A nurse is caring for a 28-year-old female client in the emergency unit.
The nurse should anticipate a provider prescription for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Given the symptoms and physical examination findings, the nurse should anticipate a provider prescription for Acyclovir as evidenced by the presence of vesicles and pustules.
The case presented shows several key indicators that point toward a diagnosis of genital herpes, which is caused by the herpes simplex virus (HSV).
- Presence of vesicles and pustules: The small, pinpoint open vesicles and pustules on the labia majora, along with clear drainage, are classic signs of genital herpes.
- Erythema and tenderness: The redness (erythema) and tenderness of the perineal area further support this diagnosis.
- Systemic symptoms: The client reports muscle aches and chills, which are common systemic symptoms of a viral infection like herpes.
- Denies dysuria and other severe symptoms: The absence of symptoms like dysuria and acute distress is consistent with the presentation of genital herpes during the vesicle stage.
Acyclovir is an antiviral medication commonly prescribed for the treatment of herpes simplex infections. It helps to reduce the severity and duration of symptoms. Hence, the nurse should anticipate a prescription for Acyclovir based on the clinical presentation and findings.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Abruptio placentae involves the premature separation of the placenta from the uterus, causing abdominal pain and bleeding. However, the severe left-sided pain and uncertain last menstrual period suggest another condition rather than abruption.
Choice B rationale
Gestational trophoblastic disease is characterized by abnormal growth of trophoblasts, the cells that normally develop into the placenta. It is usually identified by abnormal bleeding and unusually high hCG levels, not the acute symptoms described.
Choice C rationale
Complete abortion refers to the expulsion of all products of conception, typically accompanied by heavy bleeding and cramping. While it involves vaginal bleeding, the severe unilateral pain and low blood pressure suggest a different diagnosis.
Choice D rationale
Ectopic pregnancy, where a fertilized egg implants outside the uterus, typically causes severe unilateral pain and can lead to internal bleeding, resulting in low blood pressure and a high heart rate. These symptoms align with the client's presentation and are a medical emergency.
Correct Answer is A
Explanation
Choice A rationale
Placenta accreta spectrum involves abnormal adherence of the placenta to the uterine wall, leading to complications during delivery and often necessitating a cesarean and possibly a hysterectomy.
Choice B rationale
Placenta previa refers to the placenta covering the cervix, which can cause bleeding but is managed differently.
Choice C rationale
Placenta abruption is the premature separation of the placenta from the uterus, leading to pain and bleeding, managed differently from accreta spectrum.
Choice D rationale
Posterior placental location refers to the position of the placenta in the uterus and does not typically require a cesarean and hysterectomy unless complicated by other factors.
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