A nurse is caring for a client.
The client reports a recent episode of painful sores on the perineum, muscle aches, and chills for about 2 weeks.
The client currently denies pain but reports sitting is uncomfortable at times.
The client denies dysuria and reports mild vaginal itching.
After reviewing the information in the client’s medical record, which of the following provider prescriptions should the nurse anticipate?
Antiviral medication
Pain management medication
Antibiotic treatment
Topical cream for itching . .
Topical cream for itching . .
The Correct Answer is A
Choice A rationale
The client’s symptoms of painful sores on the perineum, muscle aches, and chills are indicative of a viral infection, specifically herpes simplex virus type 2 (HSV-2), which is a sexually transmitted infection. Antiviral medications, such as acyclovir or valacyclovir, are typically prescribed to manage HSV-2. These medications can help to decrease the severity and frequency of outbreaks.
Choice B rationale
While pain management medication may provide temporary relief for the client’s discomfort, it does not address the underlying cause of the symptoms. The client’s symptoms are indicative of a viral infection, not a condition that would primarily be managed with pain medication.
Choice C rationale
Antibiotics are used to treat bacterial infections. The client’s symptoms of painful sores on the perineum, muscle aches, and chills are more indicative of a viral infection, specifically HSV-2. Therefore, an antibiotic would not be the most effective treatment option.
Choice D rationale
A topical cream for itching may provide some relief for the client’s reported mild vaginal itching. However, this treatment option does not address the primary issue, which is the painful sores on the perineum and other symptoms indicative of a viral infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Activities that raise the body temperature, such as saunas and hot tubs, are generally not recommended during pregnancy. Elevated body temperature, particularly during the first trimester, has been associated with an increased risk of neural tube defects.
Choice B rationale
The statement that exercising during pregnancy is not recommended is not accurate. Regular exercise during pregnancy can have many benefits, including reduced risk of gestational diabetes, preeclampsia, and cesarean delivery.
Choice C rationale
Daily jogging for up to 30 minutes is generally safe throughout pregnancy for women who were regular runners before becoming pregnant. However, it’s important to discuss any exercise regimen with a healthcare provider.
Choice D rationale
While stretching activities can be beneficial during pregnancy, they should not be the only form of exercise. A balanced exercise routine that includes aerobic and strength-training exercises is generally recommended.
Correct Answer is B
Explanation
Choice A rationale
Enlarged lymph nodes are not a typical finding related to breast changes in early pregnancy.
Choice B rationale
Darkened breast areolas are a common change in early pregnancy. This is due to hormonal changes that affect the skin’s pigmentation.
Choice C rationale
Deeply fissured nipples are not a typical change in early pregnancy. However, some women may experience nipple sensitivity or tenderness.
Choice D rationale
Slack soft breast tissue is not a typical change in early pregnancy. In fact, many women experience breast enlargement and firmness during this time.
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