A nurse is counseling a newly diagnosed HIV-positive client. Which statement made by the client indicates an understanding of the disease?
"HIV is a bacterial infection that can be treated with antibiotics.”
"HIV attacks and destroys the cells responsible for my immune system.”
"HIV can only be transmitted through unprotected sexual intercourse.”
"I can rely on herbal remedies to cure HIV without taking medications.”
The Correct Answer is B
Choice A rationale:
HIV is not a bacterial infection but a viral infection caused by the human immunodeficiency virus. It cannot be treated with antibiotics, as antibiotics are only effective against bacterial infections.
Choice B rationale:
This statement is correct. HIV attacks and destroys the CD4+ T cells, which are crucial for maintaining the immune system. As the virus replicates and damages these cells, the body becomes more susceptible to infections and other illnesses.
Choice C rationale:
This statement is incorrect. HIV can be transmitted through various means, including unprotected sexual intercourse, sharing needles, mother-to-child during childbirth or breastfeeding, and blood transfusions with infected blood.
Choice D rationale:
This statement is incorrect. There is no cure for HIV, and relying solely on herbal remedies without taking antiretroviral medications would be ineffective and dangerous. Antiretroviral therapy (ART) is the standard treatment for managing HIV and preventing its progression to AIDS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale:
"Using condoms consistently and correctly during sexual intercourse can reduce the risk of HIV transmission." This statement is accurate and supported by scientific evidence. Condoms act as a barrier method and are effective in preventing the exchange of bodily fluids, thus reducing the likelihood of HIV transmission during sexual activity.
Choice A rationale:
"You should avoid getting tested for HIV regularly." This statement is incorrect and potentially harmful. Regular HIV testing is essential for early detection and timely initiation of treatment if needed. Early diagnosis improves health outcomes and reduces the risk of transmitting the virus to others.
Choice B rationale:
"Pre-exposure prophylaxis (PrEP) is used after HIV exposure." This statement is incorrect. PrEP is taken before potential HIV exposure to prevent infection. It involves taking antiretroviral medications regularly to reduce the risk of acquiring the virus.
Choice D rationale:
"Supervised injection facilities aim to increase risky behaviors among drug users." This statement is incorrect. Supervised injection facilities provide a safe and controlled environment for drug users to consume drugs under medical supervision, reducing the risk of overdose and the transmission of infectious diseases like HIV and hepatitis
C.
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.
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