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?