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.
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.
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Which statement made by a patient prescribed drug therapy for glaucoma indicates more teaching is needed?
a. "I am so glad my glaucoma has been cured with bimatoprost (Lumigan) in time to prevent blindness." b. "I will take care never to touch the tip of the applicator to my eye to prevent infection." c. "I will only call my doctor for eye redness if it lasts longer than just an hour or two." d. "I understand that I should wait for my vision to clear once the eye drops are in before I drive the car."
Phantom pain after an amputation is located ____________________.
Fill in the blank(s) with the appropriate word(s).
The nurse administering an antidepressant to a suicidal patient understands that the brain abnormality the medication addresses is:
a. Atrophy of the brain b. Enlarged lateral ventricles c. Irregularities in the serotonin system d. Abnormal electroencephalogram (EEG) readings
J.C. is a 41-year-old man who comes to the emergency department with complaints of acute low back pain
He states that he did some heavy lifting yesterday, went to bed with a mild backache, and awoke this morning with terrible back pain, which he rates as a 10 on a 1-to-10 scale. He admits to having had a similar episode of back pain years ago "after I lifted something heavy at work." J.C. has a past medical history of peptic ulcer disease (Pud) related to nonsteroidal anti-inflammatory drug (NSAId) use. He is 6 feet tall, weighs 265 pounds, and has a prominent "potbelly." What questions would be appropriate to ask J.C. in evaluating the extent of his back pain and injury? What observable characteristic does J.C. have that makes him highly susceptible to low back injury? J.C. used to take piroxicam (Feldene) 20 mg until he developed his duodenal ulcer. What is the relationship between the two? What signs and symptoms (S/S) would you expect if an ulcer developed?