J.H., a 37-year-old man, suspects that he is HIV positive. He enters the medical unit with chronic..

J.H., a 37-year-old man, suspects that he is HIV positive.
He enters the medical unit with chronic symptoms such as fever, night sweats,
diarrhea, weight loss, shortness of breath, and a nonproductive cough. On the
initial assessment, he is alert and oriented, color is pale, temperature
100.6°F, pulse 92, respirations 36, and blood pressure 140/70. He has
generalized lymphadenopathy. His height is 5’11”, and his weight is 125 pounds.
J.H. states that he is not currently taking any medications, although he is
“familiar” with the drug zidovudine (Retrovir).

The following questions will guide
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J.H., a 37-year-old man, suspects that he is HIV positive.
He enters the medical unit with chronic symptoms such as fever, night sweats,
diarrhea, weight loss, shortness of breath, and a nonproductive cough. On the
initial assessment, he is alert and oriented, color is pale, temperature
100.6°F, pulse 92, respirations 36, and blood pressure 140/70. He has
generalized lymphadenopathy. His height is 5’11”, and his weight is 125 pounds.
J.H. states that he is not currently taking any medications, although he is
“familiar” with the drug zidovudine (Retrovir).

The following questions will guide your development of a
nursing care plan for the case study.

1. List symptoms/clinical manifestations, other than J.H.,
that a client may experience when HIV-positive.

2. List two reasons zidovudine (Retrovir) may be initiated
for J.H.

3. List two diagnostic tests that will confirm the diagnosis
of HIV.

4. List subjective and objective data the nurse would want
to obtain about J.H.

5. Write three individual nursing diagnoses and goals for
J.H.

6. List pertinent nursing actions the nurse would perform in
caring for J.H. related to:

hydration

fatigue

nutrition

oxygenation

medications

7. List resources that could assist J.H. with his diagnosis.

8. List teaching J.H. will need before leaving the medical
unit.

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