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A nurse is caring for a client who is on anti-retroviral therapy (ART), which includes indinavir sulfate (Crixivan), a protease inhibitor, for the treatment of HIV. Which client statement demonstrates that teaching was effective?

A.

"If I don't take my medication as scheduled, the virus may become resistant to treatment."

B.

"If I don't take my medication as scheduled, it may cause my RNA to convert to DNA."

C.

"If I don't take my medication as scheduled, it may prevent the HIV from being assembled."

D.

"If I don't take my medication as scheduled, my CD4 lymphocyte count may increase."

Answer and Explanation

The Correct Answer is A

A. This statement accurately reflects the importance of adherence to ART; if medication is missed, the virus may replicate unchecked, leading to drug resistance, which is a significant concern in HIV treatment.  

 

B. This statement is incorrect because the conversion of RNA to DNA is a normal part of the HIV life cycle and is not directly prevented by taking medication on time.  

 

C. While protease inhibitors do help prevent the assembly of new virions, the primary concern when missing doses is the risk of resistance rather than assembly prevention.  

 

D. This statement is misleading; while effective ART can lead to an increase in CD4 counts over time, missing doses would not directly cause an increase in CD4 lymphocyte counts.


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View Related questions

Correct Answer is ["A","C","D","E"]

Explanation

A. Hemoglobin level is a key component of the CBC, reflecting the oxygen-carrying capacity of the blood.

B. Blood glucose level is not part of the CBC; it is typically measured separately in metabolic panels or glucose tests.

C. White blood cell count is included in the CBC and is important for assessing the immune response.

D. Platelet count is also part of the CBC and is essential for evaluating clotting function.

E. Red blood cell count is included in the CBC and is crucial for assessing overall blood health and anemia status.

Correct Answer is B

Explanation

A. Increasing the consumption of protein-rich foods like baked salmon is beneficial for clients with AIDS, as they often require higher protein intake to support their immune system and overall health.

B. Eating raw fruits and vegetables can pose a risk for clients with compromised immune systems, as these foods may harbor pathogens that can lead to infections. This statement indicates a need for further education regarding safe food handling and preparation.

C. Washing plates and utensils with soap and hot water is a proper practice to maintain hygiene and prevent infections, especially for clients with weakened immune systems.

D. Asking a partner to clean the cat's litter box is a good precaution since cat litter can be a source of toxoplasmosis, which can be harmful to immunocompromised individuals.

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