A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?

tetracycline

ceftriaxone

penicillin

levofloxacin

Answer and Explanation

The Correct Answer is B

A. Tetracycline: Tetracycline is not the first-line treatment for gonorrhea, though it may be used as part of dual therapy if chlamydial coinfection is suspected. Gonorrhea has developed widespread resistance to tetracyclines, limiting their effectiveness.

B. Ceftriaxone: Ceftriaxone, a third-generation cephalosporin, is the recommended treatment for gonorrhea due to its high efficacy against Neisseria gonorrhoeae and resistance to β-lactamase enzymes. It is typically administered as a single intramuscular dose, often with doxycycline if chlamydia has not been ruled out.

C. Penicillin: Penicillin was once the standard therapy for gonorrhea, but resistance has rendered it largely ineffective. N. gonorrhoeae strains commonly produce penicillinase, an enzyme that breaks down penicillin, making it unsuitable for treatment.

D. Levofloxacin: Fluoroquinolones like levofloxacin were previously used, but resistance to this class has also become widespread. As a result, they are no longer recommended for treating gonorrhea in most regions.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","F"]

Explanation

A. Avoid or reduce painful procedures: Atraumatic care focuses on minimizing or eliminating pain whenever possible through comfort measures, distraction techniques, and appropriate pain management. This helps decrease fear and anxiety in children during medical procedures.

B. Avoid or reduce physical distress: Preventing physical stress such as discomfort, fatigue, or temperature extremes supports the child’s sense of safety and comfort. This approach helps reduce physiological and emotional trauma during hospitalization.

C. Minimize parent-child interactions: This is contrary to atraumatic care principles. Parental presence provides comfort and emotional security for the child. Family-centered involvement enhances coping and promotes healing.

D. Provide child-centered care: Atraumatic care emphasizes care that respects the child’s developmental level, preferences, and emotional needs. This individualized approach promotes trust, reduces anxiety, and fosters cooperation.

E. Minimize child control: Atraumatic care encourages giving the child as much control as appropriate, such as allowing choices when possible. Limiting control increases fear and feelings of helplessness.

F. Use core primary nursing: Consistent caregivers foster a sense of security and continuity, reducing stress and promoting therapeutic relationships. This supports the child’s emotional well-being and stability during hospitalization.

A. Pap test B. abdominal ultrasound C. laparoscopy D. hysterosalpingogram

Correct Answer is C

Explanation

A. Pap test: A Pap test screens for cervical cancer by detecting abnormal cervical cells. It cannot diagnose endometriosis because the condition involves endometrial tissue growing outside the uterus, not within the cervix.

B. Abdominal ultrasound: While an ultrasound can help identify ovarian cysts or endometriomas, it cannot definitively confirm endometriosis. Ultrasound imaging may miss small or deep lesions that are only visible during direct visualization.

C. Laparoscopy: Laparoscopy is the gold standard for diagnosing endometriosis. It allows direct visualization of endometrial implants and adhesions in the pelvic cavity, and tissue samples can be taken for biopsy to confirm the diagnosis.

D. Hysterosalpingogram: This imaging test evaluates the shape of the uterine cavity and patency of the fallopian tubes using contrast dye. It is primarily used in infertility assessments, not for diagnosing endometriosis.

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A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply.

Correct Answer is ["A","B","D","F"]

Explanation

A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which evaluator method to confirm this suspicion?

Correct Answer is C

Explanation

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The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply.

A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?

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