Deck 23: Diet in Hiv and Aids
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Deck 23: Diet in Hiv and Aids
1
Good nutritional status may influence the client's response to medications by:
1)Decreasing the incidence of nausea and vomiting.
2)Decreasing the incidence of mouth ulcers.
3)Supporting organ functions.
4)Aiding in digestion.
1)Decreasing the incidence of nausea and vomiting.
2)Decreasing the incidence of mouth ulcers.
3)Supporting organ functions.
4)Aiding in digestion.
3
2
A nurse is caring for a client with AIDS. When planning a nutritional plan for the client, the nurse is aware of which of the following?
1)Diarrhea and malabsorption are nutrition-related problems for clients with AIDS.
2)Antiretroviral medications can increase appetite for clients with AIDS.
3)Vitamin D overload is associated with disease progression.
4)Vitamin B12 is easily absorbed by persons with AIDS.
1)Diarrhea and malabsorption are nutrition-related problems for clients with AIDS.
2)Antiretroviral medications can increase appetite for clients with AIDS.
3)Vitamin D overload is associated with disease progression.
4)Vitamin B12 is easily absorbed by persons with AIDS.
1
3
A nurse is educating a client on tenofovir. The nurse notes that tenofovir:
1)May decrease bone density.
2)Must be taken on an empty stomach.
3)Must be taken three times daily.
4)May increase appetite.
1)May decrease bone density.
2)Must be taken on an empty stomach.
3)Must be taken three times daily.
4)May increase appetite.
1
4
A nurse knows that a client with pneumocystis pneumonia is at risk of a nutritional deficit related to which of the following characteristics of the condition? Select all that apply.
1)Shortness of breath
2)Nausea
3)Vomiting
4)Anorexia
5)Fatigue
1)Shortness of breath
2)Nausea
3)Vomiting
4)Anorexia
5)Fatigue
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5
A health-care provider is writing laboratory orders to assess the nutritional status of a client with AIDS. A nurse anticipates that which laboratory test will be ordered?
1)Blood urea nitrogen (BUN) and creatinine (Cr)
2)Vitamins C and D
3)Complete blood count (CBC)
4)CD4 count
1)Blood urea nitrogen (BUN) and creatinine (Cr)
2)Vitamins C and D
3)Complete blood count (CBC)
4)CD4 count
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6
A nurse is educating a client on zidovudine. The nurse instructs the client to contact their health-care provider if they experience which of the following?
1)Nausea
2)Vomiting
3)Muscle weakness
4)Dark-colored urine
1)Nausea
2)Vomiting
3)Muscle weakness
4)Dark-colored urine
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7
A nurse is performing a nutritional assessment with a dietitian for a client with HIV. Which should the nurse expect to include in this assessment?
1)Recommend the client incorporate high fat foods into diet
2)Take a baseline measure of percentage body fat and lean body mass
3)Have the client complete a 30-day diet recall
4)Recommend the client consume salads and green leafy vegetables
1)Recommend the client incorporate high fat foods into diet
2)Take a baseline measure of percentage body fat and lean body mass
3)Have the client complete a 30-day diet recall
4)Recommend the client consume salads and green leafy vegetables
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8
A nurse is caring for a client with HIV. The client reports having thick white clumps along her tongue and throat. The nurse knows that this condition puts the client at risk for which of the following?
1)Diarrhea
2)Vomiting
3)Anorexia
4)Reflux
1)Diarrhea
2)Vomiting
3)Anorexia
4)Reflux
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9
A client is on ART for HIV. A nurse is educating the client about side effects and knows lactic acidosis is a side effect of all of the following except:
1)Emtricitabine
2)Zidovudine
3)Lamivudine
4)Tenofovir
1)Emtricitabine
2)Zidovudine
3)Lamivudine
4)Tenofovir
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10
A nurse is educating a client on lamivudine. The nurse instructs the client to do which of the following?
1)Have bone density testing prior to initiation of medications.
2)Observe for headaches and arthralgias.
3)Schedule an EKG prior to initiation of medications.
4)Take it with or without meals.
1)Have bone density testing prior to initiation of medications.
2)Observe for headaches and arthralgias.
3)Schedule an EKG prior to initiation of medications.
