Nokea
Which of the following medications should the provider prescribe for a client with gonorrhea?
- A. Ceftriaxone
- B. Fluconazole
- C. Metronidazole
- D. Zidovudine
Correct Answer: A
Rationale: The correct answer is A: Ceftriaxone. It is the recommended first-line treatment for gonorrhea due to increasing resistance to other antibiotics. Ceftriaxone is a third-generation cephalosporin that effectively treats gonorrhea. Fluconazole (B) is used for fungal infections, not bacterial. Metronidazole (C) is used for anaerobic bacterial infections like bacterial vaginosis, not gonorrhea. Zidovudine (D) is used to treat HIV, not gonorrhea. Therefore, A is the correct choice for treating gonorrhea effectively.
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A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.
- A. Palpate the fundus to identify the fetal part.
- B. Determine the location of the fetal back.
- C. Palpate for the fetal part presenting at the inlet.
- D. All of the Above
Correct Answer: D
Rationale: The correct sequence for performing Leopold maneuvers is to first palpate the fundus to identify the fetal part (A), then determine the location of the fetal back (B), and finally palpate for the fetal part presenting at the inlet (C). Choosing option D (All of the Above) is correct because it encompasses all the necessary steps in the correct order to perform Leopold maneuvers effectively. Palpating the fundus helps identify the presenting part, determining the location of the fetal back provides information on the fetal lie, and palpating for the presenting part at the inlet helps confirm the position of the fetus. The other choices are incorrect because they do not provide the complete sequence required for performing Leopold maneuvers accurately.
A healthcare provider in an antepartum clinic is collecting data from a client who has a TORCH infection. Which of the following findings should the healthcare provider expect? (Select all that apply)
- A. Joint pain
- B. Malaise
- C. Rash
- D. Tender lymph nodes
Correct Answer: D
Rationale: The correct answer is D: Tender lymph nodes. In TORCH infections, which include Toxoplasmosis, Other (syphilis), Rubella, Cytomegalovirus, and Herpes simplex virus, tender lymph nodes are a common finding due to the body's immune response to the infection. Joint pain (choice A) is not typically associated with TORCH infections. Malaise (choice B) is a general feeling of discomfort and is not specific to TORCH infections. Rash (choice C) is also not a common finding in TORCH infections, making it an incorrect choice.
A client who is at 36 weeks of gestation and has a prescription for a nonstress test is being taught by a nurse. Which of the following statements should the nurse include in the teaching?
- A. You will receive IV fluid before this test.
- B. The procedure will take approximately 10 to 15 minutes.
- C. You will be offered orange juice to drink during the test.
- D. You will need to sign an informed consent form before each test.
Correct Answer: C
Rationale: The correct answer is C: "You will be offered orange juice to drink during the test." This statement is correct because providing orange juice to the client during the nonstress test can stimulate fetal movement, making it easier to monitor the baby's heart rate. This can help in obtaining a more accurate assessment of the baby's well-being.
Incorrect options:
A: IV fluid administration is not typically required for a nonstress test, so this statement is incorrect.
B: The procedure can actually take longer than 10 to 15 minutes, depending on various factors, so this statement is inaccurate.
D: Informed consent is usually obtained once, not before each test, so this statement is not necessary for the client to know in this context.
While caring for a newborn undergoing phototherapy to treat hyperbilirubinemia, which of the following actions should the nurse take?
- A. Cover the newborn's eyes with an opaque eye mask while under the phototherapy light.
- B. Keep the newborn in a shirt while under the phototherapy light.
- C. Apply a light moisturizing lotion to the newborn's skin.
- D. Turn and reposition the newborn every 4 hours while undergoing phototherapy.
Correct Answer: A
Rationale: Correct Answer: A - Cover the newborn's eyes with an opaque eye mask while under the phototherapy light.
Rationale:
1. Phototherapy light can cause eye damage, so covering the newborn's eyes with an opaque eye mask protects them.
2. Newborns' eyes are more sensitive to light, making eye protection crucial during phototherapy.
Summary of Incorrect Choices:
B: Keeping the newborn in a shirt won't protect the eyes from phototherapy light.
C: Applying lotion can interfere with the effectiveness of phototherapy and may cause skin irritation.
D: Turning and repositioning the newborn is important for comfort, but eye protection is the priority during phototherapy.
A client at 42 weeks of gestation is having an ultrasound. For which of the following conditions should the nurse prepare for an amnioinfusion? (Select all that apply)
- A. Oligohydramnios
- B. Hydramnios
- C. Fetal cord compression
- D. Polyhydramnios
Correct Answer: A
Rationale: Rationale: A client at 42 weeks of gestation is at risk for oligohydramnios, which is associated with decreased amniotic fluid levels. Amnioinfusion can be used to increase amniotic fluid volume to prevent fetal cord compression and facilitate fetal movement during labor.
Summary:
- B: Hydramnios (excessive amniotic fluid) does not require amnioinfusion.
- C: Fetal cord compression is a reason for amnioinfusion, not a condition to prepare for.
- D: Polyhydramnios (excessive amniotic fluid) does not typically require amnioinfusion unless there are complicating factors.