An HIV client has been on an antiviral protease inhibitor for 2 ...

[corkyiscool3328]

An HIV client has been on an antiviral protease inhibitor for 2 months and recently complains of being hungry and thirsty and urinating more frequently. Knowing the adverse effects of protease inhibitors, the nurse should assess for:
 
  1. pancreatitis.
  2. kidney failure.
  3. hepatomegaly.
  4. hyperglycemia.

Question 2

The client with AIDS asks the nurse why so many medications are prescribed. What is the best response by the nurse?
 
  1. To decrease the possibility of the virus developing resistance to the medications.
  2. Because the earlier we start multiple medications, the better for you.
  3. To provide you with the most effective treatment for your illness.
  4. Research has shown single medications to be ineffective.

[aprice35067]

Answer to Question 1

Correct Answer: 4
Rationale 1: Increased hunger and thirst along with more frequent urination are not indicative of pancreatitis.
Rationale 2: PIs are not associated with kidney failure.
Rationale 3: Increased hunger and thirst along with more frequent urination are not indicative of hepatomegaly.
Rationale 4: Some of the protease inhibitors are associated with hyperglycemia, and can cause diabetes or worsen existing diabetes. Worsening diabetes can be indicated by increased hunger and thirst along with more frequent urination.
Global Rationale: Some of the protease inhibitors are associated with hyperglycemia, and can cause diabetes or worsen existing diabetes. Worsening diabetes can be indicated by increased hunger and thirst along with more frequent urination. These findings are not associated with pancreatitis, kidney failure, or hepatomegaly.

Answer to Question 2

Correct Answer: 1
Rationale 1: Decreasing the possibility of resistance is the key.
Rationale 2: Decreasing the possibility of resistance describes more specifically the goal than does the effect of starting multiple medications earlier.
Rationale 3: Decreasing the possibility of resistance is a more specific reason to offer than is providing the most effective treatment.
Rationale 4: Decreasing the possibility of resistance, and not the fact that single medications are ineffective, is the reason for multiple medications.
Global Rationale: The simultaneous use of medications from several classes reduces the probability that HIV will become resistant to treatment. The remaining statements do not the patient's question or are not factual.

[corkyiscool3328]

TY

[aprice35067]

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