A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexually transmitted infections is nationally notifiable.

Gonorrhea

Bacterial vaginosis trichomoniasis

Genital herpes simplex virus

Human papilloma virus

Answer and Explanation

The Correct Answer is A

A. Gonorrhea is a nationally notifiable sexually transmitted infection (STI). This means that healthcare providers are required to report cases of gonorrhea to public health authorities to track and monitor the spread of the disease.

B. Bacterial vaginosis and trichomoniasis are common STIs but are not nationally notifiable.

C. Genital herpes simplex virus is a common STI but is not nationally notifiable.

D. Human papillomavirus (HPV) is a common STI, but it is not nationally notifiable.
However, HPV vaccines are recommended to prevent certain strains of the virus that can cause cervical cancer.

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Correct Answer is B

Explanation

A. The first dose of the Hepatitis B vaccine is typically administered shortly after birth, not at 12 months of age.

B. Correct. The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.

C. The Human Papillomavirus (HPV) vaccine is not typically started until the preadolescent or adolescent years, typically around ages 11-12.

D. The first dose of the Inactivated Polio Virus (IPV) vaccine is usually given at 2 months of age, with additional doses at 4 months and 6-18 months.

A. Instruct the parent to ensure the pneumococcal vaccine is current. B. Give oral hydroxyurea. C. Monitor oxygen saturation continuously. D. Place the client on strict bed rest. F. Apply cold compresses to the affected joints. G. Administer meperidine IV for pain.

Correct Answer is ["A","B","C","D","H"]

Explanation

A. Instruct the parent to ensure the pneumococcal vaccine is current.
This is a preventive measure to reduce the risk of infections in individuals with sickle cell disease.

B. Give oral hydroxyurea.
Hydroxyurea is used to decrease the frequency of pain episodes in sickle cell disease.

C. Monitor oxygen saturation continuously.
Continuous monitoring of oxygen saturation is important to detect any potential respiratory complications.

D. Place the client on strict bed rest.
Bed rest helps to reduce the metabolic demands on the body and promotes healing.

E. Restrict oral intake.
During a sickle cell crisis, it's generally not necessary to restrict oral intake unless there are specific indications to do so, such as severe abdominal pain or vomiting that prevents the child from tolerating oral feeds.

F. Apply cold compresses to the affected joints. Administer meperidine IV for pain.
Cold compresses may exacerbate vaso-occlusion, and meperidine is not the first-line choice for pain management in sickle cell crisis due to potential neurotoxicity.
G. Administer meperidine IV for pain.
Meperidine has a relatively short duration of action, which may necessitate frequent dosing. This can lead to more fluctuations in pain control.

H. Administer folic acid as prescribed.
Folic acid supplementation is often recommended for individuals with sickle cell disease to support red blood cell production.

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A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexually transmitted infections is nationally notifiable.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","D","H"]

Explanation

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