UCY (6)

#CHP 5 1. The NR is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to: A. promote the progression of disease. B. intervene in late-stage AIDS. C. improve survival rates. D. conduct additional drug research. Correct answer: C Reason: A ggre ss ive anti-retroviral therapy aim s to reduce HIV a b m ir b o . c r o b m i d /t e i t s y t and mortality, thereby improving survival rates. Drug therapy also aims to decrease the HIV viral load, restorethe body's ability to fight off infection, and improve the quality of life. Drug therapy does not promote the progression of the disease. It is started at the time of the first infection, not in late- s tage AIDS . Treatment advance s have been ba s ed on re s earch, b u a b t i r d b . r c u o g m / t t e h s e t rapy is not pre s cribed to conduct additional research. #QSN Format:Multiple Choice #CHP 5: Sexually Transmitted Infections Cognitive Level: Understand Client Needs: Physiological Integrity: Pharmacological and Biological parentseral Therapies Integrated Process: Nursing Process REF: Page.197 2. A young grown ups woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty w ith adherence. To promote adherence, w hich a a r b e i r a b . c w o m o / u t e l s d t be mo st important for the NR to assess? A. beliefs and education B. financial situation and insurance C. activity level and nutrition D. family and living arrangements Correct answer: A Reason: The most important area to assess initially would be the client's beliefs and knowledge about the disease and its treatment. A common barrier is a lack of understanding about the link bet w een drug re s i s tance and nonadherence. O nce thi s area is a ss e a s b s ir e b . d c o , m th /te e st NR can a ss e ss for other barriers, such as finances and insurance, nutrition and activity level, and family issues, including living arrangements (for example, the client may be afraid that his or her HIV status would be revealed if others see the client taking medication). #QSN Format:Multiple Choice #CHP 5: Sexually Transmitted Infections Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance