1 Sam Donner, age 26, has been newly diagnosed as HIV positive. He asks, “So do I have AIDS now, and am I going to die?” What should you say to him? _______________________________________________________ _______________________________________________________ _______________________________________________________ 2 When is the patient who is HIV positive considered to have developed AIDS? _______________________________________________________ _______________________________________________________ _______________________________________________________ 3 Sam is started on a combination of trimethoprim-sulfamethoxazole (TMP-SMX [Bactrim, Septra, Cotrim]) medication. Why? _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ 4- Years later, Sam has been diagnosed with AIDS for a CD4 T lymphocyte count of 200 cells/microL. You visit Sam at home as the home health nurse. He reports that he has no appetite and is always fatigued. Your data collection reveals that Sam is 6 feet tall and weighs 135 pounds. (a) What is your concern and why? _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ (b) Develop a CUS communication to report your concerns to the health-care provider. C:_______________________________________________________ _______________________________________________________ U:_______________________________________________________ _______________________________________________________ S:_______________________________________________________ _______________________________________________________ (c) What can you do to help improve Sam’s nutrition? _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ 5 Six months after being diagnosed with AIDS, Sam develops dementia. Why? _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ 6 How can a nurse contract HIV from a patient? _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ 7 Sam is living with his parents so they can assist him. How should you instruct Sam’s family members to clean and disinfect the home to reduce transmission of HIV?
[Answered]: 1 Sam Donner, age 26, has been newly diagnosed as…
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