A nurse is evaluating the outcomes of a patient's care for HIV/AIDS. Which action should the nurse take during the evaluation process?
Compare the patient's outcomes with the goals and expected outcomes.
Modify the plan of care based on the patient's history and physical examination.
Collect data about the patient's laboratory tests, psychosocial status, and educational needs.
Provide counseling, feedback, and reinforcement for adherence to medication.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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