When a client with cancer is treated with methotrexate, nursing interventions would include the following except:
a. assess for hypercalcemia.
b. administer prescribed vitamin B12 supplements.
c. manage side effects of nausea, vomiting, and diarrhea.
d. observe for hypokalemia related to GI potassium losses.
Q. 2A client with HIV is six feet tall and weighs 176 pounds. He has lost 20 pounds in the past six weeks even though he says he has been eating. What teaching would be most appropriate?
a. limit fluids so he can take in more nutrient-dense foods
b. include a multivitamin-mineral supplement daily
c. increase protein to 160-200 grams per day
d. increase total kcalories to 2500 daily
Q. 3The HIV-infected client taking zidovudine (AZT) may need which specific supplements relating to the drug?
a. copper and zinc
b. vitamin B6 and niacin
c. vitamin D and calcium
d. folate and ascorbic acid
Q. 4In addition to prescribed hormone therapy, the nurse plans for what intervention to increase lean body mass in the HIV-infected client?
a. maintaining hydration
b. relaxation therapy
c. resistance training
d. aerobic exercises
Q. 5HIV enteropathy includes all of the following developments except:
a. diarrhea.
b. steatorrhea.
c. malabsorption.
d. protease paunch.
Q. 6Which of the following abnormal serum results related to HIV-lipodystrophy syndrome would the nurse anticipate?
a. hyperglycemia
b. increased HDL levels
c. lowered triglycerides
d. increased serum creatinine
Q. 7Teaching appropriate for the client experiencing diarrhea includes to:
a. drink carbonated beverages without caffeine.
b. ingest milk and fresh cheeses in place of yogurt and aged cheeses.
c. limit eating to three meals a day to minimize stimulation of the bowel.
d. drink diluted fruit juices and sport drinks to replace the potassium lost in diarrhea.
Q. 8A client complains of difficulty eating because of stomatitis (mouth sores). What teaching would be most helpful?
a. Use a straw to drink fluids.
b. Use plastic instead of metal eating utensils.
c. Eat foods of warmer temperature which are more comforting.
d. Rinse your mouth every two hours with commercially prepared mouth wash.
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