A group of nursing students are reviewing information about antiretroviral therapy.
The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

Impaired hepatic function.

Impaired renal function.

Hypertension.

COPD.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Impaired hepatic function requires cautious use of antiretroviral therapy. Many antiretroviral drugs are metabolized in the liver, and impaired hepatic function can affect drug metabolism and lead to potential drug interactions and toxicity. Adjustments in antiretroviral therapy may be needed in individuals with liver impairment.

Choice B rationale:

Impaired renal function also requires cautious use of antiretroviral therapy. Some antiretroviral drugs are eliminated by the kidneys, and impaired renal function can affect drug clearance. Dosing adjustments and drug selection may be necessary in individuals with renal impairment to prevent drug accumulation and toxicity.

Choice C rationale:

Hypertension is not a specific condition that requires cautious use of antiretroviral therapy. While some antiretroviral drugs can have side effects related to blood pressure, such as protease inhibitors, hypertension itself is not a contraindication for antiretroviral therapy.

Choice D rationale:

COPD (Chronic Obstructive Pulmonary Disease) is not a specific condition that requires cautious use of antiretroviral therapy. Antiretroviral therapy is primarily used in the treatment of HIV, and COPD is a lung condition unrelated to HIV. The two conditions do not directly interact, and COPD is not a contraindication for antiretroviral therapy. .

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Correct Answer is A

Explanation

Choice A rationale:

Pseudomembranous colitis Pseudomembranous colitis is a severe inflammation of the colon that can be caused by the overgrowth of Clostridium difficile, often associated with antibiotic use. Antidiarrheal drugs should not be administered in cases of infectious diarrhea, as they can worsen the condition. The nurse should be alert to this contraindication to avoid potential harm to the client.

Choice B rationale:

Type 1 diabetes Type 1 diabetes is not typically a contraindication for antidiarrheal drug use. However, it is essential to consider the overall health of the client and the potential causes of their diarrhea. In some cases, diabetes-related issues could be relevant, but it is not a direct contraindication for antidiarrheal drugs.

Choice C rationale:

Liver disease Liver disease is not a direct contraindication for antidiarrheal drug use. While the liver plays a role in drug metabolism, antidiarrheal drugs primarily affect the gastrointestinal system and do not directly harm the liver. However, individual patient factors and liver function should be considered.

Choice D rationale:

Renal Disease Renal disease is not typically a contraindication for antidiarrheal drug use. These drugs primarily affect the gastrointestinal system and do not have a direct impact on the kidneys. However, in patients with severe renal disease, it is essential to consider their overall health and the potential causes of their diarrhea.

A. Evaluating the emotional response to the disease. B. Obtaining a complete blood count. C. Checking fluid intake and output. D. Evaluating the client's understanding of therapy.

Correct Answer is B

Explanation

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A group of nursing students are reviewing information about antiretroviral therapy.The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed an antidiarrheal drug.The nurse reviews the client's medical record for possible contraindications for use.Which of the following would alert the nurse to a possible contraindication?

Correct Answer is A

Explanation

A client has been receiving treatment with antineoplastic drugs that depress the bone marrow.Which preadministration assessment would be most important for the nurse to complete with respect to this effect?

Correct Answer is B

Explanation

When teaching a client about antiviral therapy, the nurse would include information about the possibility of which adverse reactions?

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A group of nursing students are reviewing information about antiretroviral therapy.
The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?