The nurse is providing discharge teaching to a client recently ...

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The nurse is providing discharge teaching to a client recently been diagnosed with HIV. The nurse knows the client has understood the instructions when he states that a goal of HIV pharmacotherapy is to:
 
  Standard Text: Select all that apply.
  1. prevent HIV-related morbidity.
  2. prolong survival.
  3. restore and preserve immunologic function.
  4. increase viral load.
  5. eliminate the potential for transmission from mother to child in pregnant clients who have HIV infection.

Question 2

When the client is started on antiretroviral drugs for HIV, what important information should the nurse teach the client?
 
  1. This drug is readily available all over the world for treatment.
  2. This type of drug will be used prior to vaccines.
  3. This drug will cure the disease over a period of time.
  4. This drug will not cure the disease, but could extend life expectancy.

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Answer to Question 1

Correct Answer: 2,3
Rationale 1: A goal of HIV pharmacotherapy is to decrease HIV-related morbidity. It is not realistic to expect the therapy to prevent morbidity.
Rationale 2: A goal of HIV pharmacotherapy is to prolong survival with HIV.
Rationale 3: A goal of HIV pharmacotherapy is to restore and preserve immunologic function.
Rationale 4: A goal of HIV pharmacotherapy is to suppress the viral load, not increase it.
Rationale 5: It is impossible to eliminate the potential for transmission of HIV from a mother to a child in pregnant clients. It can, however, be reduced with HIV pharmacotherapy.
Global Rationale: At present the disease cannot be cured and goals of therapy include reducing morbidity, improving quality of life, restoring and preserving immunologic function, suppressing viral load, and preventing transmission from mother to child in pregnant patients who have HIV infection.

Answer to Question 2

Correct Answer: 4
Rationale 1: This type of drug is not readily available all over the world, due to the high cost.
Rationale 2: This type of drug is not necessarily used prior to vaccines.
Rationale 3: There is no cure for the disease at this time.
Rationale 4: Drug therapy has not produced a cure but has resulted in a number of therapeutic successes.
Global Rationale: While pharmacotherapy for HIV-AIDS has not produced a cure, it has resulted in a number of therapeutic successes. For example, many patients with HIV infection are able to live symptom free with their disease for a longer time period due to medications. The drugs are not widely available all over the world and are not necessarily used prior to vaccines.

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[6ana001]

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