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Exam NCLEX-PN topic 3 question 75 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 75
Topic #: 3
[All NCLEX-PN Questions]

When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:

  • A. when started, therapy must not be interrupted to prevent viral resistance.
  • B. when started, therapy must not be interrupted to prevent opportunistic infection.
  • C. therapy should be interrupted for one day each month to prevent toxicity.
  • D. therapy should be interrupted for one week every three months to prevent toxicity.
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Suggested Answer: A 🗳️
HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge even taking a dose late. Choice 2 is incorrect because, when the virus is kept in check with anti-retrovirals, the clients own immune system is able to keep opportunistic infections at bay. Choices 3 and 4 are incorrect because therapy should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be prescribed. Physiological Adaptation

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