The client receives efavirenz (Sustiva) as treatment for acquired ...

[rlane42]

The client receives efavirenz (Sustiva) as treatment for acquired immune deficiency syndrome (AIDS). The nurse assesses the client for which serious adverse effect?
 
  1. Cardiac arrest
  2. Rash
  3. Bone marrow suppression
  4. Seizures

Question 2

The nurse accidentally sticks herself with a needle after starting an intravenous (IV) line on a client with acquired immune deficiency syndrome (AIDS). The nurse tells the supervisor about the accident.
 
  What is the best initial response by the supervisor to decrease anxiety in the nurse?
  1. If you are started on medications soon, it will decrease the severity of the disease.
  2. Workers compensation will cover the cost of your illness and medications.
  3. Did you use the hospital protocols for starting intravenous (IV) lines on a client with acquired immune deficiency syndrome (AIDS)?
  4. Fortunately, the chances of you contracting human immunodeficiency virus (HIV) after the stick are very small.

[tranoy]

Answer to Question 1

Correct Answer: 2
Rationale 1: Cardiac arrest is not an expected adverse effect of efavirenz (Sustiva).
Rationale 2: A serious adverse effect of efavirenz (Sustiva) is Stevens-Johnson rash, which can be life threatening.
Rationale 3: Stevens-Johnson rash, not bone marrow suppression, is an adverse effect of efavirenz (Sustiva).
Rationale 4: Stevens-Johnson rash, not seizures, is an adverse effect of efavirenz (Sustiva).

Answer to Question 2

Correct Answer: 4
Rationale 1: The risk of transmission of human immunodeficiency virus (HIV) from client-to-health care worker is very small, and telling the nurse to start on medication will not reduce anxiety.
Rationale 2: If the nurse did contract human immunodeficiency virus (HIV), workers compensation would cover the cost, but the risk of human immunodeficiency virus (HIV) transmission is small and this response will not reduce anxiety.
Rationale 3: Asking the nurse if she used protocols is very non-therapeutic at this point, and will most likely increase anxiety.
Rationale 4: There have been only about 56 cases of client-to-health care worker transmission; the risk is very small.

[rlane42]

Thank you!

[tranoy]

Always glad to help...