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. Cefoxitin is not effective against Treponema pallidum, the causative agent of syphilis.
B. A single intramuscular dose of benzathine penicillin G (Bicillin LA) is the recommended treatment for primary syphilis in patients without penicillin allergy. This regimen effectively eradicates the infection and prevents progression.
C. Multiple doses of cefoxitin are unnecessary and not indicated for syphilis.
D. Weekly dosing for 3 weeks of benzathine penicillin G is reserved for late latent syphilis or tertiary syphilis, not primary syphilis.
Correct Answer is D
Explanation
Rationale:
A. Oral contraceptives can be used for dysmenorrhea, particularly if symptoms are severe or associated with ovulatory cycles, but they are not considered first-line therapy.
B. Opioid analgesics are reserved for severe, refractory pain and are generally avoided due to risk of dependence and side effects.
C. Acetaminophen may provide some pain relief but is less effective than NSAIDs in reducing the prostaglandin-mediated pain of dysmenorrhea.
D. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, are the first-line pharmacologic treatment. They inhibit prostaglandin synthesis, directly addressing the uterine cramping and pain associated with dysmenorrhea.
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