The Practical Nurse (PN) is reinforcing information with a patient who has been diagnosed with Human Immunodeficiency Virus (HIV) about the antiretroviral medication regimen.
Which patient statement should the PN recognize as requiring an additional review of the information?
The medications can decrease Acquired Immunodeficiency Syndrome (AIDS) related complications.
HIV infection is not cured by the antiretroviral regimen.
The viral load can be decreased to an undetectable level.
Antiretroviral medication prevents the transmission of the virus.
The Correct Answer is B
Choice A rationale
Antiretroviral medications can indeed decrease Acquired Immunodeficiency Syndrome (AIDS) related complications. These medications work by blocking the replication of the HIV virus, thereby reducing the viral load in the body. This allows the immune system to recover and fight off infections and diseases that are associated with AIDS12.
Choice B rationale
This statement is correct. While antiretroviral medications are highly effective in managing HIV infection, they do not cure the disease. The primary goal of antiretroviral therapy is to reduce the viral load to undetectable levels, but this does not mean the virus is completely eliminated from the body. HIV remains in latent reservoirs within the body, and if antiretroviral therapy is stopped, the virus can rebound.
Choice C rationale
Antiretroviral medications can decrease the viral load to an undetectable level. This means that the amount of HIV in the blood is so low that it cannot be detected by standard blood tests. Achieving an undetectable viral load is a key goal of antiretroviral therapy as it indicates that the treatment is working effectively.
Choice D rationale
While antiretroviral medications significantly reduce the risk of transmitting the virus, they do not completely prevent it. Having an undetectable viral load greatly reduces the risk of transmission, but it does not eliminate it. Therefore, other preventive measures, such as using condoms and practicing safe sex, should still be followed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Heart rate is an important vital sign to monitor in patients, but it is not the primary outcome
data to prioritize when administering a 20% mannitol intravenous (IV) solution. Mannitol is a diuretic that works by increasing the amount of urine produced. Therefore, while heart rate can be affected by fluid balance changes, it is not the most directly relevant outcome to monitor in this context.
Choice B rationale
Ankle circumference could be an indicator of peripheral edema, which might suggest fluid
overload or poor kidney function. However, in the context of mannitol administration, which is a diuretic and would be expected to decrease fluid overload, ankle circumference is not the primary outcome to monitor.
Choice C rationale
Urinary output is the correct answer. Mannitol is an osmotic diuretic that increases urine
production. It is used to reduce intracranial and intraocular pressure by drawing water out of tissues and into the bloodstream, from where it can be excreted by the kidneys. Therefore, urinary output is the most direct measure of its effectiveness and is the key outcome that should be monitored.
Choice D rationale
Dietary intake is always important to monitor in patients, especially those receiving IV
therapy, as it can impact electrolyte balance and overall health status. However, it is not the primary outcome to monitor when administering mannitol.
Correct Answer is C
Explanation
Choice A rationale
Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.
Choice B rationale
Reduced urinary frequency is another expected outcome of oxybutynin treatment.
Choice C rationale
Decreased urinary output is not a typical effect of oxybutynin. In fact, oxybutynin is used to
manage symptoms of an overactive bladder, which include frequent urination. Therefore, if the
PN observes decreased urinary output, it could indicate a problem such as urinary retention,
which should be reported to the charge nurse.
Choice D rationale
Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.
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