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Before marriage, a female client has a blood test drawn for syphilis. The test reveals a positive Venereal infection. What information should the nurse give the client?
- A. Check with your future husband about last sexual activity.
- B. You must determine if you are pregnant at this time.
- C. Submit to a more specific treppmental test to confirm the infection.
- D. Agree to a benzathline penicillin G injection in multiple doses.
Correct Answer: C
Rationale: A positive syphilis screening test may be a false positive due to conditions like hepatitis or lupus. A more specific treponemal test, such as the fluorescent treponemal antibody absorption test, is needed to confirm the diagnosis before treatment. Checking sexual activity or pregnancy status is secondary, and multiple doses of penicillin are not standard for early syphilis.
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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.
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 19-year-old college student seeks information from the school's nurse about how to avoid sexually transmitted diseases (STDs) without abstinence as a choice. Which statement by the nurse is best?
- A. Urinating after intercourse will eliminate the risk of infection.
- B. A vaccine can prevent the sexually transmitted by some amount of the human papilloma virus (HPV).
- C. Oral contraception can prevent pregnancy and STDs.
- D. Good handwashing helps prevent infection associated with STDs.
Correct Answer: B
Rationale: The HPV vaccine (Gardasil) protects against high-risk HPV strains, reducing the risk of cervical cancer and genital warts. Urination after intercourse may reduce but does not eliminate infection risk. Oral contraceptives do not prevent STDs, and handwashing, while hygienic, is not a primary STD prevention method.
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.