Miguel Souza, 14 years old, comes to the free clinic complaining of a prolonged course of...

Miguel Souza, 14 years old, comes to the free clinic complaining of a prolonged course of diarrhea. The health history reveals that Miguel’s family has recently emigrated from South America; that Miguel has had seven incidences of “bad sore throats” in the past 12 months; when he injures himself it “almost always” gets infected; and he has diarrhea lasting several days at least monthly. Miguel states that he sometimes earns money as a male prostitute.

Vital signs include the following: T 100°F, HR 85, R 18, BP 125/78. Height and weight measurements are in the 5th percentile for age. No developmental delays are noted. (Learning Objectives 1, 2, 3, 4, 6, and 7)

a. What other information would be important to include in Miguel’s health history?

b. What diagnostic tests would the nurse expect to be ordered?

c. What should be included in a nutritional plan for Miguel?

d. What might the psychosocial impact of HIV infection be on Miguel?

Solutions

Expert Solution

a. Other important information like any weight loss

feeling of weakness and tiredness

Miguel's worked as a male prostitute, so we need to know whether he is using protection or not

b.nurse expect to order ELISA test for confirmation of HIV

c. The nutritional plan will be easy to digest food like well-cooked vegetables

chicken, egg, fish

low fiber diet

d.stigma and discrimination is the leading psychosocial effect of hiv

Nightingale answered 2 years ago

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