Nokea
A 21-year-old client exhibits a greenish, copious, and malodorous discharge with vulvar irritation. A speculum examination and wet smear are performeWhich condition is this client most likely experiencing?
- A. Bacterial vaginosis
- B. Candidiasis
- C. Yeast infection
- D. Trichomoniasis
Correct Answer: D
Rationale: The greenish, copious, malodorous discharge with vulvar irritation points to trichomoniasis.
You may also like to solve these questions
Which contraceptive method best protects against STIs and the HIV?
- A. Periodic abstinence
- B. Barrier methods
- C. Hormonal methods
- D. Same protection with all methods
Correct Answer: B
Rationale: Barrier methods, such as condoms, protect against STIs and HIV the best of all contraceptive methods. Periodic abstinence and hormonal methods do not offer protection against STIs or HIV.
A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?
- A. Endometrial biopsy
- B. Dilation and curettage
- C. Colposcopy
- D. Laparoscopy
Correct Answer: B
Rationale: The correct answer is B: Dilation and curettage. This procedure is used to diagnose and treat conditions like heavy uterine bleeding in cases of suspected miscarriage or incomplete abortion. It involves dilating the cervix to remove tissue from the uterus. In this scenario, the patient's positive pregnancy test and heavy bleeding suggest a possible incomplete abortion or miscarriage, making D&C appropriate. The other choices are not indicated for this situation: A (Endometrial biopsy) is used to evaluate abnormal uterine bleeding unrelated to pregnancy, C (Colposcopy) is for cervical evaluation, and D (Laparoscopy) is for abdominal and pelvic exploration, not specific to uterine bleeding.
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
- A. Gravida 3, Para 2
- B. Gravida 3, Para 3
- C. Gravida 4, Para 2
- D. Gravida 4, Para 3
Correct Answer: C
Rationale: Gravida refers to total pregnancies (4), and Para refers to births after 20 weeks (2 full-term deliveries). The spontaneous abortion does not count in para.
Using the family stress theory as an interventional approach for working with families experiencing parenting challenges, the nurse can assist the family in selecting and altering internal context factors. Which statement best describes the components of an internal context?
- A. Biologic and genetic makeup
- B. Maturation of family members
- C. Family's perception of the event
- D. Prevailing cultural beliefs of society
Correct Answer: C
Rationale: The family stress theory focuses on a family's reaction to stressful events. Internal context factors include elements that the family can control, like perceptions, family structure, and values. The family's perception of the event directly influences how they cope with it.
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
of 10. Which expected outcome is correctly stated for this problem?
- A. Patient will state that pain is a 2 on a scale of 10.
- B. Patient will have a reduction in pain after administration of the prescribed
- C. Patient will state an absence of pain 1 hour after administration of the prescribed
- D. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of
Correct Answer: D
Rationale: The correct answer is D because it aligns with the SMART criteria for expected outcomes. Specific: It clearly states the desired pain level of 2 on a scale of 10. Measurable: It provides a quantifiable measure to assess the outcome. Achievable: The goal is realistic and attainable within a specified time frame. Relevant: It directly addresses the nursing diagnosis of acute pain related to tissue trauma. Time-bound: It includes a timeframe of 1 hour after administration for evaluation.
Choices A, B, and C are incorrect because they do not meet all the SMART criteria. Choice A only focuses on the pain level without a specific timeframe. Choice B mentions pain reduction but lacks a specific target level or timeframe. Choice C mentions pain absence but lacks a specific timeframe for evaluation.