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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Strengthen venous valves: Damaged or weakened venous valves cannot be physically strengthened through exercise or compression. Management focuses on symptom relief and preventing progression rather than structural repair.
B. Improve venous return: Exercise, elevation, and compression stockings all assist in promoting blood flow back to the heart. These measures reduce venous stasis and swelling, improving circulation in clients with venous insufficiency.
C. Improve arterial flow: This regimen targets the venous system rather than arterial circulation. Arterial flow is typically addressed through interventions like vasodilators, smoking cessation, and walking programs for peripheral artery disease.
D. Increase venous congestion: This regimen is designed to reduce, not increase, venous congestion. Elevation and compression help counteract pooling of blood in the lower extremities, a hallmark of venous insufficiency.

A. Provide an adjunct medication. B. Begin alternate treatments. C. Discontinue the medication. D. Reduce the medication dose.

Correct Answer is C

Explanation

A. Provide an adjunct medication: Adjunctive treatments may help manage side effects, but in the case of progressing tardive dyskinesia, continuing the causative drug poses further risk. Adjuncts are more appropriate for mild or early symptoms.
B. Begin alternate treatments: While starting alternative therapies may be considered later, the immediate priority is to stop the offending agent causing the worsening movement disorder. Substitutions should follow once symptoms are stabilized.
C. Discontinue the medication: Tardive dyskinesia is a potentially irreversible side effect of long-term antipsychotic use. Progression of symptoms warrants prompt discontinuation of the offending drug to prevent further neurologic damage.
D. Reduce the medication dose: Dose reduction may help with some side effects, but in the presence of worsening tardive dyskinesia, stopping the medication altogether is the safer and more effective approach.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with venous insufficiency is instructed to exercise, apply elastic stockings, and elevate the extremities. Which is the primary benefit for this nursing management regimen

Correct Answer is B

Explanation

During a multidisciplinary meeting, the group discussed potential signs of tardive dyskinesia noted sporadically in a client. Following the meeting, symptoms progressed for the client. Which medical order does the nurse anticipate?

Correct Answer is C

Explanation

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