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A patient With HIV is being discharged on Zidovudine, Enfuvirtide, and Raltegravir. The patient asks why it is necessary to take so many medications. Which of the following responses by the nurse is the most appropriate?

'The medications work against the virus in different ways and with lower doses. reducing the potential adverse effects."

“These medications will help prevent infection from multiple types of bacteria.”

“The other medications are to cover you if you forget to take one of them."

“The medications will work together to increase viral load and decrease CDC count.”

Answer and Explanation

The Correct Answer is A

A. Combination antiretroviral therapy (ART) works at different stages of the HIV lifecycle, helping to suppress the virus more effectively while minimizing resistance and side effects.

B. These medications do not prevent bacterial infections; they target HIV.

C. ART requires strict adherence; missing doses can lead to drug resistance.

D. The goal of ART is to decrease viral load and increase CD4 count, not the opposite.

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Correct Answer is B

Explanation

A. An "undetectable" viral load means the risk of HIV transmission is significantly reduced ("Undetectable = Untransmittable" or U=U), though precautions should still be followed.

B. Clients with a low CD4+ count (<200 cells/µL) are at increased risk for opportunistic infections. Encouraging a healthy lifestyle and infection prevention helps maintain immune function.

C. Antibiotic prophylaxis is considered for clients with CD4+ counts <200 cells/µL, but it does not prevent viral load elevation.

D. There is no cure for HIV; lifelong ART is required to maintain viral suppression.

A. Enzyme-linked Immunosorbent assay (ELISA) B. Schilling Test C. Hemoglobin electrophoresis D. Western Blot E. Ferritin and Total Iron-Binding Capacity

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

Explanation

A. ELISA – Used for detecting infections or immune conditions but is not specific for anemia.

B. Schilling Test – Used to diagnose vitamin B12 deficiency and pernicious anemia.

C. Hemoglobin Electrophoresis – Used to diagnose sickle cell anemia and thalassemias by identifying abnormal hemoglobin variants.

D. Western Blot – Used to confirm infections like HIV, not to diagnose anemia.

E. Ferritin and Total Iron-Binding Capacity (TIBC) – Help assess iron status and diagnose iron deficiency anemia.

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A patient With HIV is being discharged on Zidovudine, Enfuvirtide, and Raltegravir. The patient asks why it is necessary to take so many medications. Which of the following responses by the nurse is the most appropriate?

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Naxlex Comprehensive Predictor Exams

Eight years after beginning antiretroviral therapy (ART), a patient with human immunodeficiency virus infection has a CD4+ cell count of 81 cell/L and an "undetectable" viral load. Which intervention would the nurse include in the plan of care?

Correct Answer is B

Explanation

An RN is reviewing diagnostic tests for different types of anemia with a student nurse. Which of the following does the student correctly state is used for the diagnosis of types of anemia? (Select all that apply).

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

Explanation

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