A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?
- A. Rashes on the palms of the hands and soles of the feet
- B. Cauliflower-like warts on the penis
- C. Painful, red papules on the shaft of the penis
- D. Foul-smelling discharge from the penis
Correct Answer: D
Rationale: Foul-smelling penile discharge is a hallmark symptom of gonorrhea, often accompanied by painful urination. Rashes indicate syphilis, warts suggest HPV, and painful papules are associated with herpes.
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During a health education session, a participant asks the nurse how a vaccine can protect from future exposures to diseases against which she is vaccinated. What would be the nurses best response?
- A. The vaccine causes an antibody response in the body.
- B. The vaccine responds to an infection in the body after it occurs.
- C. The vaccine is similar to an antibiotic that is used to treat an infection.
- D. The vaccine actively attacks the microorganism.
Correct Answer: A
Rationale: Vaccines stimulate an antibody response to provide immunity against future exposures. They do not treat active infections or directly attack pathogens.
A long-term care facility is the site of an outbreak of infectious diarrhea. The nurse educator has emphasized the importance of hand hygiene to staff members. The use of alcohol-based cleansers may be ineffective if the causative microorganism is identified as what?
- A. Shigella
- B. Escherichia coli
- C. Clostridium difficile
- D. Norovirus
Correct Answer: C
Rationale: C. difficile spores resist alcohol-based cleansers, requiring soap and water handwashing. Shigella, E. coli, and Norovirus are susceptible to alcohol-based products.
The nurse educator is discussing emerging diseases with a group of nurses. The educator should cite what causes of emerging diseases? Select all that apply.
- A. Progressive weakening of human immune systems
- B. Use of extended-spectrum antibiotics
- C. Population movements
- D. Increased global travel
- E. Globalization of food supplies
Correct Answer: B,C,D,E
Rationale: Emerging diseases are driven by antibiotic resistance, population movements, global travel, and food globalization. Generalized immune weakening is not a primary cause.
The nurse is providing care for an older adult patient who has developed signs and symptoms of Calicivirus (Norovirus). What assessment should the nurse prioritize when planning this patients care?
- A. Respiratory status
- B. Pain
- C. Fluid intake and output
- D. Deep tendon reflexes and neurological status
Correct Answer: C
Rationale: Norovirus causes vomiting and diarrhea, risking fluid volume deficit, so fluid balance assessment is critical. Other assessments are less urgent.
The nurse is caring for a patient with secondary syphilis. What intervention should the nurse institute when caring for this patient?
- A. Ensure that the patient is housed in a private room.
- B. Administer hydrocortisone ointment to the lesions as ordered.
- C. Administer combination therapy with antiretrovirals as ordered.
- D. Wear gloves if contact with lesions is possible.
Correct Answer: D
Rationale: Secondary syphilis lesions are highly infectious, requiring gloves for contact. Private rooms, hydrocortisone, and antiretrovirals are not indicated.
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