A patient with HIV is not adhering to the prescribed medication ...

[silviawilliams41]

A patient with HIV is not adhering to the prescribed medication therapy. Which nursing action will best improve patient compliance and the long-term treatment of the disease process?
 
  1. Confront the patient about the noncompliant behavior.
  2. Talk with the patient about not adhering to the medication schedule.
  3. Suggest that the patient take the medication at bedtime to prevent nausea.
  4. Refer the patient to a social worker so that lower-cost medications can be obtained.

Question 2

A patient is prescribed a monoclonal antibody after an allograft on the left thigh. What does the use of this medication suggest to the nurse?
 
  1. The patient will have a shorter recovery time.
  2. This medication has fewer adverse effects.
  3. There is a risk for steroid-resistant rejection of the graft.
  4. The patient is at risk for developing a graft infection.

[bimper21]

Answer to Question 1

Correct Answer: 2

Providerpatient relationships seem to have the most influence on adherence behavior. Confronting the patient would lead to alienation. There is nothing in the question to suggest that nausea is a side effect of the medication. There is no reason to assume that the noncompliance is due to a financial reason.

Answer to Question 2

Correct Answer: 3

Because of significant side effects, the use of OKT3, a monoclonal antibody, is limited primarily to treatment of steroid-resistant rejection. The use of this medication does not indicate that the patient will have a shorter recovery time. There is no evidence that this medication has fewer adverse effects or that the patient is at risk for developing a graft infection.