A client with AIDS is taking an antiretroviral medication. The ...

[Medesa]

A client with AIDS is taking an antiretroviral medication. The client complains of nausea, fever, severe diarrhea, and anorexia.
 
  Which of the following medications would the nurse determine to be most effective to relieve the anorexia, as well as to stimulate the client's appetite? 1. Megestrol (Megace)
   2. Ciprofloxacin (Cipro)
   3. Zidovudine (Retrovir, AZT)
   4. Abacavir (Ziagen)

Question 2

An elderly client prescribed eye drops as treatment for glaucoma calls the clinic and tells the nurse that the eye color is changing. What is the best response by the nurse?
 
  1. This is unusual; please come in for an evaluation..
   2. This is an expected side effect of the medication..
   3. Are you sure that your eyes have changed color?
   4. What do you mean that your eyes have changed color?

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Answer to Question 1

1. Megestrol (Megace)

Rationale:
Megestrol (Megace) and dronabinol (Marinol) are often ordered to increase the client's appetite and promote weight gain. Ciprofloxacin (Cipro) is an anti-infective medication, and zidovudine (Retrovir, AZT) is an antiretroviral agent. Abacavir (Ziagen) is a potent inhibitor of reverse transcriptase.

Answer to Question 2

2. This is an expected side effect of the medication..

Rationale:
The iris may change color with the medication; this is expected. It is not unusual for the eyes to change color; this is an expected reaction. The client has said the eye color is changing; it is condescending to ask if the client is sure. Asking the client what is meant by saying the eyes have changed color does not make sense; the client means the eyes have changed color.

[Medesa]

Thanks for the timely response, appreciate it

[juliaf]

Excellent