A client with acquired immune deficiency syndrome (AIDS) is hospitalized with Pneumocystis jiroveci pneumonia and is started on the drug of choice for this infection. What laboratory values should the nurse report to the provider as a priority?
(Select all that apply.)
a.
Aspartate transaminase, alanine transaminase: elevated
b.
CD4+ cell count: 180/mm3
c.
Creatinine: 1.0 mg/dL
d.
Platelet count: 80,000/mm3
e.
Serum sodium: 120 mEq/L
ANS: A, D, E
The drug of choice to treat Pneumocystis jiroveci pneumonia is trimethoprim with sulfamethoxazole (Septra). Side effects of this drug include hepatitis, hyponatremia, and thrombocytopenia. The elevated liver enzymes, low platelet count, and low sodium should all be reported. The CD4+ cell count is within the expected range for a client with an AIDS-defining infection. The creatinine level is normal.
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