Sexual Assault Nurse Examiner (SANE) A Practice Exam

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What is a critical step before administering NPEP?

Providing educational materials about HIV
Acquiring a thorough medical history
Scheduling a follow-up appointment
Conducting prior HIV testing

The correct answer is: Conducting prior HIV testing

Conducting prior HIV testing is a critical step before administering NPEP (Non-Occupational Post-Exposure Prophylaxis) because it is essential to determine the HIV status of the individual before initiating treatment. If a person is already HIV-positive, NPEP would not be appropriate, as it is meant to prevent the virus from establishing an infection after possible exposure. Additionally, starting NPEP in someone who is already infected can lead to drug resistance and complicate their treatment options. Before administering NPEP, healthcare providers need to ensure that the individual has not been exposed to the virus for longer than 72 hours, as the efficacy of NPEP diminishes significantly after this time frame. Therefore, the cycle of care should ensure that the patient is appropriately tested and supported based on their results, emphasizing the importance of accurate diagnosis in managing HIV prevention strategies effectively.