A client who is HIV positive has lost 10% of body weight over the last 3 months and attributes this to diarrhea caused by the medication. What should the nurse suggest to this client?
a. Maintain good mouth care
b. Encourage foods high in insoluble fiber
c. Take medications on an empty stomach
d. Eliminate caffeine and lactose from the diet
d. Eliminate caffeine and lactose from the diet
Treatment of noninfectious diarrhea, whether from a drug side-effect or enteropathy, is not found to respond well to diet manipulation, though a reduction in caffeine and a trial of low fat and lactose diet is often recommended along with inclusion of soluble fiber to provide a bulking effect. 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.
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