A nurse is providing education to a 16-year-old client who is being prescribed Zidovudine (Retrovir) as their antiretroviral therapy (ART) for HIV. Which of the following statements should the nurse include in the teaching?
"This medication will prevent you from spreading the virus."
"You will need to take this medication as prescribed every day."
"It will be fine to take sleeping pills if you can't sleep."
"If you have nausea and vomiting, stop the medication immediately."
The Correct Answer is B
A. "This medication will prevent you from spreading the virus.": While effective ART reduces viral load and transmission risk, it does not eliminate the possibility of spreading HIV. Safe practices, including condoms and avoiding blood exposure, remain essential.
B. "You will need to take this medication as prescribed every day.": Adherence to Zidovudine (Retrovir) as prescribed is critical for suppressing viral replication, preventing drug resistance, and maintaining immune function. Daily, consistent dosing ensures therapeutic effectiveness and long-term health outcomes.
C. "It will be fine to take sleeping pills if you can't sleep.": Some medications may interact with antiretroviral therapy, and sleep aids should only be used under provider supervision. Taking over-the-counter or prescription sleep medications without guidance can risk adverse interactions.
D. "If you have nausea and vomiting, stop the medication immediately.": Stopping ART abruptly can lead to viral rebound and resistance. Management of side effects should involve contacting the healthcare provider for guidance on supportive measures or dose adjustments rather than discontinuing the medication independently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Organ donation can be considered before the client has died: Organ donation decisions are formally addressed after death or when death is imminent and criteria such as brain death are met. Premature consideration before death determination raises ethical and legal concerns. The process follows strict medical and legal protocols.
B. Organ donation is not regulated by any laws: Organ donation is governed by national and international laws and ethical guidelines to ensure consent, fairness, and safety. Regulatory frameworks define donor eligibility, procurement processes, and recipient allocation. Lack of regulation would risk ethical violations.
C. Organ donor status influences the course of a child's treatment: Medical care is provided based on the child’s clinical needs, independent of donor status. Treatment decisions are made to preserve life and function, not to facilitate organ procurement. Separating care from donation decisions protects patient rights.
D. Starting the discussion on organ donation early gives families time to make informed decisions: Early, sensitive discussion allows families to process information, ask questions, and consider values without time pressure. This approach supports informed consent and reduces distress during critical moments. It aligns with ethical standards in end-of-life care and transplantation.
Correct Answer is A
Explanation
A. Instruct the parents to provide frequent burping with every ounce of formula and to hold the infant upright for 30 minutes after feeding: Colic in formula-fed infants is often associated with swallowed air and gastrointestinal discomfort. Encouraging frequent burping and upright positioning after feeding helps reduce gas buildup, reflux, and discomfort, directly addressing the newborn’s symptoms.
B. Encourage the parents to use rocking and swaddling to manage colic symptoms without the need to modify feeding techniques: Soothing techniques can help comfort the infant but do not address the underlying feeding-related factors contributing to colic. They are supportive but not the first-line intervention.
C. Recommend switching the infant to a soy-based formula: Formula changes may be considered if burping and positioning are ineffective, but they should not be the first intervention without evaluating feeding practices and tolerance first.
D. Advise the parents to increase the interval between feedings to reduce digestive workload on the infant: Increasing intervals may lead to longer periods of hunger and potential feeding difficulties. Proper feeding techniques and managing gas are safer first interventions for colic symptoms.
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