A nurse in a gynecology office is caring for a client.
The physical examination reveals inflamed labia majora and minora and a large amount of frothy, yellow-green, malodorous discharge.
Based on the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Instruct the client to avoid alcohol for 72 hr after treatment.

Administer metronidazole 2 g POx dose.

Perform an oatmeal sitz bath.

Recommend the client’s partner receive treatment.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of inflamed labia majora and minora and a large amount of frothy, yellow-green, malodorous discharge.

Choice B rationale

The client’s symptoms are indicative of Trichomoniasis, a sexually transmitted infection caused by a parasite. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.

Choice C rationale

An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.

Choice D rationale

Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.

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Correct Answer is D

Explanation

The correct answer is D. “Before I can help you, I need to know more about your sexual activity.”. Before recommending a specific contraceptive method, it’s important to understand more about the client’s sexual activity. This includes their sexual behaviors, frequency of sexual activity, and their comfort level with different contraceptive methods.

A. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy. B. Activities that elevate body temperature, such as saunas and hot tubs, are safe until the third trimester. C. Exercise during pregnancy is not recommended. D. Pregnant clients should restrict their exercise routine to stretching activities on a mat several times a week.

Correct Answer is A

Explanation

Choice A rationale

Regular exercise is generally safe and beneficial for pregnant women. It can help manage weight gain, improve mood and energy levels, and reduce pregnancy discomfort. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy as long as the woman feels comfortable and her healthcare provider has not indicated otherwise.

Choice B rationale

Activities that elevate body temperature, such as saunas and hot tubs, are not recommended during pregnancy. High body temperatures can be harmful to the fetus, especially during the first trimester.

Choice C rationale

Exercise during pregnancy is generally recommended unless there are specific health concerns or complications that make it unsafe. It’s always important for pregnant women to consult with their healthcare provider before starting or continuing an exercise regimen.

Choice D rationale

While stretching activities can be a part of a balanced exercise routine during pregnancy, they should not be the only form of exercise. A combination of aerobic and strength-conditioning exercises is typically recommended.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her. What should the nurse respond?

Correct Answer is D

Explanation

A nurse is providing care to a client in her first trimester of pregnancy.The client inquires if she can maintain her exercise regimen during pregnancy.What would be the nurse’s most appropriate response?

Correct Answer is A

Explanation

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

When assessing a patient’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the patient comprehends the information provided?

The nurse is planning instructions for a patient desiring to have a tubal ligation.Which information should the nurse emphasize when teaching the patient?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation.The client inquires about the cause of her heartburn.Which of the following responses should the nurse make?

During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy.Which statement should the nurse include in the teaching?