An HIV-infected patient presents at the clinic for a scheduled CD4+ count
The results of the test are 45 cells/?L, and the nurse recognizes the patient's increased risk for Mycobacterium avium complex (MAC disease). The nurse should anticipate the administration of what drug?
A) Azithromycin
B) Vancomycin
C) Levofloxacin
D) Fluconazole
Ans: A
Feedback:
HIV-infected adults and adolescents should receive chemoprophylaxis against disseminated Mycobacterium avium complex (MAC disease) if they have a CD4+ count less than 50 cells/µL. Azithromycin (Zithromax) or clarithromycin (Biaxin) are the preferred prophylactic agents. Vancomycin, levofloxacin, and fluconazole are not prophylactic agents for MAC.
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