Page 2182 - Saunders Comprehensive Review For NCLEX-RN
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symptoms
                                             2. Lymphadenopathy for at least 3 months
                                             3. Leukopenia
                                             4. Diarrhea
                                             5. Fatigue
                                             6. Night sweats
                                             7. Presence of opportunistic infections
                                             8. Protozoan infections (Pneumocystis jiroveci pneumonia,
                                                a major source of mortality)
                                             9. Neoplasms (Kaposi’s sarcoma, manifested as
                                                purplish-red lesions of internal organs and skin, B-cell
                                                non-Hodgkin’s lymphoma, cervical cancer)
                                           10. Fungal infections (candidiasis, histoplasmosis)
                                           11. Viral infections (cytomegalovirus, herpes simplex)
                                           12. Bacterial infections

                                        E. Interventions

                                             1. Provide respiratory support.
                                             2. Administer oxygen and respiratory treatments as
                                                prescribed.
                                             3. Provide psychosocial support and support services as
                                                needed.
                                             4. Maintain fluid and electrolyte balance.
                                             5. Monitor for signs of infection and institute protective
                                                isolation precautions as necessary.
                                             6. Prevent the spread of infection.
                                             7. Initiate standard and other necessary precautions.
                                             8. Provide comfort as necessary.
                                             9. Provide meticulous skin care.
                                           10. Provide adequate nutritional support as prescribed.
                                F. Kaposi’s sarcoma
                                             1. Description: Skin lesions that occur primarily in
                                                individuals with a compromised immune system
                                             2. Assessment
                                                             a. Kaposi’s sarcoma is a slow-growing
                                                                tumor that appears as raised, oblong,
                                                                purplish, reddish-brown lesions; may
                                                                be tender or nontender.
                                                             b. Organ involvement includes the lymph
                                                                nodes, airways or lungs, or any part of
                                                                the gastrointestinal tract from the
                                                                mouth to anus.

                                                      3. Interventions

                                                             a. Maintain standard precautions.
                                                             b. Provide protective isolation if the
                                                                immune system is depressed.




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