Author Question: A patient has begun treatment for HIV. The primary care NP should monitor the patient's complete ... (Read 78 times)

Davideckstein7

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A patient has begun treatment for HIV. The primary care NP should monitor the patient's complete blood count (CBC) at least every _____ months.
 
  a. 1 to 3
  b. 3 to 6
  c. 6 to 9
  d. 9 to 12

Question 2

A patient who has HIV frequently expresses concerns about the costs of treatment. The primary care NP should:
 
  a. discuss the risks associated with underdosing of antiretroviral therapies.
  b. suggest taking half doses of the medications on a regular basis.
  c. suggest the patient limit therapy to a one- or two-drug regimen.
  d. recommend an occasional drug holiday when cell and viral counts are good.



gstein359

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Answer to Question 1

B
The patient's CBC should be monitored at least every 3 to 6 months and more frequently if values are low and bone marrow toxicity is present.

Answer to Question 2

A
Antiretroviral therapy should include three fully active agents. Patients should be cautioned that underdosing may be worse than not taking drugs at all because resistant strains will be developed. Taking half doses, having drug holidays, or limiting therapy to one to two drugs are not recommended.



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