Nokea
A nurse is caring for a client who has Lyme disease. The nurse should request a prescription for which medication from the primary healthcare provider?
- A. finasteride
- B. doxycycline
- C. valacyclovir
- D. diphenhydramine
Correct Answer: B
Rationale: Doxycycline is the first-line antibiotic for treating Lyme disease due to its efficacy against Borrelia burgdorferi.
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The nurse conducts a community health course on sexually transmitted infections (STIs). The nurse recognizes which of the following are risk factors for an STI? Select all that apply.
- A. Low socioeconomic status
- B. A monogamous relationship
- C. A past history of working in the sex industry
- D. Illicit drug use
- E. History of cancer
- F. Previous history of STIs
Correct Answer: A,C,D,F
Rationale: Low socioeconomic status, sex work, illicit drug use, and previous STIs are risk factors for STIs due to social and behavioral factors.
Which of the following opportunistic illnesses are a sign that a patient with HIV now has AIDS? Select all that apply.
- A. Stomach ulcers
- B. Symptomatic tuberculosis
- C. Toxoplasmosis of the brain
- D. Osteoporosis
- E. Pneumocystis carinii pneumonia
Correct Answer: B,C,E
Rationale: Symptomatic tuberculosis, Toxoplasmosis of the brain, and Pneumocystis carinii pneumonia are AIDS-defining conditions indicating advanced HIV disease.
The nurse is planning a community health course about the prevention of Lyme disease. Which of the following information should the nurse include?
- A. You should try limiting your outdoor activities between 10 a.m. and 4 p.m.
- B. Wear sunglasses that wrap around and block UVA and UVB rays.
- C. Wear long-sleeved clothing when in heavily wooded areas.
- D. Apply sunscreen with at least an SPF of 30.
Correct Answer: C
Rationale: Wearing long-sleeved clothing in wooded areas reduces skin exposure to ticks, which transmit Lyme disease.
The nurse is counseling a female client newly diagnosed with herpes simplex virus in the genitals. Which symptoms should the nurse educate the client to expect before an outbreak? Select all that apply.
- A. Lymphadenopathy
- B. Vaginal discharge
- C. Paresthesia
- D. Dysmenorrhea
- E. Malaise
Correct Answer: A,C,E
Rationale: Lymphadenopathy, paresthesia, and malaise are prodromal symptoms of genital herpes outbreaks, indicating viral reactivation.
The following scenario applies to the next 1 items
The nurse in the urgent care clinic is caring for a 22-year-old male client.
Item 1 of 1
Nurses' Notes
Orders
Procedure Note
1400: Client reports swelling, erythema, and painful lesion to the left upper extremity. The client reports that he noticed a pimple-like lesion three days ago that grew in size and became painful over the course of three days. The client has a medical history of diabetes mellitus (type one) and has noticed higher-than-normal blood glucose levels. The client reports that pain has increased to a level where he cannot go to the gym daily. On assessment, the client has a large, reddened pustule in the left upper extremity. Pain rated 7/10 on the Numerical Rating Scale. Vital signs: T 98.7° F (37.1° C) P 88 RR 16 BP 138/84 Pulse oximetry reading 99% on room air.
1519: Bedside I&D performed by physician. Applied 4x4 gauze sponge to the wound and wrapped with rolled sterile gauze. Culture and sensitivity were obtained and sent to the lab.
1610: Discharged client home. Discharge teaching provided. Vital signs: T 98.7° F (37.1° C) P 82 RR 17 BP 133/81 Pulse oximetry reading 98% on room air.
The nurse provides the client with discharge teaching on wound care and the prescribed antibiotic.
The nurse provides the client with discharge teaching on wound care and the prescribed antibiotic. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the discharge teaching provided.
- A. I should increase my overall fluid intake to 3 liters daily.
- B. I should wear a broad-spectrum sunscreen while outdoors.
- C. This infection may raise my glucose level.
- D. I may have to change antibiotics depending on the lab test results.
- E. I should keep the wound open to air while sleeping.
- F. I will place soiled bandages in a plastic bag and seal it closed before placing it in the regular trash.
- G. I should wash the infected area before washing the uninfected areas with a washcloth.
Correct Answer: A: Understanding, B: No Understanding, C: Understanding, D: Understanding, E: No Understanding, F: Understanding, G: Understanding
Rationale: A: Adequate fluid intake supports healing and antibiotic efficacy. B: Sunscreen is unrelated to wound care. C: Infections can elevate glucose levels, especially in diabetics. D: Antibiotic adjustments may be needed based on culture results. E: Wounds should be kept covered to prevent contamination. F: Proper disposal of bandages prevents infection spread. G: Washing the infected area first prevents spreading bacteria.