An HIV-negative client who has an HIV-positive partner asks the ...

[c0205847]

An HIV-negative client who has an HIV-positive partner asks the nurse about receiving Truvada (emtricitabine and tenofovir). What information is most important to teach the client about this drug?
 
  a. Truvada does not reduce the need for safe sex practices.
  b. This drug has been taken off the market due to increases in cancer.
  c. Truvada reduces the number of HIV tests you will need.
  d. This drug is only used for postexposure prophylaxis.

Question 2

A nurse is caring for four clients who have immune disorders. After receiving the hand-off report, which client should the nurse assess first?
 
  a. Client with acquired immune deficiency syndrome with a CD4+ cell count of 210/mm3 and a temp of 102.4  F (39.1  C)
  b. Client with Bruton's agammaglobulinemia who is waiting for discharge teaching
  c. Client with hypogammaglobulinem ia who is 1 hour post immune serum globulin infusion
  d. Client with selective immunoglobulin A deficiency who is on IV antibiotics for pneumonia

[xiaomengxian]

Answer to Question 1

ANS: A
Truvada is a new drug used for pre-exposure prophylaxis and appears to reduce transmission of human immune deficiency virus (HIV) from known HIV-positive people to HIV-negative people. The drug does not reduce the need for practicing safe sex. Since the drug can lead to drug resistance if used, clients will still need HIV testing every 3 months. This drug has not been taken off the market and is not used for postexposure prophylaxis.

Answer to Question 2

ANS: A
A client who is this immunosuppressed and who has this high of a fever is critically ill and needs to be assessed first. The client who is post immunoglobulin infusion should have had all infusion-related vital signs and assessments completed and should be checked next. The client receiving antibiotics should be seen third, and the client waiting for discharge teaching is the lowest priority. Since discharge teaching can take time, the nurse may want to delegate this task to someone else while attending to the most seriously ill client.