The nurse cares for a patient who is human immunodeficiency virus (HIV) positive and taking antiretroviral therapy (ART). Which information is most important for the nurse to address when planning care?
a. The patient's blood glucose level is 142 mg/dL.
b. The patient complains of feeling "constantly tired."
c. The patient is unable to state the side effects of the medications.
d. The patient states, "Sometimes I miss a dose of zidovudine (AZT)."
ANS: D
Because missing doses of ART can lead to drug resistance, this patient statement indicates the need for interventions such as teaching or changes in the drug scheduling. Elevated blood glucose and fatigue are common side effects of ART. The nurse should discuss medication side effects with the patient, but this is not as important as addressing the skipped doses of AZT.
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