K.D. was taught about disease transmission and safer sex and encouraged to maintain

moderate exercise, rest, and dietary habits when he was first diagnosed as HIV positive. Give
at least four additional topics that should be discussed with K.D.

before he goes home.


• Because he has KS, he needs to report any symptoms of GI bleeding.
• He should understand the signs and symptoms of infections and measures to reduce the risk of
infections.
• He should understand the importance of follow-up care.
• He should be given written information about area support services.
• He should be referred to a registered dietitian for medical nutrition therapy to aid in maintaining
his usual body weight, preventing wasting of lean muscle mass, and addressing nausea, diarrhea,
and oral pain. He has increased calorie, protein, and fluid needs. He might need a gluten- and
lactose-free meal plan because of diarrhea and malabsorption.
• There should be discussion and administration of pneumococcal polyvalent vaccine (Pneumovax),
yearly tuberculin testing, and a yearly influenza vaccine.

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