A nurse is caring for a client newly diagnosed with HIV infection and starting antiretroviral therapy (ART) Which of the following factors should the nurse consider when selecting the appropriate ART regimen for the client? Select all that apply:.

Drug efficacy, safety, and tolerability.

CD4 count and viral load.

Availability of point-of-care testing.

The patient's preferences and preferences.

The number of opportunistic infections present.

Answer and Explanation

Correct Answer : A,B,D,E

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.

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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. Monitoring for signs and symptoms of opportunistic infections. B. Assessing the patient's emotional and social well-being. C. Providing counseling, feedback, and reinforcement for medication adherence. D. Educating the patient about HIV/AIDS transmission modes. .

Correct Answer is A

Explanation

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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A nurse is caring for a client newly diagnosed with HIV infection and starting antiretroviral therapy (ART) Which of the following factors should the nurse consider when selecting the appropriate ART regimen for the client? Select all that apply:.

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 nurse is assessing a patient with HIV/AIDS. Which of the following should the nurse prioritize during the nursing assessment?

Correct Answer is A

Explanation

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