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학습 자료 둘러보기 →In an HIV-positive child with a CD4+ count below 200 cells/mm³, oral candidiasis is an AIDS-defining opportunistic infection, not a simple superficial condition. The nursing priority is to administer the prescribed systemic antifungal medication to treat the infection and prevent esophageal or systemic spread.
Symptom management, such as providing soft, bland foods or using topical anesthetics, is secondary and should only be implemented after or alongside the definitive treatment. Hydrogen peroxide rinses are not a primary treatment and can cause further mucosal irritation.
A complaint of difficulty swallowing in this context strongly suggests esophageal involvement. Monitor the child closely for signs of respiratory distress or inability to tolerate oral intake, which would indicate a need for escalation of care and intravenous therapy.
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