, CBC with differential count.
    • Teach the patient to recognize and report important symptoms like temperature elevation.
    • Teach regarding the sound dietary practices, exercise and regular sleep.

The HIV interferes with the body's ability to fight against infection and disease. It damages the immune system.


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