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.
Explain the nursing management needed for Mr. Dean. (Be detailed
Answer :
Nursing management for Mr. Dean :
He is having AIDS And pneumocystic pneumonia.
* He is having chest pain and non productive cough and short ness of breath, so provide Fowlers position or sitting or semifowlers position.
* Administer humidified oxygen 2 lit per minute, through nasal cannula to reduce short ness of breath.
* provide nebulization to clear the air way from congestion.
* provide rest to reduce exertion.
* he is having immune deficiency disorder, so having chance to more risk for infections so education regarding hygienic techniques and good nutritious diet.
* he is having temperature that is 101 degree foreign heat, so he needs cold compress to reduce body temperature.
* provide quite and calm environment.
* provide blankets, and wormpth ness to the patient and to reduce chills.
* Administer antipyretics and analgesics to reduce fever and body pains, that is tab paracetamol 500 mg per oral tid.
* education to avoid multiple sexual partners.
* maintain to protective sex with single partner.
* education regarding regular usage of drugs.
* monitor for side effects of drugs which are using by clients.
* Provide emotional and psychological support to reduce suicidal tendency.
Joe Dean, a 38-year-old male client, is admitted to the medical–surgical unit with newly diagnosed acquired...
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