A nurse in an obstetrical/gynecology office is assisting with the care of a client
Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?
(Select all that apply)
Instruct client to avoid alcohol for 72 hours after treatment
Administer metronidazole 2 grams PO time one dose.
Have the client douche morning and right
Recommend the client's partner receive treatment
Correct Answer : A,B,D
A. Instructing the client to avoid alcohol for 72 hours after treatment is important to avoid interactions with metronidazole.
B. Administering metronidazole 2 grams PO as a one-time dose is appropriate for the treatment of trichomoniasis, a sexually transmitted infection characterized by frothy, yellow- green, malodorous discharge. Metronidazole is an effective treatment for this condition.
C. Douching is generally not recommended, especially in cases of vaginal infections, as it can disrupt the natural balance of vaginal flora and potentially worsen symptoms. Therefore, the nurse should not anticipate receiving a prescription for client douching.
D. Recommending the client's partner receive treatment is important to prevent reinfection and transmission of the infection. Trichomoniasis is a sexually transmitted infection, and both partners should be treated simultaneously to prevent recurrence.
E. Performing an oatmeal sitz bath is not part of treatment for vaginal infections.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for fetal maturity.
B. ABO incompatibility is typically detected through other blood tests, such as blood typing and antibody screening, not MSAFP determination.
C. Gestational diabetes screening is typically done through glucose tolerance tests or other blood tests specific to glucose levels, not MSAFP determination.
D. Maternal serum alpha-fetoprotein (MSAFP) determination is a screening test used to detect neural tube defects and certain chromosomal abnormalities in the fetus. High levels of AFP may indicate a neural tube defect, such as spina bifida or anencephaly.
Correct Answer is F,A,E,D,C,B
Explanation
. Nausea and vomiting typically occur early in pregnancy due to hormonal changes and may be one of the first signs that a woman is pregnant.
A. Breast tenderness is another early sign of pregnancy, often occurring within the first few weeks as the body prepares for breastfeeding.
E. Goodell's sign, the softening of the cervical tip, can be observed around the fifth week of pregnancy.
D. Quickening, or the first fetal movements felt by the mother, usually occurs between the 16th and 25th weeks of pregnancy.
C. Striae gravidarum, or stretch marks, generally appear during the second half of pregnancy as the skin stretches to accommodate the growing fetus.
B. Lightening, the descent of the fetus into the pelvis, occurs towards the end of pregnancy, preparing for labor.
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