A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?

Human papillomavirus infection

Genital herpes

Gonorrhea

Infectious mononucleosis

Answer and Explanation

The Correct Answer is C

Choice A rationale: HPV is a sexually transmitted infection but must not necessarily be reported to the public health department.

Choice B rationale: Genital herpes should not be reported to the public health department.

Choice C rationale: Gonorrhea is a reportable disease, meaning that health care providers must notify the public health department of any confirmed cases. This helps to prevent the spread of the infection and provide treatment and counseling to the affected individuals and their partners.

Choice D rationale: Infectious mononucleosis should not be reported to the public health department.

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Correct Answer is A

Explanation

Choice A rationale: This instruction helps to promote airflow and prevent moisture accumulation, aiding in vaginitis recovery.

Choice B rationale: Yogurt with live cultures containing lactobacilli can actually help restore the natural balance of bacteria in the vagina and can be beneficial for some types of vaginitis.

Choice C rationale: Oral contraceptives are not a treatment for vaginitis and do not impact the condition.

Choice D rationale: Douching can disrupt the vaginal pH and natural bacterial balance, potentially exacerbating vaginitis.

A. Irregular respirations, bradycardia, and widening pressure B. Hypotension, jugular venous distention, and mufled heart sound C. Fixed pupils, hypertension, and bradycardia D. Bradycardia, hypotension, and bradypnea

Correct Answer is C

Explanation

Choice A rationale: Irregular respirations, bradycardia, and widened pulse pressure might indicate increased intracranial pressure.

Choice B rationale: This set of symptoms is often seen in cardiac tamponade and is referred to as the Beck’s triad and not Cushing's triad.

Choice C rationale: Cushing's triad is a set of clinical signs associated with increased intracranial pressure (ICP) and typically includes bradycardia (slow heart rate),

hypertension (elevated blood pressure), and irregular breathing patterns. Fixed pupils can also be present in some cases, but it's important to note that this triad is not always consistently present and may vary from person to person.

Choice D rationale: This set of symptoms describes symptoms of shock, not specifically Cushing's triad.

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A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is giving discharge instructions to a client recently diagnosed with vaginitis. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

The nurse is caring for a client with Cushing's triad. The nurse expects the client to have:

Correct Answer is C

Explanation

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