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A pregnant woman at 30 weeks gestation discovers she is HPV positive at her prenatal visit. Upon examination, her provider detects genital warts. Which treatment is not recommended in this case?
- A. Carbon dioxide laser surgery
- B. Electrocautery
- C. Surgical excision
- D. Podophyllin
Correct Answer: D
Rationale: The correct answer is D: Podophyllin. It is contraindicated in pregnancy due to its potential teratogenic effects. Carbon dioxide laser surgery, electrocautery, and surgical excision can be considered safer options for treating genital warts during pregnancy. Podophyllin should be avoided to prevent harm to the developing fetus.
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A client is being treated for gonorrhea. Which medication combination should the nurse expect to be prescribed?
- A. Ceftriaxone and azithromycin
- B. Penicillin and ceftriaxone
- C. Tetracycline and azithromycin
- D. Levofloxacin and azithromycin
Correct Answer: A
Rationale: The correct answer is A: Ceftriaxone and azithromycin. Ceftriaxone is the first-line treatment for gonorrhea due to increasing resistance to other antibiotics. Azithromycin is often prescribed in combination to treat possible co-infection with chlamydia. Penicillin (B) is not effective against gonorrhea. Tetracycline (C) is not recommended due to resistance issues. Levofloxacin (D) is no longer recommended due to resistance concerns. The combination of ceftriaxone and azithromycin covers both gonorrhea and possible chlamydia co-infection effectively.
The nurse is teaching a sex education class to teenage girls. The nurse informs them that which age group should receive a vaccination to prevent HPV infection?
- A. 13-29
- B. 12-26
- C. 9-26
- D. 7-20
Correct Answer: C
Rationale: The correct answer is C (9-26) because the HPV vaccine is recommended for both males and females between the ages of 9 and 26. Vaccination at a younger age provides the best protection before exposure to the virus. Choices A, B, and D include age ranges outside the recommended vaccination window, making them incorrect options.
A client who has been diagnosed with HIV develops an oral candida infection. When teaching the client, which instructions will the health care provider include?
- A. Rinse your mouth often with a commercial mouthwash.
- B. Include plenty of citrus juices in your diet.
- C. Select foods that are soft or pureed.
- D. Include hot soups and beverages with each meal.
Correct Answer: C
Rationale: The correct answer is C: Select foods that are soft or pureed. This is because soft or pureed foods are easier to swallow and less likely to irritate the oral mucosa affected by the candida infection. Rinsing with a commercial mouthwash (choice A) may temporarily relieve symptoms but won't address the root cause. Citrus juices (choice B) can be irritating to the oral mucosa. Hot soups and beverages (choice D) can worsen the discomfort in the mouth. Overall, choosing soft or pureed foods will help alleviate discomfort and promote healing.
The nurse is caring for an Rh-negative mother on the postpartum unit. What scenario indicates the need to administer RhoGAM to this patient?
- A. She has had one Rh-negative child and is pregnant with an Rh-negative child.
- B. She has had an Rh-positive infant and is pregnant with an Rh-positive fetus.
- C. She has had an O-negative child and is pregnant with a B-negative child.
- D. She is a primipara with an O-negative child.
Correct Answer: B
Rationale: Rationale:
1. Rh-negative mother with Rh-positive infant: During delivery, fetal blood can mix with maternal blood leading to sensitization.
2. Sensitization can cause the mother's immune system to produce antibodies against Rh antigen.
3. RhoGAM is administered to prevent antibody formation in Rh-negative mothers carrying Rh-positive infants.
Summary:
- A: Incorrect. No risk of sensitization as both child and fetus are Rh-negative.
- B: Correct. Rh-negative mother with Rh-positive infant at risk for sensitization.
- C: Incorrect. Rh factor mismatch between children doesn't require RhoGAM.
- D: Incorrect. Being primipara or child's blood type doesn't warrant RhoGAM administration.
Which statement is not true regarding breast reconstruction?
- A. It promotes symmetry and preserves body image.
- B. It is always done immediately along with the mastectomy.
- C. It does not change survival rates or interfere with therapies or treatment of recurrent disease.
- D. It is associated with low morbidity and high patient satisfaction.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Breast reconstruction is not always done immediately to allow for healing post-mastectomy.
2. Immediate reconstruction may not be suitable for all patients due to various factors.
3. Delayed reconstruction is also a valid option and can be performed at a later time.
4. Therefore, the statement that breast reconstruction is always done immediately along with the mastectomy is not true.
Summary:
A: True - Breast reconstruction aims to promote symmetry and preserve body image.
C: True - Breast reconstruction does not affect survival rates or interfere with treatments.
D: True - Breast reconstruction generally has low morbidity and high patient satisfaction.