A nurse is assessing a client's understanding of antiretroviral therapy (ART) for HIV infection. The nurse evaluates that teaching has been effective if the client states that the goal of ART is to:.
Increase CD4 count to normal levels.
Reduce viral load to undetectable levels.
Prevent opportunistic infections and cancers.
Adhere to the prescribed regimen and schedule.
The Correct Answer is B
Choice A rationale:
Antiretroviral therapy (ART) can help increase CD4 count, but the primary goal of ART is to suppress viral replication and reduce viral load to undetectable levels, thereby preserving immune function.
Choice B rationale:
This is the correct answer. The goal of antiretroviral therapy (ART) is to reduce viral load to undetectable levels, which helps in preventing disease progression and transmission of HIV.
Choice C rationale:
Preventing opportunistic infections and cancers is an important benefit of ART, but the primary goal is to suppress viral replication.
Choice D rationale:
Adherence to the prescribed regimen and schedule is crucial for the effectiveness of ART, but it is not the primary goal of ART itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
The nurse should consider drug efficacy, safety, and tolerability when selecting the appropriate ART regimen for the client. Different ART drugs have varying efficacy in suppressing viral replication, potential side effects, and interactions with other medications. This consideration helps ensure the chosen regimen is effective and well-tolerated by the client.
Choice B rationale:
CD4 count and viral load are essential factors to consider when starting ART. The CD4 count reflects the client's immune status, and the viral load indicates the level of HIV replication. These parameters help gauge disease progression and monitor the response to therapy over time.
Choice D rationale:
The patient's preferences and lifestyle should be taken into account when selecting an ART regimen. Some medications may require strict adherence schedules or specific food restrictions, and considering the patient's preferences can enhance treatment adherence and overall outcomes.
Choice E rationale:
The number of opportunistic infections present is an important consideration when starting ART. Opportunistic infections are more likely to occur in individuals with low CD4 counts and can affect the choice of ART drugs and the need for prophylactic treatments.
Correct Answer is ["B","E"]
Explanation
Choice A rationale:
Abstinence from drug use is an ideal approach, but it may not be practical for individuals struggling with addiction. Harm reduction strategies aim to reduce the negative consequences of drug use while acknowledging that complete abstinence may not be immediately achievable for everyone.
Choice B rationale:
Needle exchange programs are effective harm reduction strategies for individuals who inject drugs. These programs provide clean needles and syringes, reducing the risk of HIV transmission through contaminated needles.
Choice C rationale:
Condom use during sexual intercourse is important for preventing sexually transmitted infections, including HIV. However, this choice specifically asks about harm reduction strategies for individuals who inject drugs.
Choice D rationale:
Laws and policies to reduce stigma are essential for promoting understanding and compassion towards individuals living with HIV. However, this choice does not directly address harm reduction strategies for drug injection.
Choice E rationale:
Pre-exposure prophylaxis (PrEP) for sexual partners can be effective in preventing HIV transmission, but it is not directly related to harm reduction for individuals who inject drugs. PrEP is a preventive measure for those at risk of contracting HIV through sexual activity.
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