Exam 29: HIV- and AIDS-Related Drugs

A patient who is HIV-positive begins therapy with the fixed-dose combination nucleoside reverse transcriptase inhibitor (NRTI)Combivir (lamivudine/zidovudine)twice daily.The patient is in the clinic for follow-up 1 week after initiation of therapy and reports having nausea.The patient's creatinine clearance is 40 mL/minute.Based on these findings,the nurse will perform which action?

A patient who has recently begun antiretroviral therapy with a combination drug develops immune reconstitution inflammatory syndrome (IRIS)with mild symptoms.What does the nurse expect that the provider will order?

A patient with HIV infection has been receiving antiretroviral therapy for 2 months.At the initiation of treatment,the patient had a viral load (VL)of 60 copies/mL and a CD4 count of 450 cells/mm³.Today's lab results reveal a VL of 20 copies/mL and a CD4 cell count of 800 cells/mm³.How will the nurse interpret the patient's results?

A pregnant patient is HIV-positive.Which antiretroviral agent will the nurse expect the patient's provider to order?

A patient will begin taking the protease inhibitor combination Kaletra (lopinavir/ritonavir).What information will the nurse include when teaching the patient about dietary changes?

The nurse is caring for a patient who is HIV-positive and has been receiving antiretroviral therapy for several months.The nurse experiences a needlestick injury resulting in exposure to the patient's blood.The nurse asks the Occupational Health nurse if treatment is necessary.How will the Occupational Health nurse respond?

A patient who is newly diagnosed with HIV infection after a recent exposure calls to report fever,sore throat,myalgia,and night sweats.The nurse will notify the provider that this patient is most likely experiencing

A patient who is HIV-infected takes 800 mg of indinavir (Crixivan),a protease inhibitor medication.The provider has ordered adding ritonavir (Norvir)to the regimen.The nurse will teach the patient that the addition of ritonavir

A patient who will begin antiretroviral therapy reports having trouble sticking with drug regimens in the past.Which action will the nurse take?

The nurse is caring for a 55-year-old patient who has been HIV-infected for 15 years.The nurse understands that this patient

A patient who has HIV infection will begin treatment with efavirenz.The nurse expects this agent to be given in the combination product Atripla in order to