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During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. The nurse recognizes that these lesions are:
- A. Peyronie disease.
- B. Genital warts.
- C. Genital herpes.
- D. Syphilitic cancer.
Correct Answer: C
Rationale: The correct answer is C: Genital herpes. Genital herpes presents as clusters of small vesicles on the glans surrounded by erythema. This is a classic presentation of genital herpes infection caused by herpes simplex virus. Peyronie disease (A) is characterized by penile curvature. Genital warts (B) are caused by human papillomavirus and appear as flesh-colored growths. Syphilitic chancre (D) is a painless ulcer seen in primary syphilis, not vesicles. In this case, the presence of vesicles and erythema points towards genital herpes as the most likely diagnosis.
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A patient with renal failure secondary to diabetic
- A. In the urethra nephropathy has been admitted to the medical unit.
- B. threatening effect of renal failure for
Correct Answer: A
Rationale: The correct answer is A because it correctly identifies the patient's condition as "uremic nephropathy," a common complication of renal failure in diabetic patients. Uremic nephropathy refers to the damage to the kidneys caused by the accumulation of waste products in the blood, leading to renal failure. This choice accurately describes the patient's primary diagnosis and the reason for admission.
Choice B is incorrect as it does not provide a specific diagnosis or reason for the patient's admission, only mentioning the threatening effect of renal failure without specifying the underlying cause.
Choice C and D are incomplete and do not provide any information related to the patient's condition, making them incorrect.
The nurse is caring for a patient who is going to have to an older adult?
- A. If possible, try to drink at least 4 liters of fluid daily.
- B. Ensure that you avoid replacing water with other procedure? beverages.
- C. Discuss the patients diagnosis with the family.
- D. Remember to drink frequently, even if you dont feel
Correct Answer: D
Rationale: The correct answer is D because older adults are at higher risk for dehydration due to decreased thirst sensation. Reminding the patient to drink frequently, even if they don't feel thirsty, helps prevent dehydration. A: Drinking 4 liters of fluid daily may not be suitable for all older adults and can lead to water intoxication. B: Avoiding replacing water with other beverages is important, but it is not the most critical aspect of hydration in older adults. C: Discussing the patient's diagnosis with the family is unrelated to the immediate need for hydration in this scenario.
Cloxacillin is indicated in infections caused by the following organism(s) * a Staphylococci
- A. Streptococci
- B. Gonococci
- C. All of the above
Correct Answer: A
Rationale: Step-by-step rationale:
1. Cloxacillin is a beta-lactam antibiotic effective against Staphylococci.
2. Streptococci are not within the spectrum of activity for Cloxacillin.
3. Gonococci are also not susceptible to Cloxacillin.
4. Therefore, the correct answer is A (Streptococci), as Cloxacillin is indicated only for Staphylococcal infections.
Summary:
Choice A is correct because Cloxacillin is effective against Staphylococci. Choices B and C are incorrect because Cloxacillin is not indicated for Gonococci or all of the organisms mentioned.
Which of the following semisynthetic penicillins which has an extended * spectrum of activity against many gram negative bacilli, is acid resistant but not penicillinase resistant?:
- A. Cloxacillin
- B. Amoxicillin
- C. Phenoxymethyl penicillin
- D. Piperacillin
Correct Answer: D
Rationale: Step 1: Piperacillin is a semisynthetic penicillin with extended spectrum against gram-negative bacilli.
Step 2: It is acid-resistant, meaning it can withstand acidic environments in the stomach.
Step 3: However, it is not penicillinase-resistant, making it susceptible to penicillinase enzymes.
Step 4: Cloxacillin (A) and Amoxicillin (B) are penicillinase-resistant but do not have extended gram-negative activity.
Step 5: Phenoxymethyl penicillin (C) is neither acid-resistant nor penicillinase-resistant.
In summary, Piperacillin is the correct choice due to its extended spectrum against gram-negative bacilli and acid resistance, despite not being penicillinase-resistant.
The nurse is preparing to collect an ordered urine sample for urinalysis. The nurse should be aware that this test will include what assessment parameters? Select all that apply.
- A. Specific gravity of the patients urine
- B. Testing for the presence of glucose in the patients urine
- C. Microscopic examination of urine sediment for RBCs
- D. Microscopic examination of urine sediment for casts
Correct Answer: A
Rationale: The correct answer is A: Specific gravity of the patient's urine. Specific gravity measures the concentration of solutes in urine, indicating the kidney's ability to concentrate or dilute urine.
B: Testing for the presence of glucose is typically done to assess for diabetes, not a routine urinalysis.
C: Microscopic examination for RBCs is mainly done to detect presence of blood in urine, not a routine parameter.
D: Microscopic examination for casts is done to assess for kidney disease, not part of a routine urinalysis.
Therefore, specific gravity is the key parameter for urine concentration and kidney function, making it the correct choice.