GROUP II

Member: Alba, Retchin I.

Bantiles, Jan Lawrence C.
Ebajan, Catherine M.
Ochondra, Joy-Rena S.
Toleroso, Abegail R.
Question:
A 20-year-old female college student comes to the student health clinic stating she
had unprotected sex with a partner she suspects is HIV positive.
What further questions do you have for her?
First ask the client what is the purpose of her visit. Then when the client state about
her suspecting having with HIV positive w/o precaution, acknowledge the client “I’m
glad that was feel comfortable, telling me about your status”. For a 20-year-old
female and a college student most of them are afraid to seek medical attention about
HIV because of the discrimination for those who are HIV (+). Advice the client to
have HIV Test. If the client or need to have HIV Test educate first the client about
HIV and include: transmission, manifestation, complication, precaution measures
and also the availability of the treatment regimen in case for (+) result.
What is your priority focus for her physical examination?
A proper nursing assessment which include physical assessment can go a long way
in aiding an accurate medical diagnosis for suspected HIV (+) client. The priority
focus on physical examination is the presence of manifestation of infection. The skin
and mucous membranes are assessed for lesions, dermatitis purpura (subcutaneous
bleeding), urticario, inflammation, or any discharge. Client temperature, if the client is
observed for chills and sweating. Lymph nodes also must palpate for enlargement
which indicate infection.
What diagnostic tests and treatments may you anticipate?
HIV screening is recommended for client and it is optional, it is done with consent.
Prior to screening the client is asked for the last sexual contact and if the client is
HIV (+), the immune system responds by producing antibodies against the virus,
usually within 3-12 weeks after infection. The client advice to undergo another test
which is ELISA (enzyme linked immunosorbent assay) test, identifies antibodies
detected specifically against HIV. Then Western blot assay is used to confirm zero
positivity when the EIA is positive.
Clinicians in partnership with client, make treatment decision based on a factors,
including CD4 and Tcell continue viral load, severely of HIV related symptoms and
willingness of the client to adhere to the lifelong treatment regimen. ART
(antiretroviral)medications are the recommend treatment.