Author Question: Which nursing action will be most useful in assisting a college student to adhere to a newly ... (Read 75 times)

cnetterville · **on:** Jun 25, 2018

Which nursing action will be most useful in assisting a college student to adhere to a newly prescribed antiretroviral therapy (ART) regimen?

a. Give the patient detailed information about possible medication side effects.
b. Remind the patient of the importance of taking the medications as scheduled.
c. Encourage the patient to join a support group for students who are HIV positive.
d. Check the patient's class schedule to help decide when the drugs should be taken.

Question 2

The nurse palpates enlarged cervical lymph nodes on a patient diagnosed with acute human immunodeficiency virus (HIV) infection. Which action would be most appropriate for the nurse to take?

a. Instruct the patient to apply ice to the neck.
b. Advise the patient that this is probably the flu.
c. Explain to the patient that this is an expected finding.
d. Request that an antibiotic be prescribed for the patient.

mtmmmmmk · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
The best approach to improve adherence is to learn about important activities in the patient's life and adjust the ART around those activities. The other actions also are useful, but they will not improve adherence as much as individualizing the ART to the patient's schedule.

Answer to Question 2

ANS: C
Persistent generalized lymphadenopathy is common in the early stages of HIV infection. No antibiotic is needed because the enlarged nodes are probably not caused by bacteria. Applying ice to the neck may provide comfort, but the initial action is to reassure the patient this is an expected finding. Lymphadenopathy is common with acute HIV infection and is therefore not likely the flu.