Author Question: An occupational health nurse is evaluating the risk of a health care worker exposed to HIV by a ... (Read 23 times)

jace · **on:** Jul 23, 2018

An occupational health nurse is evaluating the risk of a health care worker exposed to HIV by a needlestick. The nurse initiates basic PEP because the source person's viral load is below _____ HIV RNA copies/mL.

Standard Text: Record your answer rounding to the nearest whole number.
Fill in the blank with the appropriate word.

Question 2

Why is PEP initiated only if exposure was severe, and the source of fluid is known or strongly suspected to contain HIV?

1. The cost and anxiety associated with taking the drugs are high.
2. There is not enough research supporting this treatment.
3. The cost of the drugs is high, and there are many ethical issues surrounding their use.
4. The cost of the drugs is high, and there are many adverse effects.

abctaiwan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,500
Rationale : Basic PEP is initiated when the source person is asymptomatic for HIV or is known to have a low viral load (below 1,500 HIV RNA copies/mL).
Global Rationale: Basic PEP is initiated when the source person is asymptomatic for HIV or is known to have a low viral load (below 1,500 HIV RNA copies/mL).

Answer to Question 2

Correct Answer: 4
Rationale 1: PEP is initiated only in severe cases and when the source of fluid is known to be or strongly suspicious of HIV, due to the expense of the drugs and the dangerous side effects, not to the anxiety associated with taking the drugs.
Rationale 2: There is research done supporting this treatment.
Rationale 3: PEP is initiated only in severe cases, and when the source of fluid is known to be or strongly suspicious of HIV, due to the expense of the drugs and the dangerous side effects, not to ethical issues surrounding the drugs.
Rationale 4: PEP is initiated only in severe cases, and when the source of fluid is known to be or strongly suspicious of HIV, due to the expense of the drugs and the dangerous side effects.
Global Rationale: Using PEP outside established guidelines is both expensive and dangerous; the antiretrovirals used for PEP produce adverse effects in most recipients. Not using PEP is not related to anxiety or ethical issues.