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 . .

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale
A negative rubella titer does not necessarily mean that the client is not currently experiencing a rubella infection. The titer measures immunity to the disease, not the presence of an active infection.
Choice B rationale
A negative rubella titer indicates that the client is not immune to the rubella virus. This means that she has not been vaccinated against the disease or has not had it in the past.
Choice C rationale
While a rubella vaccination could be beneficial for a client with a negative rubella titer, it is not typically given during pregnancy due to the theoretical risk to the fetus. The rubella vaccine is a live vaccine, and while there is no evidence of harm to the fetus, it is generally avoided during pregnancy as a precaution.
Choice D rationale
This is the correct interpretation of the data. A client with a negative rubella titer should receive a rubella immunization following delivery to protect against future infections.

A. “I should increase my calcium intake to 1,500 milligrams per day.”. B. “I should not drink alcoholic beverages during my pregnancy.”. C. “I should drink about 2 liters of fluid each day.”. D. “I can have a moderate amount of caffeine daily.”. . .

Correct Answer is A

Explanation

Choice A rationale
During pregnancy, the recommended daily intake of calcium is 1,300 milligrams. Therefore, the statement “I should increase my calcium intake to 1,500 milligrams per day” indicates a need for clarification.
Choice B rationale
It is indeed recommended to avoid drinking alcoholic beverages during pregnancy as alcohol can harm the developing fetus.
Choice C rationale
Drinking about 2 liters of fluid each day is generally recommended during pregnancy to stay hydrated.
Choice D rationale
Moderate caffeine intake is generally considered safe during pregnancy. However, it is recommended to limit caffeine intake to less than 200 mg per day, which is about one 12 oz cup of coffee.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

Correct Answer is D

Explanation

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

Correct Answer is A

Explanation

A nurse is caring for a client who is in her first trimester of pregnancy and is wondering if she can continue to exercise during pregnancy. Which of the following responses by the nurse would be appropriate?

A nurse in a prenatal clinic is caring for a client who wants to know her estimated date of delivery if her last menstrual period was on May 4, 2022. What should the nurse respond?

When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in which hormone?

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should be included in the teaching?

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. Where should the nurse expect to palpate the fundus?

A nurse is caring for a client who is considering several methods of contraception.Which of the following methods of contraception should the nurse identify as being most reliable?

A nurse is completing a health history for a patient who is 6 weeks pregnant. The patient informs the nurse that she smokes one pack of cigarettes per day. The nurse should inform the patient that smoking puts her newborn at risk for which of the following complications?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. What should the nurse respond?