Which of the following statements made by a client diagnosed with HIV demonstrates an understanding of the teaching?
"I will take all prescribed medications."
"I will only need to take HIV medications for 6 months, and then I will be cured."
"I will have to take medications for the rest of my life."
"I will have to be careful and avoid crowds."
The Correct Answer is C
Choice A reason: "I will take all prescribed medications." is not a statement that demonstrates an understanding of the teaching, because it is incomplete and vague. Taking all prescribed medications is an important part of the treatment for HIV, but it does not explain why, how, or for how long the medications are needed. Taking all prescribed medications without understanding the purpose, benefits, or risks can lead to poor adherence, compliance, or outcomes.
Choice B reason: "I will only need to take HIV medications for 6 months, and then I will be cured." is not a statement that demonstrates an understanding of the teaching, because it is incorrect and unrealistic. Taking HIV medications for 6 months is not enough to treat the infection, and there is no cure for HIV. HIV is a chronic and incurable infection that requires lifelong treatment with antiretroviral drugs, which can suppress the viral load, improve the immune function, and prevent the progression to AIDS. Stopping the medications after 6 months can cause the virus to rebound, the immune system to deteriorate, and the disease to worsen.
Choice C reason: "I will have to take medications for the rest of my life." is a statement that demonstrates an understanding of the teaching, because it is accurate and realistic. Taking medications for the rest of one's life is the reality of living with HIV, as there is no cure for the infection. Taking medications for the rest of one's life can help control the infection, maintain the health, and prolong the survival of people with HIV.
Choice D reason: "I will have to be careful and avoid crowds." is not a statement that demonstrates an understanding of the teaching, because it is unnecessary and exaggerated. Being careful and avoiding crowds is not a requirement for people with HIV, as the infection is not transmitted by casual contact, such as touching, hugging, or sharing utensils. Being careful and avoiding crowds can also be detrimental to the social and emotional wellbeing of people with HIV, as it can cause isolation, stigma, or depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement is correct and should be included in the nurse's teaching. It informs the client about the availability and benefits of adaptive devices that can enhance their home safety and independence. It also shows the nurse's empathy and respect for the client's needs and preferences.
Choice B reason: This statement is incorrect and should not be included in the nurse's teaching. It reflects the nurse's personal opinion and bias, and it may discourage the client from seeking help or expressing their pain. It also shows the nurse's lack of understanding and compassion for the client's condition and challenges.
Choice C reason: This statement is incorrect and should not be included in the nurse's teaching. It suggests an unsafe and hazardous practice that can increase the risk of falls and injuries for the client. It also shows the nurse's negligence and irresponsibility for the client's home safety.
Choice D reason: This statement is incorrect and should not be included in the nurse's teaching. It implies that the client is noncompliant and blames them for their home safety issues. It also shows the nurse's judgmental and accusatory attitude towards the client.
Correct Answer is B
Explanation
Choice A reason: The main side effect of acetaminophen is gastrointestinal (GI) bleeding is not a teaching that the nurse should include in the education, because it is incorrect and misleading. Acetaminophen is a pain reliever and fever reducer that is commonly used for osteoarthritis, but it does not have antiinflammatory properties. Acetaminophen does not cause GI bleeding, unlike NSAIDs, which can irritate the stomach lining and increase the risk of ulcers and bleeding. The main side effect of acetaminophen is liver damage, which can occur if the dose is exceeded or if the drug is combined with alcohol or other hepatotoxic substances.
Choice B reason: You should not take more than 4000 mg of acetaminophen a day is a teaching that the nurse should include in the education, because it is correct and important. Acetaminophen has a maximum daily dose of 4000 mg for adults, which should not be exceeded to avoid the risk of liver damage or overdose. Acetaminophen can be found in many overthecounter and prescription products, such as cold and flu remedies, cough syrups, or combination analgesics. Therefore, the client should read the labels carefully and keep track of the total amount of acetaminophen they are taking from all sources.
Choice C reason: Nonsteroidal antiinflammatory drugs (NSAIDs) are very safe and have no side effects is not a teaching that the nurse should include in the education, because it is incorrect and misleading. NSAIDs are a group of drugs that have antiinflammatory, analgesic, and antipyretic effects, and that are commonly used for osteoarthritis. However, NSAIDs are not very safe and have many side effects, such as GI bleeding, ulcers, kidney damage, cardiovascular events, allergic reactions, or interactions with other drugs. Therefore, the client should use NSAIDs with caution and under the supervision of the provider.
Choice D reason: The most common adverse effect of nonsteroidal antiinflammatory drugs (NSAIDs) are liver failure and tinnitus is not a teaching that the nurse should include in the education, because it is incorrect and misleading. Liver failure and tinnitus are not the most common adverse effects of NSAIDs, but rather rare and serious ones. Liver failure can occur in some cases of NSAID overdose or hypersensitivity, while tinnitus can occur in some cases of NSAID toxicity or high doses. The most common adverse effects of NSAIDs are GI bleeding, ulcers, or irritation, which can affect up to 15% of the users.
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