A nurse has just administered medication via an orogastric tube. What is the priority nursing action following administration?

A. "An oophorectomy will prevent you from having breast cancer in the future.": While removing the ovaries reduces estrogen production and may slightly lower the risk of hormone-dependent cancers, it does not eliminate the possibility of developing breast cancer.

B. "You will need to continue using a contraceptive if you do not desire pregnancy.": After bilateral oophorectomy, both ovaries are removed, halting ovulation permanently and making pregnancy impossible. Therefore, contraception is no longer necessary.

C. "You will need to have your hormone level tested monthly for 6 months following surgery.": Routine monthly hormone testing is not required after oophorectomy. Hormonal changes are expected, and management is typically guided by symptoms rather than frequent laboratory monitoring.

D. "This procedure will greatly reduce your estrogen and progesterone levels.": The ovaries are the primary source of estrogen and progesterone production. Their removal leads to a sudden decline in these hormones, resulting in surgical menopause and symptoms such as hot flashes, vaginal dryness, and mood changes.

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.