A patient treated for human immunodeficiency virus (HIV) ...

[altibaby]

A patient treated for human immunodeficiency virus (HIV) infection for 6 years has developed fat redistribution to the trunk, with wasting of the arms, legs, and face. What instructions will the nurse give to the patient?
 
  a. Review foods that are higher in protein.
  b. Teach about the benefits of daily exercise.
  c. Discuss a change in antiretroviral therapy.
  d. Talk about treatment with antifungal agents.

Question 2

A patient with human immunodeficiency virus (HIV) infection has developed Mycobacterium avium complex infection. Which outcome would be appropriate for the nurse to include in the plan of care?
 
  a. The patient will be free from injury.
  b. The patient will receive immunizations.
  c. The patient will have adequate oxygenation.
  d. The patient will maintain intact perineal skin.

[yasmin]

Answer to Question 1

ANS: C
A frequent first intervention for metabolic disorders is a change in antiretroviral therapy (ART). Treatment with antifungal agents would not be appropriate because there is no indication of fungal infection. Changes in diet or exercise have not proven helpful for this problem.

Answer to Question 2

ANS: D
The major manifestation of M. avium infection is loose, watery stools, which would increase the risk for perineal skin breakdown. The other outcomes would be appropriate for other complications (pneumonia, dementia, influenza, etc.) associated with HIV infection.