Several years later, the patient presents to the HIV clinic…
Several years later, the patient presents to the HIV clinic for a follow up appointment. Until recently, he has been doing well. The nurse’s physical assessment is negative except for the following: Skin cool and clammy, patient reports frequent night sweats. Patient reports intermittent nausea and decreased appetite. Bilateral lymphadenopathy in neck and axilla. BP 128/78 mmHg, HR 98 bpm, RR 18, temperature 100.7 F oral, O2 sat 96% room air. Labs/Diagnostics Results Reference Flag Viral load 100,000 copies/mL HIGH CD4 count 250 cells/mm3 LOW Candidiasis culture Negative NEGATIVE Chest X-Ray Negative, lungs clear bilaterally Based on the assessment data and diagnostic results above, what is the nurse’s priority concern?