A 28-year-old female client presents to the clinic with lower abdominal pain, fever, and vaginal discharge. Upon assessment, the nurse suspects Pelvic Inflammatory Disease (PID). Which of the following actions should the nurse prioritize when caring for this client?

Administer broad-spectrum antibiotics as prescribed.

Encourage the client to drink at least 2 liters of fluid per day to promote hydration

Instruct the client to refrain from sexual activity until the infection is resolved.

Prepare the client for a laparoscopic procedure to visualize the pelvic organs.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Administering broad-spectrum antibiotics promptly is the priority because PID is a serious infection that can cause complications if not treated urgently.
B. Encouraging hydration is important but secondary to initiating antibiotic therapy.
C. Sexual abstinence is part of education but not the immediate priority in acute care.
D. Laparoscopy may be used for diagnosis but is not the first step in management.

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Correct Answer is A

Explanation

Rationale:
A. Lying in the prone position (on the stomach) helps prevent hip flexion contractures, which are a common complication after a below-the-knee amputation. This position stretches the hip flexors and maintains proper joint alignment.
B. While prone positioning may aid in lung expansion, this is not the primary reason for the recommendation in amputee care.
C. Pressure relief on the backside is not the main concern in this case.
D. Pain relief is not the purpose of prone positioning; in fact, it may be uncomfortable for some clients. The focus is on maintaining joint mobility and preventing contractures

A. "I will run my toothbrush in the dishwasher every month" B. "I call my doctor if I notice any excessive menstrual bleeding" C. "I will avoid crowds to keep from infecting others" D. "I will take the antiemetic as soon as the chemotherapy infusion is complete"

Correct Answer is B

Explanation

Rationale:
A. While keeping a toothbrush clean is important, running it in the dishwasher monthly is not an effective or necessary method of infection prevention. A soft-bristled toothbrush should be rinsed and replaced regularly.
B. Excessive menstrual bleeding can indicate thrombocytopenia, a serious side effect of chemotherapy, and should be reported immediately. This statement shows appropriate understanding.
C. Clients with neutropenia should avoid crowds to protect themselves from infection, not to prevent spreading it to others.
D. Antiemetics are most effective when taken before chemotherapy begins, not after the infusion is complete.

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A 28-year-old female client presents to the clinic with lower abdominal pain, fever, and vaginal discharge. Upon assessment, the nurse suspects Pelvic Inflammatory Disease (PID). Which of the following actions should the nurse prioritize when caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse instructs the client with a right below-the-knee amputation (BKA) to lie on their stomach for at least 30 minutes a day. The client asks the nurse, "Why must I lie on my stomach?" Which statement is the most appropriate for the nurse?

Correct Answer is A

Explanation

The nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

The RN is caring for a client admitted secondary to the side effects of chemotherapy. The client has been diagnosed with thrombocytopenia. Which of the following would be an appropriate intervention?

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The nurse is evaluating the pin sites of a client who has been in skeletal traction for 24 hours. The nurse would be least concerned with which finding?

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