The nurse is caring for a client with AIDS who has just learned she is pregnant. She tearfully asks the nurse if her baby will die of AIDS. What is the best course of action for this client?
1. The client will take tipranavir (Aptivus) as prescribed.
2. The client will take raltegravir (Isentress) as prescribed.
3. The client will take indinavir (Crixivan) as prescribed.
4. The client will take zidovudine (Retrovir) as prescribed.
Correct Answer: 4
Rationale 1: Tipranavir is not part of the recommended regimen.
Rationale 2: Raltegravir is not part of the recommended regimen.
Rationale 3: Indinavir is not part of the recommended regimen.
Rationale 4: Zidovudine (Retrovir) is part of the recommended regimen for pregnant women.
Global Rationale: Recommended protocols for the pregnant woman include two NRTIs (zidovudine and lamivudine) with either an NNRTI (nevirapine) or a PI (lopinavir boosted with ritonavir). The specific regimen is adjusted based on resistance testing. The remaining drugs are pregnancy category C.
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