A patient treated for human immunodeficiency virus (HIV) infection for 6 years has developed fat redistribution to the trunk, with wasting of the arms, legs, and face. What instructions will the nurse give to the patient?

a. Review foods that are higher in protein.
b. Teach about the benefits of daily exercise.
c. Discuss a change in antiretroviral therapy.
d. Talk about treatment with antifungal agents.


ANS: C
A frequent first intervention for metabolic disorders is a change in antiretroviral therapy (ART). Treatment with antifungal agents would not be appropriate because there is no indication of fungal infection. Changes in diet or exercise have not proven helpful for this problem.

Nursing

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The clinical trainer for a group of population health nurses is planning to present the historical events that shaped and formed the development of population nursing in the United States. Which events should the trainer include? (Select all that apply.)

1. Creation of district nursing. 2. Settlement house movement. 3. Passage of immigration limiting legislation. 4. Standardization of community nursing practice. 5. Passage of legislation specific to community nursing.

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A) Stems from over representation of significant findings in the published literature B) Stems from underrepresentation of significant findings in the published literature C) Stems from over representation of nonsignificant findings in the published literature D) Stems from underrepresentation of nonsignificant findings in the published literature

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The nurse teaches a class on pregnancy to clients in their first trimester. The nurse evaluates that learning has occurred when the clients make which statements?

1. "Ovulation occurs on approximately Day 21 of the ovarian cycle." 2. "Ovulation is caused by a surge of luteinizing hormone." 3. "Ovulation is caused by a surge of human chorionic gonadotropin." 4. "Follicle-stimulating hormone causes ovarian follicles to develop." 5. "The pituitary gland secretes gonadotropin-releasing hormone."

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The model/theory that integrates the effects of biology and environment, or nature and nurture, on the development of mental illness is the:

1. Community mental health model 2. Holistic model 3. Systems theory 4. Diathesis-stress model

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