IMMUNODEFICIENCY 1.3

Question 1

WHAT ARE YOUR ASSESSMENT IN GENERAL

Answer 1

1. Nutritional Status
2. Skin and Mucous Membranes
3. Respiratory Status
4. Neurologic Status
5. Fluid and Electrolyte Status
6. Level of Knowledge
7. Use of Alternative Therapies

Question 2

NURSING DIAGNOSIS

Answer 2

• Diarrhea related to enteric pathogens or HIV infection
• Risk for infection related to immunodeficiency
• Imbalanced nutrition, less than body requirements, related to decreased oral intake

Question 3

PLANNING AND GOALS

Goals for the patient may include:

Answer 3

• achievement and maintenance of skin integrity
• resumption of usual bowel patterns
• absence of infection
• improved activity tolerance
• improved thought processes
• improved airway clearance
• increased comfort
• improved nutritional status
• increased socialization
• expression of grief
• increased knowledge regarding disease prevention and self-care
• absence of complications

Question 4

NURSING INTERVENTIONS

Answer 4

1. Promoting Skin Integrity
2. Maintaining Perianal Skin Integrity
3. Promoting Usual Bowel Patterns
4. Preventing Infection
5. Improving Activity Tolerance
6. Improving Airway Clearance
7. Relieving Pain and Discomfort
8. Maintaining Thought Processes
9. Improving Nutritional Status
10. Decreasing Sense of Social Isolation
11. Coping With Grief
12. Monitoring and Managing Potential Complications
13. Promoting Home- and Community-Based Care
14. Promoting Home- and Community-Based Care
15. CONTINUING CARE