A client on antiretroviral drug therapy informs the nurse about sometimes forgetting to take the medication for a few days. What should the nurse inform the client can occur when the medications are not taken as prescribed?
The client will have to take higher doses of the antiviral medications.
The client will have to take the drugs intravenously to ensure compliance.
The client is risking the development of drug resistance and drug failure.
The funding for the medications will cease if the client is not taking the meds correctly.
The Correct Answer is C
A. The client will have to take higher doses of the antiviral medications: Increasing the dose is not a standard or safe response to missed doses. Higher doses do not compensate for inconsistent use and may increase the risk of toxicity without improving outcomes.
B. The client will have to take the drugs intravenously to ensure compliance: Intravenous administration is not used as a compliance strategy for antiretrovirals. Most antiretroviral drugs are formulated for oral use, and adherence is managed through education and support, not route changes.
C. The client is risking the development of drug resistance and drug failure: Missing doses of antiretroviral therapy allows the virus to replicate, which increases the risk of developing mutations. This can lead to drug resistance, making the current regimen ineffective and limiting future treatment options.
D. The funding for the medications will cease if the client is not taking the meds correctly: Access to medication is not typically revoked due to non-adherence. While adherence is essential, patients are encouraged to be honest so that healthcare providers can support them rather than penalize them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Listen to music: Music therapy is a well-established technique to promote relaxation and lower stress levels. It can help shift focus away from anxious thoughts and create a calming environment.
B. Take a cool shower or bath: A cool shower provides sensory stimulation that can ground the individual and redirect anxious energy. This strategy can help soothe the nervous system and reduce arousal.
C. Progressively tighten muscles: Progressive muscle relaxation involves tensing and relaxing muscle groups to relieve physical tension. It is effective in reducing anxiety by promoting body awareness and calm.
D. Use rapid respirations: Rapid breathing worsens anxiety symptoms and may lead to hyperventilation. Controlled, deep breathing is preferred as it activates the parasympathetic nervous system and calms the body.
E. Visualize a relaxing place: Guided imagery or visualization helps transport the mind to a peaceful setting, which reduces stress and promotes mental relaxation. It is often used in cognitive-behavioral therapy for anxiety.
F. Smoke a cigarette: Nicotine is a stimulant and while some individuals may feel a temporary sense of relaxation, smoking introduces harmful substances and reinforces maladaptive coping. It also increases cardiovascular strain, which can worsen anxiety symptoms over time.
Correct Answer is A
Explanation
A. "Life is challenging. I take it as it comes.": This statement reflects psychological hardiness — a resilience trait marked by commitment, control, and seeing stress as a challenge rather than a threat. It shows adaptive coping and a proactive mindset in facing life’s difficulties.
B. "I am making it through and just barely holding on.": This response indicates high stress and limited coping capacity. It suggests the person is overwhelmed, which is inconsistent with hardiness, which involves confidence in managing stress.
C. "I am not able to juggle all of the balls of life.": This reflects perceived helplessness and difficulty managing life's demands. It lacks the sense of control and adaptability associated with a hardy personality.
D. "What can you do, it is what it is.": While this may seem like acceptance, it reflects resignation more than resilience. A hardy individual typically views stressors as manageable and worth engaging with, not passively accepted.
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