A 64-year-old HIV+ client is admitted to your unit with severe headache, nuchal rigidity and a fever of 103F. He is confused and forgetful when you try to get a history of present illness. His CD4 count is 105 and viral load is 325,000. The admitting prescriptions are: STAT blood cultures x2 Acetaminophen 500 mg orally or rectally prn fever> 101 or pain CBC with differential BMP Lumbar puncture and culture The blood cultures are negative but the lumbar puncture is positive for Cryptococcus neoforms meningitis, and amphotericin B intravenous is ordered. 1. Discuss the nursing responsibilities and implications when giving amphotericin B. When the health care team is doing rounds, the client hears them say he has AIDS. He says, “I don’t have AIDS, I have HIV!” 2. How will you respond to this comment? 3. What teaching is important for the client on antiretroviral medications? Discuss the actions, timing, side effects and dietary considerations. What other nursing implications would you consider?
[Answered]: A 64-year-old HIV+ client is admitted to your…
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