A client has discussed therapy for his HIV-positive status. What does the nurse understand is the goal of antiretroviral therapy?
A) Reverse the HIV+ status to a negative status.
B) Treat mycobacterium avium complex.
C) Eliminate the risk of AIDS.
D) Keep the CD4 cell count above 350/mm3 and viral load undetectable.
D
Feedback:
The goal of antiretroviral therapy is to keep the CD4 cell count above 350/mm3 and bring the viral load to a virtually undetectable level. This level is no more than 500 or 50 copies, depending on the sensitivity of the selected viral load test. It is not possible to reverse the status to a negative, and it cannot eliminate the risk of AIDS but can help with prolonging the asymptomatic stage of HIV. Antiretroviral therapy does not treat mycobacterium avium complex.
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