Module 4 Exam Flashcards
Stomatitis - HIV, implications
sore mouth/inflammation
soft food, use straw
oral care (rinse/gentle)
Do AIDS patients suffer from a deteriorating mental status? - if so how?
AIDS Dementia Complex
AIDS Patients and GI Issues
Leaky gut, malabsorption, increase caloric requirements, diarrhea
Organ Dysfunction such as __________, ______, ___________, and _______ can occur with HIV infection.
Cholecystitis, hepatomegaly pancreatitis, end-stage renal failure
_______ is defined by undernutrition, malabsorption, and lean and fat body mass loss. _________ remain elevated despite anorexia. It is also described as a __% weight loss from baseline with _____ or chronic _______ and ______ for more than 30 days without a known cause.
Wasting
Kilocaloric needs
10%
Diarrhea; chronic weakness; fever
____________ is a syndrome causing peripheral fat wasting and fat accumulation centrally. It is an adverse effect of ART. Metabolic abnormalities in _____________, increased ______________, and increased _______, which may necessitate that clients modify their diets.
Lipodystrophy
Total cholesterol; low-density lipoprotein; triglycerides
ART stands for?
Antiretroviral therapy
Good nutritional status may ______ the incidence of adverse HIV drug reactions and support organ function.
decrease
____________ is used for appetite stimulation and to increase kilocalorie intake.
Megestrol acetate (must double glove)
_________ does not help alleviate nausea.
Megestrol
______ alleviates nausea
Zofran
Tenofovir is an NRTI (ART drug) - what’s it do and what are it’s side effects?
It decreases the amount of HIV and HBV in the blood
Side effects: a buildup of lactic acid in the blood (lactic acidosis), liver problems, and new or worsening kidney problems, including kidney failure.
A nutritional assessment should include:
Baseline measure of percentage body fat and lean body mass to monitor disease progression, recent food intake, and barriers the client may have to safe, nutritious food.
Do clients with HIV/AIDS use more energy compared to healthy people?
yes
________ is usually part of the dying process as the body slows down and the desire for food and fluids diminishes. During this time, the nurse may offer ______ if the client is alert.
dehydration
ice chips
Does the death rattle, I.e. bubbling/gurgling signify that an individual is in pain?
no
Terminal respiratory secretions – mobilizing – how?
Change positions, decrease fluid intake
NO SUCTION (may make worse)
______ is discoloration of the skin indicating cyanosis, which is caused by slower tissue perfusion and decreased oxygen circulation.
mottling
Death and body temperature
May increase, but overtime temp drops
____________ is focused on pain and symptom control and may provide spiritual support for the client and his or her family.
palliative care
The misunderstanding regarding end-of-life process and the client’s decreased interest in eating and drinking brings up strong disagreements between families and health-care providers. Therefore, these issues are known to bring up:
ethical and legal issues
__________ is a person’s ability to choose for themselves the way in which to live or die and to have the right to make those decisions on their own without outside influence.
self-determination
Sitting client upright at a 90-degree angle facilitates:
the passage of food from mouth to stomach
____________ become lodged in the throat when the client is no longer able to manage them due to decreased alertness. ______________ will help minimize the amount of secretions.
oral secretions
prohibiting fluids
