The home health nurse is discussing nutritional needs with a client diagnosed with HIV. The nurse stresses the importance of daily vitamin and mineral supplements based on the knowledge that: Select all that apply
1. Research has shown that such supplements have an impact on retarding the progress of the disease.
2. Vitamins A, C, and E assist the body's immune system to combat infections.
3. Being vitamin and mineral deficient contributes to increasing HIV replication.
4. Multivitamin supplements contribute to the decreased risk of mouth ulcers in HIV clients.
5. The use of megavitamin supplementation has resulted in the long-term improvement of T-cell counts in some HIV clients.
1. Research has shown that such supplements have an impact on retarding the progress of the disease.
2. Vitamins A, C, and E assist the body's immune system to combat infections.
3. Being vitamin and mineral deficient contributes to increasing HIV replication.
4. Multivitamin supplements contribute to the decreased risk of mouth ulcers in HIV clients.
Rationale: Research has shown that such supplements have an impact on retarding the progress of the disease. There is indication from research studies that clearly indicates the efficacy of vitamin supplements for HIV patients for retarding the progress of the disease. Vitamins A, C, and E assist the body's immune system to combat infections. Vitamins and minerals needed for the immune system to fight infections include A, B-complex, C, and E, and selenium and zinc. Being vitamin and mineral deficient contributes to increasing HIV replication. In addition, deficiencies of antioxidant vitamins and minerals contribute to oxidative stress, which may accelerate immune cell death and increase the rate of HIV replication. Multivitamin supplements contribute to the decreased risk of mouth ulcers in HIV clients. Research has found that supplementation with multivitamins reduces the incidence of complications, including oral ulcers. The use of megavitamin supplementation has resulted in the long-term improvement of T-cell counts in some HIV clients. There is no research to support the positive affect of megavitamin supplementation on the long-term improvement of T-cell counts of HIV clients—such results remain anecdotal.
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