A nurse in a community health clinic is caring for a client who has a history of HIV Exhibits For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process.
Explanation & Rationale
Chest x-ray: The bilateral infiltrates seen in the chest x-ray are typically associated with infections that occur in late-stage HIV (AIDS), such as pneumonia or other opportunistic infections. Weight changes: Weight loss is common in both stages, but severe, unexplained weight loss (like 20 lb in 6 months) with anorexia and chronic diarrhea is characteristic of Stage III (AIDS). Skin condition: Rash and dry skin can be early indicators of HIV infection which persist or worsen in Stage III due to an immunocompromised state and the body's inability to fight off infections and dermatological conditions. Latest CD4 cell count: A CD4 count of 200 is the threshold for diagnosing HIV as Stage III (AIDS). With a CD4 count of 90, the client is clearly in Stage III, as this indicates advanced immune system dysfunction.