Nokea
The nurse is assessing a female client with syphilis. Which assessment finding would support this diagnosis?
- A. Dysuria
- B. Vaginal discharge
- C. Chancre lesion
- D. Dyspareunia
Correct Answer: C
Rationale: A chancre lesion is a hallmark sign of primary syphilis, appearing as a painless ulcer at the infection site.
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The nurse is providing discharge instructions to a client with Clostridium difficile. Which of the following instructions should the nurse include?
- A. Your family will need prophylactic antibiotics for two weeks.
- B. Disinfect your countertops and other surfaces with isopropyl alcohol.
- C. Wear a disposable surgical mask when you are out in public.
- D. If possible, use chlorine bleach when laundering underwear.
Correct Answer: D
Rationale: Chlorine bleach is effective in killing Clostridium difficile spores during laundering, which is critical for preventing reinfection and spread.
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.
The nurse is assessing a client with suspected Lyme disease. Which of the following findings would support a diagnosis of Lyme disease? Select all that apply.
- A. lymphadenopathy
- B. fatigue
- C. petechial rash
- D. arthralgias
- E. hemoptysis
Correct Answer: B,D
Rationale: Fatigue and arthralgias are common symptoms of Lyme disease, supporting the diagnosis.
The nurse is teaching a group of nursing students infectious diseases that are reportable to the local health department. Which of the following conditions should be reported? Select all that apply.
- A. Bacterial vaginosis
- B. Herpes simplex virus (HSV)
- C. Human immunodeficiency virus (HIV)
- D. Hepatitis A
- E. Syphilis
- F. Human Papilloma Virus infection (HPV)
Correct Answer: C,D,E
Rationale: HIV, Hepatitis A, and Syphilis are reportable to public health authorities due to their significant public health impact and potential for transmission.
An emergency department (ED) nurse just received a client exposed to inhalation anthrax. The nurse should anticipate that the ED health care provider (HCP) will prescribe which medication?
- A. Acyclovir
- B. Zidovudine
- C. Ciprofloxacin
- D. Oseltamivir
Correct Answer: C
Rationale: Ciprofloxacin is the recommended antibiotic for inhalation anthrax due to its efficacy against Bacillus anthracis.