Sexual Assault Nurse Examiner (SANE) A Practice Exam

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What is a key factor to consider before administering NPEP?

Patient’s age and health history
The patient’s insurance coverage
Prior HIV testing, preferably rapid combined AG/AB
The availability of local healthcare resources

The correct answer is: Prior HIV testing, preferably rapid combined AG/AB

The key factor to consider before administering Non-Occupational Post-Exposure Prophylaxis (NPEP) is prior HIV testing, preferably rapid combined antigen/antibody tests. This is crucial because NPEP is most effective when given within 72 hours of potential exposure to HIV. Understanding the patient's HIV status prior to treatment can guide the clinical decision-making process, ensuring that NPEP is appropriate and not administered unnecessarily if the patient is already HIV positive. Additionally, knowing the patient's HIV status can help healthcare providers assess the need for ongoing care and additional follow-up testing. Rapid testing allows for timely results, which is essential in urgent situations where exposure risk has occurred. Promptly addressing the patient’s HIV status can significantly influence outcomes, both in terms of immediate healthcare intervention and long-term management.