A 16-year-old sexually active female has a positive rapid plasma reagin (RPR) result. The nurse practitioner should:
treat with dose-appropriate parenteral penicillin G benzathine.
discuss safe sexual practices with the patient.
obtain a vaginal culture.
follow with a fluorescent Treponema antibody-absorption (FTA-ABS) test.
The Correct Answer is D
Rationale:
A. Penicillin G benzathine is the treatment for confirmed syphilis, but treatment should not be initiated solely on a reactive RPR without confirmation.
B. Discussing safe sexual practices is important but does not confirm or treat the infection.
C. Vaginal culture is not used to diagnose syphilis.
D. A fluorescent Treponema pallidum antibody-absorption (FTA-ABS) test is used to confirm a positive RPR. The RPR is a non-treponemal screening test that can yield false positives, so confirmation with a treponemal-specific test like FTA-ABS is required before initiating treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Applying acetic acid to the external genitalia before chemical ablation is NOT recommended. Acetic acid is sometimes used for diagnostic purposes (to highlight lesions by turning them white), but it can irritate the skin and increase the risk of chemical injury when combined with podophyllin.
B. Applying petroleum jelly around the lesions is appropriate because it protects surrounding healthy skin from the caustic effects of podophyllin.
C. Using a cotton-tipped wooden applicator is the correct technique to apply podophyllin precisely to the lesions without spreading it to healthy tissue.
D. Dusting the lesions with talcum powder after ablation helps absorb residual medication and reduce local irritation, which is considered standard post-application care.
Correct Answer is B
Explanation
Rationale:
A. Benzodiazepines typically cause sedation rather than insomnia, although paradoxical reactions can occasionally occur.
B. Dependence is a well-recognized problem with benzodiazepines, especially with prolonged use. Patients may develop tolerance, requiring higher doses, and abrupt discontinuation can lead to withdrawal symptoms.
C. While drug interactions are possible, they are generally less common than the risk of dependence.
D. Cost is usually not a primary concern with benzodiazepines, as many are available as inexpensive generic medications.
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