Which medication instruction provided by the nurse is most accurate?
- A. Taking your acyclovir as prescribed will prevent the recurrence of lesions.
- B. Your sex partners also need to be treated for 10 days with oral acyclovir.
- C. Use a glove to apply topical acyclovir.
- D. Take the oral acyclovir even when the disease is in remission.
Correct Answer: C
Rationale: Using a glove to apply topical acyclovir prevents self-contamination and virus spread, making it an accurate and safe instruction.
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Organogenesis is complete at:
- A. 2 weeks after ovulation.
- B. 6 weeks after ovulation.
- C. 8 weeks after ovulation.
- D. 18 weeks after ovulation.
- E. 20 weeks after ovulation.
Correct Answer: C
Rationale: Organogenesis the process of organ formation occurs during the embryonic period primarily between weeks 3 to 8 after ovulation (or 5 to 10 weeks gestational age). By 8 weeks post-ovulation major organ systems are formed making this the correct answer. Earlier or later weeks do not align with this developmental milestone.
Which statement by the nurse is most therapeutic in addressing the teen's behavior?
- A. There's nothing to be scared of. This won't hurt.
- B. The stitches are strong. They won't come out.
- C. I know you're scared, but you must be brave.
- D. Let's do this later, when you're better prepared.
Correct Answer: C
Rationale: Acknowledging the teen's fear and encouraging bravery validates their emotions while gently motivating them to proceed with ambulation, fostering trust and cooperation.
When preparing the adolescent for the examination, the nurse correctly explains that a specimen should be collected and sent to the laboratory. Which specimen should the nurse collect?
- A. Blood sample
- B. Urine sample
- C. Vaginal smear
- D. Biopsy of the cervix
Correct Answer: C
Rationale: A vaginal smear is appropriate for diagnosing gonorrhea in females, allowing culture or nucleic acid testing of cervical or vaginal secretions to detect Neisseria gonorrhoeae.
The nurse correctly advises the parents to avoid administering medications containing which ingredient to their child who has hemophilia?
- A. Acetaminophen
- B. Aspirin
- C. Ibuprofen
- D. Penicillin
Correct Answer: B
Rationale: Aspirin inhibits platelet function and increases bleeding risk, which is dangerous for a child with hemophilia, a condition characterized by impaired clotting.
If the nurse collects the following data, which assessment finding best indicates the presence of increased intracranial pressure?
- A. Rapid bilateral pupillary response to light
- B. Tympanic temperature of 97.9°F (36.6°C)
- C. Blood pressure of 150/90 mm Hg
- D. Deep tendon reflexes +2
Correct Answer: C
Rationale: Elevated blood pressure (e.g., 150/90 mm Hg) is a sign of increased intracranial pressure, often part of Cushing's triad (hypertension, bradycardia, irregular respirations), indicating brain compression.