A 4-year-old patient presents to the nurse practitioner for complaints of periumbilical pain, nausea, abdominal distention, and diarrhea. Exam and stool results reveal giardiasis. Treatment should include:
sulfamethoxazole,
metronidazole.
fluconazole (Diflucan).
erythromycin/sulfisoxazole acetyl (Pediazole).
The Correct Answer is B
Rationale:
A. Sulfamethoxazole is not the treatment of choice for Giardia lamblia infections.
B. Metronidazole is the first-line treatment for giardiasis in children. It is effective in eradicating the protozoal infection, alleviating symptoms such as diarrhea, abdominal pain, and nausea, and preventing transmission. Pediatric dosing should be weight-based, typically for 5–7 days.
C. Fluconazole (Diflucan) is an antifungal agent and not effective against protozoal infections like giardiasis.
D. Erythromycin/sulfisoxazole acetyl (Pediazole) is an antibiotic combination used for bacterial infections, not protozoal infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Visits every 2 weeks until 16 weeks are not standard; early prenatal visits are generally spaced slightly farther apart unless high-risk conditions exist.
B. Prenatal visits are typically scheduled every 4 weeks until 28 weeks’ gestation for a healthy, low-risk pregnancy. These visits monitor maternal and fetal health, provide education, and identify potential complications early.
C. Between 28 and 36 weeks, visits usually occur every 2 weeks, not every 4 weeks.
D. After 36 weeks, visits are generally weekly to closely monitor maternal and fetal well-being before delivery.
Correct Answer is A
Explanation
Rationale:
A. Unconditional confidentiality for adolescents seeking contraception, including emergency contraception like levonorgestrel, is determined primarily by state and federal laws. Providers must follow legal requirements regarding minors’ rights to confidential reproductive healthcare.
B. Facility policies may support confidentiality, but they cannot override state or federal law.
C. While reporting requirements exist for sexual abuse or exploitation, confidentiality may still apply in other contexts depending on the law.
D. Professional guidelines provide ethical recommendations, but legal statutes take precedence in determining whether unconditional confidentiality can be maintained.
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