For the past several weeks, Mr. A has been feeling run down, and he has noticed a weight loss of 10 pounds over the past month. He reports night sweats and a nagging cough that just would not go away. His TB skin test was positive, and the diagnosis was confirmed with a blood test and sputum culture. Mr. A had been healthy up until about 9 months ago when he started noticing that he stayed sick all the time. He said, “It just seems like my immune system is gone.” Why has the health care provider ordered an HIV test? What additional manifestations would possibly indicate HIV? Mr. A is devastated that anyone would even think he had HIV because he has never “been with another man.” Upon what information will the nurse base the response? Mr. A’s HIV ELISA test was positive. What is the next step in diagnosis? Mr. A is shocked at the news that he has HIV since he has never been stuck with a contaminated needle, has never had sex with a man, and has been in a monogamous heterosexual relationship for the past 6 months and she does not have HIV. What could be the source of his infection? What is the significance of the window period? Several months later, Mr. A’s CD4+ T-cell count is 250 cells/μL and he has several painful lymph nodes. What are the three stages of HIV infection, and what is Mr. A’s current status? Mr. A was started on a combination of medications and he wants to know why he has to take so many and if he will be cured. How will the nurse respond? What is wasting syndrome? What is Kaposi’s sarcoma?
[Verified Answer]: For the past several weeks, Mr
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