A 16-year-old patient has been diagnosed and treated for genital warts. The LEAST important action at this time is to:
screen the patient for other sexually transmitted diseases (STDs).
perform a Pap test.
test the patient's sexual partners for sexually transmitted diseases.
prescribe another course of imiquimod (Aldara) 5% topical cream.
The Correct Answer is D
Rationale:
A. Screening for other STDs is important because patients with genital warts may be at increased risk for co-infections, including chlamydia, gonorrhea, and HIV.
B. Performing a Pap test is important in sexually active females to screen for cervical dysplasia, especially given the association of HPV with cervical cancer.
C. Testing sexual partners for STDs is essential to prevent reinfection and further transmission of sexually transmitted infections.
D. Prescribing another course of imiquimod (Aldara) 5% cream is the least immediately important action if the patient has already completed treatment and lesions have resolved. Follow-up is necessary, but additional medication is only indicated if warts persist or recur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Headaches and breast tenderness are more commonly associated with premenstrual syndrome (PMS) rather than dysmenorrhea.
B. Nausea, vomiting, and back pain are classic findings of dysmenorrhea, which is painful menstruation often caused by increased prostaglandin production leading to uterine contractions and associated systemic symptoms.
C. Urinary frequency and burning suggest a urinary tract infection rather than menstrual pain.
D. Vaginal dryness and pruritus are signs of irritation or hormonal changes, not dysmenorrhea.
Correct Answer is C
Explanation
Rationale:
A. Phimosis is the inability to retract the foreskin over the glans and does not involve abnormal placement of the urethral opening.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) aspect of the penis, not the dorsal side.
C. Epispadias is a rare congenital anomaly in which the urethral opening is located on the dorsal (top) aspect of the penis. Early recognition is important for surgical planning and preventing urinary complications.
D. A hydrocele is a fluid-filled sac around the testicle and does not affect the location of the urethral meatus.
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