A patient who is HIV positive comes to the clinic for a routine assessment
Which statement by the patient would the nurse evaluate as indicating a potential lack of adherence to the medication schedule? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "These medications are so expensive and my insurance doesn't pay very well.".
2. "One of the newer medications I am taking is a combination of two that I took previously.".
3. "One of the medications I am taking makes me nauseous.".
4. "I take so many pills at so many different times of the day.".
5. "Sometimes I feel I just cannot cope a single second longer.".
1,3,4,5
Rationale 1: Some medications prescribed to treat HIV are very expensive. A lack of financial resources may adversely affect adherence to the medication schedule.
Rationale 2: Combination antiviral medications reduce the number of pills that must be taken and the complexity of the medication regimen. This helps to support adherence to the schedule.
Rationale 3: The adverse effects of antiviral medications include nausea, vomiting, diarrhea, fatigue, and loss of appetite. Adverse reactions increase the possibility that the patient will not adhere to the prescribed regimen.
Rationale 4: The dosing schedule for antiviral medications can be very complex. This complexity may adversely affect adherence.
Rationale 5: Inability to cope may manifest as inability to adhere to recommended therapy.
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