AIDS Certified Registered Nurse (ACRN) Certification Practice Exam

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What is the role of a viral load test in HIV management?

To diagnose HIV infection

To assess the effectiveness of antiretroviral therapy

The role of a viral load test in HIV management is primarily to assess the effectiveness of antiretroviral therapy (ART). This test measures the amount of HIV in the blood, which is crucial for evaluating how well a patient's treatment is controlling the virus. A lower viral load indicates that the ART is working effectively, significantly reducing the virus to undetectable levels, which is the desired outcome.

Monitoring viral load helps healthcare providers make informed decisions about continuing, changing, or intensifying treatment regimens based on how well the therapy is suppressing the virus. If a patient shows an increase in viral load, it could indicate that the current treatment is failing, potentially due to drug resistance or poor adherence.

In contrast, while diagnosing HIV infection typically involves antibody or antigen tests rather than viral load testing, and monitoring opportunistic infections or determining CD4 count involves different assessments, the viral load explicitly focuses on the level of HIV replication and the response to antiretroviral therapy, which is why it is a cornerstone in the ongoing management of patients with HIV.

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To monitor opportunistic infections

To determine CD4 count status

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