The nurse recognizes that the HIV client has experienced 10 ...

[itsmyluck]

The nurse recognizes that the HIV client has experienced 10 weight loss in the last three months.
 
  When the nurse asks the client what may have contributed to the unintentional weight loss, the client responds my antiretroviral drugs are causing diarrhea.. What suggestions can the nurse provide? 1. Encourage supplements between meals or as meal replacements
   2. Encourage foods high in insoluble fiber
   3. Take medications on an empty stomach
   4. Maintain good mouth care

Question 2

Multiple organ dysfunction syndrome (MODS) usually results in
 
  a. a hypermetabolic state.
  b. a hypometabolic state.
  c. marasmus.
  d. kwashiorkor.

[fromAlphatoOmega22]

Answer to Question 1

1

Rationale: Supplements that are high in protein and/or calories should be encouraged. Foods high in insoluble fiber may increase transit time through the colon exacerbating diarrhea. Many antiretroviral medications have specific food-medication instructions that need be followed by HAART protocol. Maintaining good mouth care will have little effect on diarrhea.

Answer to Question 2

A
MODS usually results in a stress response and a hypermetabolic state. Marasmus or kwashiorkor may result if the patient is already poorly nourished or if nutrition support is inadequate, but pro-tein-energy malnutrition is not generally a result of MODS.