Nokea
A 23-year-old female was admitted to the hospital for intravenous antibiotic treatment of pelvic inflammatory disease. The provider has ordered ceftazidime (Ancef) to be administered every 8 hours. At what rate should the nurse infuse the medication if the pharmacy provides 1 g of the medication in 50 mL of 0.9% NaCl to infuse in 30 minutes? (Record your answer using a whole number) mL/hr.
- A. 50 mL/hr
- B. 75 mL/hr
- C. 100 mL/hr
- D. 125 mL/hr
Correct Answer: C
Rationale: To calculate the infusion rate: (50 mL / 30 min) ? (60 min / 1 hr) = 100 mL/hr. This ensures the medication is delivered at the correct rate over the specified time.
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The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
- A. Sitz baths three times a day may help ease the pain.
- B. I can use anesthetic sprays or ointments for relief.
- C. Wearing loose clothing can reduce irritation.
- D. I really should try to limit irritation due to the pain.
Correct Answer: D
Rationale: The statement about limiting irritation due to pain is vague and suggests a misunderstanding of specific comfort measures. Sitz baths, anesthetic sprays, and loose clothing are appropriate measures to reduce discomfort and irritation from genital herpes lesions.
A client being treated for syphilis visits the office with a possible allergic reaction to benzathine penicillin G. What abnormal findings would the nurse expect to document? (Select all that apply.)
- A. Red rash
- B. Shortness of breath
- C. Heart irregular
- D. Chest tightness
- E. Anxiety
Correct Answer: A,B,D,E
Rationale: Allergic reactions to benzathine penicillin G may include rash, shortness of breath, chest tightness, and anxiety, indicating possible anaphylaxis or serum sickness. Heart irregularity is not typically associated with allergic reactions to penicillin.
A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?
- A. Feelings of anger that her partner infected her
- B. Loss stood over the line 2 days
- C. Auroxia and nausea
- D. Chills and a temperature of 101 F
Correct Answer: D
Rationale: Chills and a fever of 101°F suggest a persistent infection, requiring immediate adjustment of antibiotic therapy. Anger is a normal emotional response, and gastrointestinal symptoms like anorexia and nausea are common antibiotic side effects, but they do not warrant urgent action compared to signs of ongoing infection.
A nurse is assessing a client who presents with a scale in rash over the palms and soles of the feet and the feel, a client is assessing a client who presents with a scale in syphilis. Which statement of the nurse is appropriate?
- A. Reasure the client that this stage is not infectious unless she is pregnant.
- B. Assess the client that he is not being generalized weakness.
- C. Data gives and further assess the clients, lesions.
- D. Take a history regarding any cardiovascular symptoms.
Correct Answer: C
Rationale: The client's symptoms suggest secondary syphilis, characterized by a rash on the palms and soles due to spirochetes in the bloodstream. Further assessment of lesions is critical to confirm the diagnosis and guide treatment. Reassuring about non-infectiousness is incorrect, as secondary syphilis is highly infectious, and cardiovascular symptoms are more relevant in tertiary syphilis.
A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STD's) seem in practice. Which statement by the student indicates a lack of understanding?
- A. There are improved techniques to diagnose an STD used in practice.
- B. There is increased incidence of sexual abuse and sexual trafficking.
- C. Females feel safe using oral agents rather than a condom as contraception.
- D. The organisms causing STD's are all becoming more virulent.
Correct Answer: D
Rationale: There is no evidence that the organisms that cause STDs are becoming more virulent. Improved diagnostic techniques, increased incidence of sexual abuse and trafficking, and reliance on oral contraceptives without condoms contribute to the rise in STDs, as they reflect real trends or misconceptions.