A nurse is caring for a client who is on anti-retroviral therapy (ART), which includes indinavir sulfate (Crixivan), a protease inhibitor, for the treatment of HIV. Which client statement demonstrates that teaching was effective?

"If I don't take my medication as scheduled, the virus may become resistant to treatment."

"If I don't take my medication as scheduled, it may cause my RNA to convert to DNA."

"If I don't take my medication as scheduled, it may prevent the HIV from being assembled."

"If I don't take my medication as scheduled, my CD4 lymphocyte count may increase."

Answer and Explanation

The Correct Answer is A

A. This statement accurately reflects the importance of adherence to ART; if medication is missed, the virus may replicate unchecked, leading to drug resistance, which is a significant concern in HIV treatment.

B. This statement is incorrect because the conversion of RNA to DNA is a normal part of the HIV life cycle and is not directly prevented by taking medication on time.

C. While protease inhibitors do help prevent the assembly of new virions, the primary concern when missing doses is the risk of resistance rather than assembly prevention.

D. This statement is misleading; while effective ART can lead to an increase in CD4 counts over time, missing doses would not directly cause an increase in CD4 lymphocyte counts.

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Correct Answer is B

Explanation

A. Over-hydration is not a trigger for a sickle cell crisis; in fact, adequate hydration helps prevent sickling of the cells.

B. Dehydration is a significant trigger for sickle cell crises, as it can lead to increased blood viscosity and sickling of red blood cells.

C. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used to manage pain associated with sickle cell crises, but they do not trigger a crisis.

D. Vaccinations are important for preventing infections in individuals with sickle cell anemia but are not associated with triggering a sickle cell crisis.

A. Administer 0.9% sodium chloride B. Send the blood bag back to the blood bank for analysis. C. Stop blood infusion D. Administer epinephrine

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

Hemolytic Reaction:
- Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
- Send the blood bag back to the blood bank for analysis: To identify the cause of the reaction and prevent future similar incidents.
- Stop blood infusion: To prevent further hemolysis.
Anaphylactic Reaction:
- Stop blood infusion: To prevent further exposure to the allergen.
- Administer epinephrine: To treat the severe allergic reaction and prevent anaphylactic shock.
- Send the blood bag back to the blood bank for analysis: To identify the allergen and prevent future similar incidents.
- Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.

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A nurse is caring for a client who is on anti-retroviral therapy (ART), which includes indinavir sulfate (Crixivan), a protease inhibitor, for the treatment of HIV. Which client statement demonstrates that teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client diagnosed with sickle cell anemia. Which of the following can be anticipated will be a trigger for a sickle cell crisis?

Correct Answer is B

Explanation

Select the appropriate treatment for the following transfusion reactions

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

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