A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome.
Which of the following instructions should the nurse include in the teaching?
"Add butter to vegetables."
"Avoid desserts made with eggs."
Increase fluid intake with meals."
"Prepare hot chocolate with water instead of milk."
The Correct Answer is C
A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.
C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.
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Related Questions
Correct Answer is D
Explanation
A. Crohn's disease is more commonly associated with weight loss or difficulty maintaining weight due to symptoms such as decreased appetite, malabsorption, and increased metabolic demands from inflammation.
B. Glutamine is an amino acid that may have some benefits in certain medical conditions, but there is limited evidence to support its use in Crohn's disease management. Avoiding glutamine is not a standard recommendation for Crohn's disease.
C. Crohn's disease can cause diarrhea and bowel irregularities, but taking mild laxatives is not typically recommended as part of the management plan. In fact, laxatives may worsen symptoms in some cases.
D. Limiting the amount of fiber in the diet can help reduce gastrointestinal symptoms such as diarrhea, abdominal pain, and bowel obstructions, which are common in Crohn's disease.
Correct Answer is C
Explanation
A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.
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