A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Toxoplasmosis.

Group B Streptococcus.

Gonorrhea.

Rubella.

Answer and Explanation

The Correct Answer is D

A.   Toxoplasmosis: While toxoplasmosis can cause symptoms similar to those described, it is not typically associated with a maculopapular rash on the face. Moreover, routine screening for toxoplasmosis is not typically performed during pregnancy unless indicated by specific risk factors.
B.   Group B Streptococcus: Group B Streptococcus is primarily associated with maternal
colonization and neonatal infection, but it does not typically present with a maculopapular rash on the face in the mother.
C.   Gonorrhea: Gonorrhea can cause systemic symptoms, but it is not commonly associated with a maculopapular rash on the face. Additionally, routine screening for gonorrhea during pregnancy typically focuses on genital sites rather than systemic symptoms.

D. Rubella: Rubella, or German measles, presents with a maculopapular rash on the face (often described as a "slapped cheek" appearance) along with fever, malaise, sore throat, and
lymphadenopathy. Rubella infection during pregnancy can lead to congenital rubella syndrome, which can have serious consequences for the developing fetus. Therefore, it is important to
review rubella immunity status in pregnant women presenting with these symptoms.

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Correct Answer is A

Explanation

A. Pulling the pinnae up and back helps straighten the ear canal in adults, allowing easier administration of the ear drops and better penetration into the ear canal. This technique is appropriate for adults.
B. Administering the drops with the head held upright may be necessary for some ear drop medications, but it is not the most appropriate technique for all types of ear drops.
C. Cooling and shaking the bottle before administering the drops may be necessary for certain types of medications but is not universally recommended for all ear drop preparations.
D. Inserting the tip of the dropper into the canal of the ear is appropriate for administering ear drops, but it should be accompanied by the correct technique of pulling the pinnae up and back to straighten the ear canal in adults.

A. Instruct in effective techniques to cleanse the glans penis. B. Palpate the client's suprapubic area for distention. C. Advise the client to maintain a voiding diary for one week. D. Obtain a urine specimen for culture and sensitivity.

Correct Answer is B

Explanation

A. Instruct in effective techniques to cleanse the glans penis: While hygiene education may be important, the client's symptoms suggest a urinary issue that needs further assessment.
B. Palpate the client's suprapubic area for distention: These symptoms are consistent with urinary retention, and palpating the suprapubic area can help assess for bladder distention.
C. Advise the client to maintain a voiding diary for one week: While a voiding diary can provide valuable information, the client's symptoms indicate a need for immediate assessment and
intervention.

D. Obtain a urine specimen for culture and sensitivity: While obtaining a urine specimen is important, it may not directly address the immediate concern of possible urinary retention

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A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes ear drops to an adult client with an ear infection. Which teaching should the nurse provide?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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