A nurse is conducting a review class for a group of perinatal nurses working at the local clinic. The clinic sees a high population of women who are HIV positive. After discussing the recommendations for antiretroviral therapy with the group, the nurse determines that the teaching was successful when the group identifies which rationale as the underlying principle for the therapy?

adjunct therapy to radiation and chemotherapy

treatment of opportunistic infections

reduction in viral loads in the blood

can cure acute HIV/AIDS infections

Answer and Explanation

The Correct Answer is C

A. adjunct therapy to radiation and chemotherapy:

This option is not applicable to HIV/AIDS treatment. Antiretroviral therapy (ART) is specifically used to treat HIV infection by targeting the replication of the virus. It is not used as adjunct therapy to radiation or chemotherapy, which are treatments typically used for cancer.

B. treatment of opportunistic infections:

While antiretroviral therapy (ART) can help prevent opportunistic infections by boosting the immune system, its primary purpose is not the treatment of these infections. Rather, ART focuses on suppressing the replication of the HIV virus itself.

C. reduction in viral loads in the blood:

This is the correct rationale for antiretroviral therapy. The main goal of ART is to reduce the viral load in the blood to undetectable levels. By doing so, ART helps to slow the progression of HIV infection, improve immune function, and reduce the risk of transmitting the virus to others.

D. can cure acute HIV/AIDS infections:

This statement is incorrect. While antiretroviral therapy (ART) is highly effective in controlling HIV infection and preventing progression to AIDS, it does not cure acute HIV/AIDS infections. HIV remains a chronic condition that requires lifelong management with ART.

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Correct Answer is B

Explanation

A. Client has a twin sister.

Having a twin sister does not directly increase the client's risk of developing preeclampsia. While twin pregnancies are associated with higher rates of certain complications, such as preterm birth and gestational hypertension, having a twin sister herself does not inherently increase her risk of preeclampsia.

B. Her mother had preeclampsia during pregnancy.

This is the correct choice. A history of preeclampsia in the client's mother is a significant risk factor for preeclampsia in the client herself. Preeclampsia has a genetic component, and women with a family history of the condition, especially in their mothers, are at increased risk of developing it during their own pregnancies.

C. This is the client's second pregnancy.

While the number of pregnancies a woman has experienced can influence her risk of certain pregnancy complications, such as placental abnormalities, it is not as strong a risk factor for preeclampsia as a family history of the condition. Preeclampsia can occur in both first and subsequent pregnancies, regardless of the number of pregnancies a woman has had.

D. Her sister-in-law had gestational hypertension.

Gestational hypertension is a related condition to preeclampsia and shares some risk factors, such as high blood pressure during pregnancy. However, a sister-in-law having gestational hypertension does not directly increase the client's risk of preeclampsia. While it may suggest a family predisposition to hypertensive disorders during pregnancy, it is not as specific a risk factor for preeclampsia as a direct family history of the condition, such as in the client's mother.

A. Asian Americans as having the highest teen birth rate B. loss of self-esteem as a major impact C. rise in teen birth rates over the years. D. about half occurring within a year of first sexual intercourse E. Peer pressure to become sexually active

Correct Answer is ["C","D","E"]

Explanation

A. Asian Americans as having the highest teen birth rate:

This statement is incorrect. Asian Americans generally have lower teen birth rates compared to other racial/ethnic groups in the United States. Incorporating inaccurate information into the presentation may lead to misunderstanding or misrepresentation of the issue.

B. Loss of self-esteem as a major impact:

While loss of self-esteem can be a consequence of adolescent pregnancy, it may not be considered a major impact in all cases. Adolescent pregnancy can have diverse and complex impacts on individuals, including social, economic, and psychological effects. While addressing the psychosocial aspects of adolescent pregnancy is important, loss of self-esteem may not be the primary focus of the presentation.

C. Rise in teen birth rates over the years:

Providing information about the trend of teen birth rates over time helps to contextualize the issue and highlight its significance. This aspect can include discussing historical trends, recent changes, and factors contributing to fluctuations in teen birth rates.

D. About half occurring within a year of first sexual intercourse:

This statistic underscores the importance of sexual health education and contraception access for adolescents. Understanding the timing of pregnancies in relation to sexual debut can inform interventions aimed at preventing unintended pregnancies among teenagers.

E. Peer pressure to become sexually active:

Peer pressure is a significant influence on adolescent behavior, including decisions related to sexual activity. Addressing peer pressure in the context of adolescent pregnancy allows for discussion about the social and emotional factors that contribute to teen pregnancies and the importance of developing healthy coping strategies and assertiveness skills.

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Naxlex Comprehensive Predictor Exams

A client comes to the clinic for an evaluation. The client is at 22 weeks' gestation. After reviewing a client's history, which factor would the nurse identify as placing her at risk for preeclampsia?

Correct Answer is B

Explanation

A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspects? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to:

After teaching a group of adolescents about HIV, the nurse asks them to identify the primary means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

A woman comes to the clinic for a routine checkup. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus?

The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS?

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

A nurse is working with a victim of violence. Which statement would be most appropriate to empower the victim to take action?