A. Identify the likely disease process responsible for the patient manifestation

Question

A. Identify the likely disease process responsible for the patient manifestations, identify the abnormal cellular/tissue/organ changes and explain how they led to the abnormal manifestations.

B. Provide 3 prioritized NANDA nursing diagnosis's for this patient, with the rationals for the prioritization, develop the nursing care plan for the patients' #1 diagnosis including strategies and scientific rationales, state the outcomes in measurable terms and meaningful time frames.

Diagnostic Test Results Complete blood count: WBC = 9,000/mm3 (normal 3,500-10,500/mnn3) with 90% polymorphonuclear neutrophils (PMNs) (normal 40-80%); hematocrit-37% (normal 35- 45%), platelets= 190,000/mm3 (normal 150,000-450,000/mm?) . Fall . Serum chemistry panel: Results within norm al ranges. HIV ELISA: positive. . Chest x-ray: Positive for right lower lobe infiltrate. . Cultures: Sputum positive for num erous PMNs and Streptococcus pneumoniae. Blood cultures negative. Smears: Oral and vaginal smear KOH (potassium hydroxide) test positive for yeast. PAP smear reveals normal cervical cells. .

Explanation / Answer

As the case study shows HIV positive and the sputum shows numerous Streptococcus pneumonia ,the patient has Pneumonia . It occurs commonly in HIV infected patients. Pneumonia remains an important cause of mortality and morbidity rate in HIV infected patients.Cigarette smoking increases the risk of lung colonisation,as well as acute pneumonia due to Pneumocystis jiroveci ,has been seen mostly in hiv infected patients to produce significant depression of phagocytise function of alveolar macrophages. Lower respiratory tract is affected more with a pulmonary lung infection. Due to HIV immune system is affected particularly CD4 count cells with low counts are at a greater risk.

Nursing diagnosis for HIV positive patient and pneumonia:

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