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.

Answer and Explanation

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.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

ART aims to reduce viral load to undetectable levels. When the viral load is undetectable, the risk of disease progression and transmission to others is significantly reduced.

Choice B rationale:

The primary goal of ART is to prevent opportunistic infections and cancers. By suppressing viral replication and boosting the immune system (measured by CD4 count improvement), ART helps prevent these severe complications of HIV infection.

Choice D rationale:

Improvement in CD4 count is a significant goal of ART. CD4 count reflects the health of the immune system, and increasing it is essential for better immune function and reducing the risk of opportunistic infections.

Choice E rationale:

ART can reduce the risk of transmission to others. When viral load is undetectable, the risk of transmitting HIV to sexual partners or through shared needles is greatly reduced.

A. "Integrase strand transfer inhibitors (INSTIs) block the enzyme integrase that inserts HIV DNA into the host cell genome.” B. "Non-nucleoside reverse transcriptase inhibitors (NNRTIs) block the entry of HIV into the host cell by interfering with the binding of the virus to the cell surface receptors or co-receptors.” C. "Protease inhibitors (PIs) block the enzyme protease that cleaves HIV proteins into functional units.” D. "Nucleoside reverse transcriptase inhibitors (NRTIs) block the enzyme reverse transcriptase that converts HIV RNA into DNA.”

Correct Answer is B

Explanation

Choice A rationale:

The client's statement about Integrase strand transfer inhibitors (INSTIs) is accurate. INSTIs block the enzyme integrase, preventing the insertion of HIV DNA into the host cell genome.

Choice B rationale:

This is the correct answer. The client's statement about Non-nucleoside reverse transcriptase inhibitors (NNRTIs) is incorrect. NNRTIs work by directly binding to reverse transcriptase, blocking its activity, and preventing HIV replication.

Choice C rationale:

The client's statement about Protease inhibitors (PIs) is accurate. PIs block the enzyme protease, inhibiting the cleavage of HIV proteins and preventing the formation of mature viral particles.

Choice D rationale:

The client's statement about Nucleoside reverse transcriptase inhibitors (NRTIs) is accurate. NRTIs are incorporated into the growing viral DNA chain, leading to chain termination and preventing further viral replication.

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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:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of clients with HIV infection about the goals of antiretroviral therapy (ART) Which of the following statements should the nurse include in the teaching? Select all that apply:.

Correct Answer is ["A","B","D","E"]

Explanation

A client with HIV infection asks the nurse about the different classes of antiretroviral drugs used for treatment. Which of the following statements by the client indicates a need for further education?

Correct Answer is B

Explanation

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