Practice Question
A patient with HIV is noncompliant with antiretroviral therapy (ART). The viral load has increased and CD4 count dropped. What should the nurse prioritize?
Answer Choices:
Correct Answer:
Educating on adherence to prevent resistance
Rationale:
🟢 In patients with HIV, noncompliance with antiretroviral therapy (ART) is a primary cause of viral load increase and CD4 count drop, which can lead to treatment failure and resistance. Before adjusting the regimen or initiating new treatments, the nurse must first address the underlying issue of non-adherence.
🟢 Patient education should focus on the importance of strict medication adherence, which is essential to suppress viral replication, preserve immune function, and prevent drug resistance. This includes discussions about side effect management, lifestyle factors, and support systems.
🟢 Changing ART regimens or performing resistance testing (options A and D) may be necessary later, but only after evaluating and improving adherence. Corticosteroids (option C) are not appropriate unless treating a specific opportunistic infection or inflammatory condition.
🟢 Nursing priority should always begin with educating and empowering the patient to engage in their care.
Want to practice more questions like this?
This question is from Examplify 1 which contains 49 questions.
More Questions from This Exam
A 21-year-old college student is prescribed doxycycline for acne vulgaris. The patient reports taking the medication with breakfast, which includes cereal, orange juice, and milk. Two weeks later, she returns complaining that her acne has not improved and she has been experiencing frequent sunburns even with minimal sun exposure. What is the most appropriate nursing intervention?
Answer Choices:
A patient with hypothyroidism is prescribed levothyroxine (Synthroid). After several weeks of therapy, they report anxiety, insomnia, weight loss, and palpitations. Which nursing action is most appropriate?
Answer Choices:
A nurse reviews a client's medication profile and prepares to administer amoxicillin. The client discloses a history of severe urticaria and rash following penicillin use. What is the nurse's priority action based on advanced pharmacologic knowledge and risk assessment?
Answer Choices:
In preparing a teaching plan for a client newly prescribed hydrocortisone for Addison's disease, which instruction is es
Answer Choices:
A client newly prescribed phenelzine (Nardil) for treatment-resistant depression expresses interest in incorporating more fermented foods into their diet. Based on the pharmacodynamics of this medication, which dietary counseling statement best demonstrates the nurse's advanced understanding of safety implications?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 4