Nokea
A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?
- A. If your sexual partner has no symptoms, no medication is needed.
- B. This infection is treated with one dose of azithromycin.
- C. You need to return in 6 months for retesting.
- D. You have to avoid sexual relations for 3 days.
- G. B
Correct Answer: Chlamydia is treated with a single dose of azithromycin. Partners need treatment regardless of symptoms, retesting is only needed in specific cases, and sexual activity should be avoided until treatment is complete, which may take longer than 3 days.
Rationale:
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A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.
- A. Danazol
- B. Penicillin
- C. Bromocriptine
- D. Tamoxifen
- G. B
Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.
Rationale:
A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.
- A. Sleep disturbances
- B. Syncope
- C. Unusual fatigue
- D. Extreme hunger
- E. Arm pain
- G. A,C,E
Correct Answer: Women may experience sleep disturbances (48%), unusual fatigue (70%), and arm pain (42%) before a heart attack, indicating reduced cardiac function. Syncope (12%) and extreme hunger (4%) are less common.
Rationale:
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.
- A. Cancer
- B. Heart Disease
- C. Diabetes
- D. Smoking
- G. B
Correct Answer: Heart disease is the leading cause of death among women globally (21% of deaths in 2019 per WHO), making it the priority for educational programs to raise awareness and promote prevention.
Rationale:
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?
- A. Menstrual
- B. Ischemic
- C. Secretory
- D. Proliferative
- G. D
Correct Answer: Estrogen peaks during the proliferative phase, stimulating endometrial regeneration. Menstrual phase has low estrogen, ischemic phase sees declining levels, and secretory phase is dominated by progesterone.
Rationale:
After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:
- A. Sexual experience
- B. Menstrual period
- C. Signs of breast development
- G. B
Correct Answer: Menarche is the first menstrual period, marking the onset of fertility. Sexual experience and breast development are unrelated to this definition.
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