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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B. Anticonvulsants. Anticonvulsants can interfere with the effectiveness of a combined oral contraceptive (COC)10111213. These medications can increase the metabolism of COCs, thereby reducing their effectiveness and potentially leading to contraceptive failure.
Correct Answer is D
Explanation
Choice A rationale
Vitamin E is an important nutrient during pregnancy as it acts as an antioxidant, helping to protect cells from damage. However, its requirements do not decline during pregnancy due to an increase in body fat.
Choice B rationale
While iron is an important nutrient during pregnancy, it’s not necessary to double your intake. Iron needs do increase during pregnancy because it’s needed to make more blood to supply oxygen to the baby. However, this should be managed under the guidance of a healthcare provider.
Choice C rationale
While it’s true that calcium intake should be increased during breastfeeding, this is not specifically related to nutrition during pregnancy. During pregnancy, adequate calcium intake is important for the development of the baby’s bones and teeth.
Choice D rationale
Prenatal vitamins are designed to meet the increased nutritional needs of pregnancy, and they include a variety of vitamins and minerals. One of these is vitamin D, which helps the body absorb calcium and is important for the baby’s bone growth. Therefore, taking prenatal vitamins can indeed help to meet the need for increased vitamin D during pregnancy.
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