The client has acquired immune deficiency syndrome (AIDS) and has just learned she is pregnant. She tearfully asks the nurse if her baby will die of acquired immune deficiency syndrome (AIDS). What is the nurse's best response?
1. "There are special tests that we can do to see if your baby is positive before birth."
2. "I know that is a great worry for all of us."
3. "Drug therapy can help prevent your child from contracting the virus."
4. "There are drugs that can be given after birth to reverse AIDS."
3
Rationale 1: The patient's concern is about her baby dying from AIDS. Testing options is not the best answer.
Rationale 2: Worrying about mother-to-baby transmission is a concern for all involved in this case, but this statement is not therapeutic.
Rationale 3: A regime of oral zidovudine (Retrovir) will decrease the possibility of mother-to-baby transmission by 70%.
Rationale 4: There are no drugs to "reverse" AIDS.
Global Rationale: A regime of oral zidovudine (Retrovir) will decrease the possibility of mother-to-baby transmission by 70%. The patient's concern is about her baby dying from AIDS. Testing options is not the best answer. Worrying about mother-to-baby transmission is a concern for all involved in this case, but this statement is not therapeutic. There are no drugs to "reverse" AIDS.
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