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 C
Explanation
A: The presenting part being 1 cm below the ischial spines would be indicated by a positive number, not negative.
B: The documentation does not indicate effacement in centimeters, and dilation is not typically expressed in percentages.
C: The cervix is dilated 3 cm (the opening width), effaced 30% (the thinning percentage), and the presenting part is at -1 station, which means it is 1 cm above the ischial spines.
D: Similar to choice B, the documentation does not indicate effacement in centimeters, and dilation is not typically expressed in percentages. Additionally, the presenting part being above the ischial spines is correctly indicated by a negative number, not positive.
Correct Answer is B
Explanation
Rationale:
A. Lightening refers to the descent of the fetal presenting part into the pelvis late in the third trimester, usually a few weeks before labor begins. It is not associated with fetal movements.
B. Quickening is the perception of fetal movements by the mother, typically described as light fluttering or movements in the abdomen. It usually occurs between 16 to 20 weeks of gestation, which aligns with the client's report at 18 weeks.
C. Chloasma refers to the darkening of the skin, often on the face, commonly known as the "mask of pregnancy." It is unrelated to fetal movements.
D. Ballottement is a technique used during a physical examination to assess for fetal movement by gently tapping the uterus and feeling for a rebound. It is not a term used to describe the mother's perception of fetal movements.
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