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Author Question: A pregnant patient is HIV-positive. Which antiretroviral agent will the nurse expect the patient's ... (Read 42 times)

storky111

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on: Jul 23, 2018
A pregnant patient is HIV-positive. Which antiretroviral agent will the nurse expect the patient's provider to order?
 
  a. Abacavir/lamivudine/zidovudine (Trizivir)
  b. Efavirenz/emtricitabine/tenofovir (Atripla)
  c. Lamivudine/zidovudine (Combivir)
  d. Rilpivirine/emtricitabine/tenofovir (Complera)

Question 2

A patient who has HIV infection will begin treatment with efavirenz. The nurse expects this agent to be given in the combination product Atripla in order to
 
  a. avoid development of psychiatric comorbidities.
  b. prevent dizziness, sedation, and nightmares.
  c. reduce viral resistance.
  d. prevent severe rash and hepatotoxicity.


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honnalora

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Antiretroviral therapy is strongly recommended for all pregnant HIV-infected patients. The preferred dual nucleoside reverse transcriptase inhibitor is Combivir.

Answer to Question 2

ANS: C
Efavirenz is optimally given as a component of Atripla. The primary reason for using combination products is to reduce viral resistance. Efavirenz should not be given to patients who have psychiatric histories. Efavirenz may cause dizziness, sedation, nightmares, rash, and hepatotoxicity, but this is not minimized with combination therapy.


storky111

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

tkempin

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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