4)Take it with or without meals.
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11
A nurse is caring for a client with HIV who is experiencing anorexia and weight loss. The nurse anticipates that the client will receive which of the following medications for these symptoms?
1)Dronabinol
2)Zidovudine
3)Tenofovir
4)Lamivudine
1)Dronabinol
2)Zidovudine
3)Tenofovir
4)Lamivudine
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12
A nurse is educating a client on emtricitabine. The nurse instructs the client to contact their health-care provider if they experience which of the following?
1)Nausea
2)Vomiting
3)Mouth sores
4)Pale-colored stools
1)Nausea
2)Vomiting
3)Mouth sores
4)Pale-colored stools
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13
A nurse is caring for a client with HIV who has just received megestrol acetate. The nurse suspects the client was given this medication to:
1)Block replication of the virus.
2)Stimulate appetite.
3)Alleviate nausea.
4)Reduce diarrhea.
1)Block replication of the virus.
2)Stimulate appetite.
3)Alleviate nausea.
4)Reduce diarrhea.
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14
A nurse is caring for a client with HIV who is on antiretroviral therapy (ART) for treatment. When educating the client, the nurse will be sure to include instructions about adverse effects of the medication that would include which of the following?
1)Increased appetite
2)Ketosis
3)Lipodystrophy
4)Wasting
1)Increased appetite
2)Ketosis
3)Lipodystrophy
4)Wasting
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15
A nurse is caring for a client with AIDS. During assessment, the nurse reviews the client's chart and determines the client is likely experiencing undernutrition, malabsorption, lean and fat body-mass loss, fever, and weight loss without a well-defined cause. The nurse suspects the client has which condition?
1)Wasting
2)Lipodystrophy
3)Ketosis
4)Hyperemesis
1)Wasting
2)Lipodystrophy
3)Ketosis
4)Hyperemesis
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16
A nurse is caring for a client with HIV. The nurse is aware that gastrointestinal dysfunction in HIV can be caused by which of the following? Select all that apply.
1)Malabsorption
2)Esophageal pain
3)Gut failure
4)Fatigue
5)Decreased digestive enzymes
1)Malabsorption
2)Esophageal pain
3)Gut failure
4)Fatigue
5)Decreased digestive enzymes
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17
A nurse is educating a client with AIDS about healthy food choices. Which statement made by the nurse is accurate?
1)Malabsorption of fat and simple sugars is common.
2)Milk and ice cream are well tolerated.
3)Sorbitol can be used as a non-sugar sweetener.
4)Coffee and tea are helpful to soothe mouth sores.
1)Malabsorption of fat and simple sugars is common.
2)Milk and ice cream are well tolerated.
3)Sorbitol can be used as a non-sugar sweetener.
4)Coffee and tea are helpful to soothe mouth sores.
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18
A nurse is caring for a client with AIDS. The client begins to complain of pain in the upper abdomen, nausea, and vomiting. The nurse is aware that these symptoms are associated with which of the following complications?
1)End-stage renal failure
2)Pneumocystis pneumonia
3)Candida infection
4)Pancreatitis
1)End-stage renal failure
2)Pneumocystis pneumonia
3)Candida infection
4)Pancreatitis
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19
A nurse is performing an intake assessment for a client being newly admitted with a diagnosis of AIDS. The nurse is aware that for this client, which of the following is true?
1)There is an increase in resting energy expenditure of approximately 10%.
2)There is a decreased metabolic demand of approximately 10%.
3)The body mass index (BMI) and waist circumference can be used to estimate energy needs.
4)Kilocalorie needs are relatively the same among all clients with AIDS.
1)There is an increase in resting energy expenditure of approximately 10%.
2)There is a decreased metabolic demand of approximately 10%.
3)The body mass index (BMI) and waist circumference can be used to estimate energy needs.
4)Kilocalorie needs are relatively the same among all clients with AIDS.
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20
A client with AIDS is noted to have difficulty concentrating, slowness in thinking and response, memory impairment, and is unable to prepare meals. A nurse knows these are symptoms of:
1)Delirium.
2)Dementia complex.
3)Depression.
4)Delusions.
1)Delirium.
2)Dementia complex.
3)Depression.
4)Delusions.
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