Nokea
Which information given by the nurse is most appropriate to provide to the client?
- A. Take the medication until the symptoms clear.
- B. Refill the prescription if symptoms persist.
- C. Take the medication for the full amount of time.
- D. Treatment of the infection is likely to be lifelong.
Correct Answer: C
Rationale: Completing the full course of doxycycline ensures eradication of Chlamydia, preventing recurrence or resistance.
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The 45-year-old male client has had a circumcision secondary to phimosis. Which intervention should the nurse include in the plan of care?
- A. Teach how to care for the glans to prevent recurrence of the phimosis.
- B. Assess for pain on a scale of one (1) to 10.
- C. Perform wet-to-dry dressing changes daily.
- D. Instruct the client to perform a monthly penis check for cancer.
Correct Answer: B
Rationale: Pain assessment is critical post-circumcision to manage discomfort. Glans care prevents infection but not phimosis recurrence, wet-to-dry dressings are unnecessary, and cancer checks are not standard.
Which action by the nurse is most appropriate?
- A. Allow the client's partner to stay in the examination room.
- B. Ask the client's friend to remain in the waiting room.
- C. Ask the physician to make the decision in this situation.
- D. Suggest that the friend wait outside the examination room door.
Correct Answer: A
Rationale: Allowing the client's partner to stay respects the client's preference and provides emotional support, as long as the client consents and privacy is maintained.
The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be taught to the client?
- A. The client will develop antibodies to protect against a future infection.
- B. This infection will not have any long-term effects for the client.
- C. Both the client and the sexual partner must be treated simultaneously.
- D. Once the infection subsides, the pain will go away and not be a problem.
Correct Answer: C
Rationale: Chlamydia-related PID requires simultaneous treatment of the client and partner to prevent reinfection. Antibodies do not confer immunity, PID can cause infertility, and pain may persist.
The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which instructions should the nurse teach to achieve the first two (2) specimens?
- A. Collect the first 15 mL in one jar and then the next 50 mL in another.
- B. Collect three (3) early-morning, clean voided urine specimens.
- C. Collect the specimens after the HCP massages the prostate.
- D. Collect a routine urine specimen for analysis.
Correct Answer: A
Rationale: Urethral (first 15 mL) and bladder (midstream 50 mL) urine are collected sequentially to differentiate infection sites. Early-morning specimens, post-prostate massage, or routine urine are incorrect.
The nurse is performing the admission assessment on a 78-year-old female client and observes bilateral pendulous breasts with a stringy appearance. Which intervention should the nurse implement?
- A. Request a mammogram.
- B. Notify the HCP of the finding.
- C. Continue with the examination.
- D. Assess for peau d’orange skin.
Correct Answer: C
Rationale: Pendulous, stringy breasts are normal age-related changes; the nurse should continue the exam. Mammogram, HCP notification, or peau d’orange assessment are unnecessary without abnormal findings.