A patient for whom antiretroviral therapy has been prescribed informs the nurse that she is taking oral contraceptives. The nurse responds that the combination of oral contraceptives and antiretroviral therapy can lead to which of the following?
A) Decreased effectiveness of antiviral therapy
B) Increased risk of vaginal bleeding
C) Decreased effectiveness of birth control pills
D) Increased serum level of the antiretroviral
Ans: C
Feedback:
Antiretrovirals decrease the effectiveness of oral birth control agents. Combining antiretrovirals with birth control pills does not, however, increase the risk of vaginal bleeding, increase serum levels of the antiretroviral, or decrease the effectiveness of antiviral therapy.
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