A nurse is caring for an HIV-positive school-age child who is moderately malnourished. Which interventions are appropriate to include in this child's plan of care? (Select all that apply.)

A.
Assess the oral cavity once a shift.
B.
Determine the child's food preferences.
C.
Encourage adequate fluid intake.
D.
Provide oral hygiene after each meal.
E.
Teach the parents about tube feedings.


ANS: A, B, C, D
There are several good strategies for improving nutrition. Assess the oral cavity for mouth sores that make it difficult and painful to eat. Frequent oral care helps reduce the possibility of these lesions occurring. Adequate fluids will help maintain intact oral mucosa. Of course, giving a child favorite foods will increase the likelihood of the child eating. The risks associated with tube feedings are high and not appropriate for a child with mild to moderate malnutrition.

Nursing

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