A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining normal weight. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?

"I will add high-protein foods or finger foods to my diet"

1 will drink up to 1 liter of liquid each day"

"I will be sure to eat three large meals daily"

"I will choose a diet high in fat to help gain weight"

Answer and Explanation

The Correct Answer is A

A.   This statement indicates a good understanding of nutritional needs. High-protein foods are essential for maintaining muscle mass and supporting immune function, particularly for individuals with HIV. Finger foods can also help if the client has a reduced appetite or difficulty with larger meals.
B.   While hydration is important, 1 liter may not be sufficient for overall health, especially if the client is experiencing weight loss or other symptoms of dehydration. The nurse would typically recommend a higher intake, considering fluid needs can vary based on activity level and overall health.
C.   This statement may not be optimal for weight gain. For someone struggling with weight maintenance, smaller, more frequent meals may be more beneficial than three large meals. Large meals might lead to fullness and decrease overall caloric intake, which can hinder weight gain efforts.
D.   While fats can provide a high caloric density, a diet excessively high in unhealthy fats is not ideal. It’s important to focus on healthy fats (like avocados, nuts, and olive oil) rather than just increasing fat intake indiscriminately.

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Correct Answer is C

Explanation

A. This medication is used primarily to relieve urinary tract discomfort and does not have any role in preventing peripheral neuropathy associated with INH. It is not relevant in this context.
B. Phentolamine is an alpha-adrenergic antagonist used to treat hypertension and manage pheochromocytoma. It has no association with preventing peripheral neuropathy related to INH and is not appropriate for this patient.
C. Isoniazid can cause peripheral neuropathy by interfering with the metabolism of pyridoxine (Vitamin B6). Administering pyridoxine can help prevent this side effect by replenishing the vitamin and supporting nerve health.
D. Pyrazinamide is another anti-tuberculosis medication that works alongside INH. While it is effective for tuberculosis, it does not prevent peripheral neuropathy and may even have its own side effects.

A. Anemia B. Pancytopenia C. Neutropenia D. Leukopenia

Correct Answer is B

Explanation

A. While anemia is a common finding in aplastic anemia, it is not the most comprehensive answer. Aplastic anemia results in a deficiency of all blood cell types due to bone marrow failure, so while anemia is present, it does not fully capture the extent of the disorder.
B. This is the most accurate choice. Pancytopenia refers to the simultaneous reduction of red blood cells, white blood cells, and platelets. In aplastic anemia, the bone marrow fails to produce adequate blood cells, leading to this triad of cytopenias, making it the hallmark of the disease.
C. Neutropenia, which is a low level of neutrophils (a type of white blood cell), can occur in aplastic anemia. However, it is only one component of the broader condition and does not represent the complete picture of the disease.
D. Leukopenia refers to a low white blood cell count. Like neutropenia, it can be a finding in aplastic anemia, but it does not encompass the anemia and thrombocytopenia that also occur.

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A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining normal weight. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN is caring for a patient with Tuberculosis who is to receive a new prescription for Isoniazid (INH). The nurse knows that INH can cause peripheral neuropathy. To help prevent this from happening, the nurse can ask the provider for:

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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