Sometimes patients will not comprehend the need for

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Sometimes patients will not comprehend the need for compliance to the antiretroviral therapy. Therefore the nurse should educate the patient about the importance of compliance. The nurse should engage the patient's family and friends when teaching about the medications and the need for compliance. Sometimes compliance can be improved if the patient adjusts the medication according to a work schedule. 18. A patient is enzyme immunoassay (EIA)-antibody negative for HIV. The patient informs the nurse about recent sexual contact with multiple partners. What is the most appropriate nursing action? Multiple choice question Reassure the patient that HIV infection is unlikely. Advise a more specific test, such as the Western blot. Suggest getting a genotype and phenotype assay done. Suggest HIV retesting at three weeks, six weeks, and three months. Suggest HIV retesting at three weeks, six weeks, and three months. If the patient is EIA-antibody negative for HIV and has a history of risky behavior, such as sexual contact with multiple partners, the nurse should advise the patient to get retested at three weeks, six weeks, and three months. In the initial stages of infection, the viral antibody may not be detectable; therefore repeated testing may be required. The nurse should inform the patient that absence of antibody does not indicate absence of HIV infection, and to confirm, further testing may be required. If the repeated tests are positive, then a more specific and confirmatory test like Western blot may be done. Genotype and phenotype assays are done not to detect presence of infection, but to determine whether a patient's HIV is resistant to drugs used for antiretroviral therapy.
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19. A patient came to a clinic for a pregnancy test because she had missed her last menstrual period. Despite the use of a condom, the test was positive. What information should be given to this patient by the nurse? Select all that apply. Multiple selection question Discuss antiretroviral therapy (ART). Tell her that failure of condoms is possible. Offer access to voluntary HIV- antibody testing. Advise her that she can choose abortion if she wants. Advise her to get her partner tested for human immunodeficiency virus (HIV). Tell her that failure of condoms is possible. Offer access to voluntary HIV-antibody testing. Advise her that she can choose abortion if she wants. Condoms are used for contraception and prevention of sexually transmitted diseases. Condoms may slip off the penis after ejaculation or break due to improper application or physical damage. If she wants to choose abortion, she can do so without consent from her husband. The current standard of care is for all women who are pregnant to be routinely offered access to voluntary HIV-antibody testing, and, if infected, offered optimal ART.
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  • Summer '18
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