Winninggham's Critical thinking Cases In Nursing 5th edition
K.D. is a 36-year-old bisexual professional man who has been human immunodeficiency virus (HIV) infected
for 6 years. He had been on antiretroviral therapy (ART) with Combivir (zidovudine and lamivudine) and
nelfinavir (Viracept). He self-discontinued his medications 6 months ago because of depression. The
appearance of purplish spots on his neck and arms persuaded him to make an appointment with his physician.
When he arrived at the physician's office, the nurse performed a brief assessment. His vital signs
(VS) were 138/86, 100, 30, 100.8 ° F (38.2 ° C). K.D. stated that he had been feeling fatigued for several
months and was experiencing occasional night sweats, but he also had been working long hours, skipped
meals, and had been particularly stressed over a project at work. The remainder of K.D.'s physical examination
was within normal limits. The doctor ordered a chest x-ray, CBC, lymphocyte studies, including CD4
T-cell count, ultra sensitive viral load, cytomegalovirus assay, and a tuberculin test.
Over the next week, K.D. developed a nonproductive cough and increasing shortness of breath
(SOB). Last night, he developed a fever of 102 ° F and was acutely short of breath, so his roommate, J.F.,
brought him to the emergency department. He was admitted with probable Pneumocystis jiroveci pneumonia
(PJP), which was confirmed with bronchoalveolar lavage examination under light microscopy.
K.D.'s admission WBC and lymphocyte studies demonstrate an increased pattern of immunodeficiency
compared with earlier studies. K.D. is admitted to your medical unit and placed on nasal oxygen, IV fluids,
and IV trimethoprim-sulfamethoxazole (Bactrim).
1)Describe the assesment you need to perform to determine if this problems are present ?
2) What interventions can you use to assist K.D in managing depression
3) What other healthcaere team members may you involve in K.D's discharge planning?
4) Recognizing that KD has multiple poshospital needs you may begin discharge planning what type of assessment do you need to complete as part of KD discharge planning ?
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Winninggham's Critical thinking Cases In Nursing 5th edition K.D. is a 36-year-old bisexual professional man who...
Read the following scenario: K.D. is a 56-year-old professional man who has been human immunodeficiency virus (HIV) infected for 6 years. He had been on antiretroviral therapy (ART) with Combivir (zidovudine and lamivudine) and nelfinavir (Viracept). He stopped taking his medications 6 months ago because of depression. The appearance of purplish spots on his neck and arms persuaded him to make an appointment with his physician. At the physician's office, K.D. stated he had been feeling fatigued for several months...
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Document two nursing diagnoses for this patient. Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an...
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Patient Profile F.T. is a 70-year-old African American man who comes to the emergency department (ED) complaining of increased shortness of breath. He states that he started using his albuterol inhaler every 4 hours a few days ago, but it does not seem to be helping. He has been having trouble sleeping or doing any activity because of his shortness of breath. SUBJECTIVE Data: PMH: COPD, hypertension, and benign prostatic hyperplasia. No history of allergies. Medications: metoprolol (Lopressor) 50 mg/day...
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