A nurse is assessing a patient with HIV/AIDS. Which of the following should the nurse prioritize during the nursing assessment?
Monitoring for signs and symptoms of opportunistic infections.
Assessing the patient's emotional and social well-being.
Providing counseling, feedback, and reinforcement for medication adherence.
Educating the patient about HIV/AIDS transmission modes. .
The Correct Answer is A
Choice A rationale:
Monitoring for signs and symptoms of opportunistic infections should be a priority during the nursing assessment of a patient with HIV/AIDS. Opportunistic infections are common in individuals with compromised immune systems due to low CD4 counts, and early detection allows prompt intervention and improved outcomes.
Assessing emotional and social well-being (Choice B) is important but may not be the highest priority in the initial assessment, as addressing immediate health risks takes precedence.
Providing counseling, feedback, and reinforcement for medication adherence (Choice C) is essential for long-term management but should not overshadow the immediate need to monitor for opportunistic infections.
Educating the patient about HIV/AIDS transmission modes (Choice D) is crucial, but it can be addressed during the patient's hospital stay or subsequent visits, while the assessment for opportunistic infections requires immediate attention to ensure timely treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is A
Explanation
Compare the patient's outcomes with the goals and expected outcomes.
Choice A rationale:
The evaluation process involves comparing the patient's achieved outcomes with the established goals and expected outcomes of care. By doing this, the nurse can determine the effectiveness of the care provided and identify areas where adjustments may be necessary to improve patient outcomes.
Choice B rationale:
Modifying the plan of care based on the patient's history and physical examination is a part of the assessment and planning phases, not the evaluation phase. Evaluation focuses on measuring the success of the implemented care plan.
Choice C rationale:
Collecting data about the patient's laboratory tests, psychosocial status, and educational needs is crucial during the assessment phase to gather information for developing an appropriate care plan. While this information is valuable throughout the patient's care, it is not specific to the evaluation process.
Choice D rationale:
Providing counseling, feedback, and reinforcement for adherence to medication is an essential nursing intervention during the implementation phase. Although it supports patient compliance with treatment, it is not the primary focus of the evaluation process.
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