A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?

Reports of itching, tingling, and pain in the genital area

Painful urination with a penile discharge present

Wart-like flesh-colored lesions on the scrotal area

A chancre on the penis

Answer and Explanation

The Correct Answer is A

Choice A: Reports of itching, tingling, and pain in the genital area are the correct answer because they are common symptoms of genital herpes. Genital herpes is a sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). It can cause outbreaks of painful blisters or sores on or around the genitals, anus, or mouth. The blisters or sores usually heal within a few weeks, but the virus remains in the body and can reactivate at any time. Before an outbreak, some people may experience prodromal symptoms such as itching, tingling, or pain in the affected area.

Choice B: Painful urination with a penile discharge present is not the correct answer because it is more likely a symptom of another STI, such as gonorrhea or chlamydia. Gonorrhea and chlamydia are bacterial infections that can affect the urethra, cervix, rectum, or throat. They can cause symptoms such as burning or pain during urination, abnormal discharge from the penis or vagina, or bleeding between periods.

Choice C: Wart-like flesh-colored lesions on the scrotal area are not the correct answer because they are more likely a symptom of another STI, such as human papillomavirus (HPV). HPV is a viral infection that can cause genital warts or cervical cancer. Genital warts are small, soft, flesh-colored growths that can appear on or around the genitals, anus, or mouth. They may be flat, raised, or cauliflower-shaped.

Choice D: A chancre on the penis is not the correct answer because it is more likely a symptom of another STI, such as syphilis. Syphilis is a bacterial infection that can affect various organs and systems of the body. It has four stages: primary, secondary, latent, and tertiary. In the primary stage, syphilis causes a painless sore called a chancre that can appear on or around the genitals, anus, or mouth. The chancre usually heals within a few weeks, but the infection can progress to the next stages if left untreated.

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Correct Answer is B

Explanation

Choice A reason: Antiestrogens are not a first-line treatment for endometriosis, as they can cause severe side effects such as bone loss, hot flashes, and vaginal dryness.

Choice B reason: Progestins are a first-line treatment for endometriosis, as they can suppress the growth of endometrial tissue and reduce pain and bleeding.

Choice C reason: Gonadotropin-releasing hormone analogues are a second-line treatment for endometriosis, as they can induce temporary menopause and cause bone loss, hot flashes, and mood changes.

Choice D reason: NSAIDs are not a treatment for endometriosis, as they can only provide symptomatic relief for pain and inflammation.

A. Breast milk B. Birth canal C. Amniotic fluid D. Placenta

Correct Answer is D

Explanation

Choice A: Breast milk is not the correct answer because it is not a route of transmission for syphilis. Syphilis is caused by a bacterium called Treponema pallidum, which cannot survive in breast milk. However, breastfeeding mothers with syphilis should be treated with antibiotics to prevent other complications.

Choice B: The birth canal is not the correct answer because it is not a route of transmission for syphilis. Syphilis can be transmitted through sexual contact, but not through vaginal delivery. However, pregnant women with syphilis should be screened and treated before delivery to prevent congenital syphilis in their newborns.

Choice C: Amniotic fluid is not the correct answer because it is not a route of transmission for syphilis. Syphilis cannot cross the amniotic membrane, which protects the fetus from infections in the uterus. However, pregnant women with syphilis should be monitored for signs of fetal distress or premature rupture of membranes.

Choice D: Placenta is the correct answer because it is a route of transmission for syphilis. Syphilis can cross the placenta, which connects the mother and the fetus through blood vessels. This can result in congenital syphilis, which can cause serious problems such as stillbirth, miscarriage, low birth weight, deformities, or neurological damage in newborns.

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A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

Correct Answer is B

Explanation

A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

Correct Answer is D

Explanation

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