A client with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline 100mg BID for 7 days, The nurse explains to the client that this combination is prescribed to
Treat any coexisting chlamydial infection.
Eradicate any resistant strains of N. gonorrhoeae.
Prevent reinfection during treatment.
Prevent the development of resistant organisms.
The Correct Answer is A
A. Gonorrhea and chlamydia often coexist in individuals, and doxycycline is prescribed to treat chlamydia in addition to ceftriaxone for gonorrhea. Treating both infections is crucial to reduce the risk of complications and reinfection.
B. While ceftriaxone is effective against N. gonorrhoeae, doxycycline is used to treat chlamydia, not to eradicate resistant strains of gonorrhea.
C. Reinfection during treatment can be minimized with both medications, but the primary purpose of doxycycline is to treat a possible co-infection with chlamydia.
D. This combination therapy does not primarily aim to prevent the development of resistant organisms but to treat both infections effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Drinking water in hot weather is important to prevent dehydration. This is not a risk factor for metabolic alkalosis unless the client is excessively losing electrolytes through sweating and not replacing them.
B. Sodium bicarbonate is an alkaline substance, and regular use, especially after meals, can contribute to metabolic alkalosis. The client should be instructed on the potential risks of using sodium bicarbonate too frequently.
C. Avoiding milk due to gastrointestinal symptoms does not directly contribute to metabolic alkalosis.
D. Digoxin does not directly affect acid-base balance, but it requires monitoring due to potential interactions with other medications or electrolyte imbalances.
Correct Answer is B
Explanation
A. Assessing oral temperature is not a priority immediately after an electrical burn, as the focus should be on monitoring for cardiac issues and other life-threatening conditions.
B. Electrical burns can cause cardiac arrhythmias, including dysrhythmias like ventricular fibrillation, which can be life-threatening. The nurse should place the client on a cardiac monitor immediately to detect any abnormal rhythms and respond accordingly.
C. While checking potassium levels is important for assessing potential complications such as kidney damage or arrhythmias, cardiac monitoring should take precedence.
D. Assessing for pain at contact points is important, but it is secondary to ensuring cardiac stability in an electrical burn victim.
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