Assessment
and Data Collection |
Three NANDA-I Approved Nursing Diagnosis | One Smart Goal for EACH Nursing Diagnosis | Two Nursing Interventions with Rationale for EACH Nursing Diagnosis |
Disease Process:
HIV-positive patients have a damaged immune system, increasing their risk of opportunistic infection. The risk of opportunistic infection is decreased by compliance with antiretroviral therapy and preventive medications such as co-trimoxazole. A patient’s lifestyle and nutrition also dictate the occurrence of opportunistic infections such as cough (Justiz & Naik, 2022). Common Labwork/Diagnostics: ELISA test CD4+ T-cell count Viral load Liver function test Thyroid function test Assessment Data (consider subjective, objective, and health history): Subjective data: Current medications, social history, general and respiratory system review. Objective data: Physical examination, vital signs, and respiratory assessment.
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Nursing Diagnosis:
Infection-related to HIV, as evidenced by the patient complaining they have not been feeling well lately and have a dry cough.
Nursing Diagnosis: Hyperthermia related to HIV infection, as evidenced by the patient’s temperature of 102 degrees Fahrenheit, pulse rate of 102 beats per minute, and respiratory rate of 28 breaths per minute.
Nursing Diagnosis Anxiety related to a new situation, as evidenced by the patient’s complaints of dry cough, chilling, and feeling unwell. |
SMART Goal:
To prevent progression and treat existing infections (Justiz & Naik, 2022).
SMART Goal: To stabilize the patient’s temperature back to the normal range within at least four hours of admission (Justiz & Naik, 2022).
SMART Goal: To reduce the patient’s anxiety level. |
1. Ensure the patient is compliant with their antiretroviral therapy. Test the patient’s CD4 T-cell count to monitor response to antiretroviral therapy in cases where the patient is compliant. Antiretroviral therapy prevents HIV complications such as infections (Kemnic & Gulick, 2022).
2. Ensure symptomatic relief by treating the patient’s symptoms, such as dry cough. 1. Adjust the room temperature and advise the patient to remove excess clothing to improve the patient’s comfort and regulate temperature (Nguyen et al., 2022). 2. Use antipyretics and a tepid sponge bath to decrease fever and cool down the body.
1. Assess the patient’s anxiety level to Work with us at nursingstudyhub, and help us set you up for success with your nursing school homework and assignments, as we encourage you to become a better nurse. Your satisfaction is our goalClaim your 20% discount! |