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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.
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A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV). Which is a support group.
- A. Gardial protects against all HPV strains.
- B. You are too young to receive the vaccine.
- C. The vaccine is only effective after exposure to HPV.
- D. Condoms provide complete protection against HPV.
Correct Answer: A
Rationale: Gardasil protects against HPV types 6, 11, 16, and 18, which are high-risk for cervical cancer and genital warts, but not all strains. The vaccine is recommended for ages 9 to 45, so the client is not too young. It is most effective before exposure, and condoms reduce but do not eliminate HPV transmission risk.
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.
A woman is admitted to the hospital for antibiotic therapy for pelvic inflammatory disease. She is in pain, with a rating of 7 on a scale of 0 to 10. What comfort measure can the nurse delegate to the unlicensed assistive personnel (UAP)?
- A. Administer Tylenol immediately
- B. Apply a heating pad to the lower abdomen.
- C. Position the client in a semi-Fowler's position.
- D. Teach the client to increase intake of fluids.
Correct Answer: C
Rationale: Positioning the client in a semi-Fowler's position can be delegated to a UAP to help alleviate discomfort. Administering medication, applying a heating pad, and teaching are tasks reserved for the nurse, as they require clinical judgment or specialized training.
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 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.