Nokea
A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole for 7 days. Which advice will the nurse give to the patient?
- A. Avoid alcohol while on metronidazole
- B. Be aware that her urine may turn blue and will stain clothing.
- C. Wear snug underwear during treatment.
- D. Be aware that she need not notify her sexual partners as trichomoniasis is not contagious.
Correct Answer: A
Rationale: Alcohol should be avoided as it can cause disorientation, cramps, and possibly convulsions.
You may also like to solve these questions
A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination?
- A. Culdoscopy
- B. Colposcopy
- C. Cervical biopsy
- D. Papanicolaou smear
Correct Answer: D
Rationale: The American Cancer Society highly recommends that every woman begin annual Pap tests beginning at age 25. Women should be tested every year or every 3 years. Women age 30 years or older may choose to have Pap screening every 3 years or if combined with HPV screening, every 5 years. Women age 65 years or older who have had screening over the past 10 years with normal findings may decide to stop having cervical screenings altogether.
Which statement is TRUE regarding diagnostic tests for cervical cancer?
- A. All persons who have a cervix remaining should be screened up to the age of 75.
- B. Cervical cancer screening should begin at 25 years of age
- C. Traditional Pap tests are less than 30% accurate in screening for cervical cell abnormalities
- D. False-positive and false-negative results rarely occur with traditional Pap diagnostic tests.
Correct Answer: B
Rationale: The American Cancer Society recommends that annual cervical cancer screening begin at 25 years of age. Pap tests are less than 100% accurate in screen for abnormalities.
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
- A. The testes feel smooth and egg-shaped.'
- B. The best time to perform TSE is after a shower.'
- C. I will examine my scrotum after every ejaculation.'
- D. The epididymis feels like a soft tube.'
Correct Answer: C
Rationale: It is not recommended for a patient to perform a testicular self-examination after every ejaculation. Perform testicular self-examination after a bath or shower when the scrotum is warm and most relaxed. The testes should feel smooth and be firm to the touch. The epididymis feels like a soft tube.
At which stage of life should a male be taught testicular self-examination (TSE)?
- A. childhood
- B. pre-adolescent
- C. puberty
- D. middle age adult
Correct Answer: C
Rationale: Young men should be taught to perform TSE monthly beginning at puberty.
Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.