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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Every 2 weeks until 30 weeks, every 2 to 3 weeks until 36 weeks, then every week until delivery. B. Every 3 weeks for the first 28 weeks, then weekly until delivery. C. Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then every week until delivery. D. Every 2 weeks until 30 weeks, then every other week until delivery.

Correct Answer is C

Explanation

Choice A rationale
This schedule is not the standard prenatal visit schedule. It suggests more frequent visits in the early stages of pregnancy.
Choice B rationale
This schedule is not the standard prenatal visit schedule. It suggests less frequent visits in the early stages of pregnancy.
Choice C rationale
This is the standard prenatal visit schedule. It suggests visits every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery.
Choice D rationale
This schedule is not the standard prenatal visit schedule. It suggests more frequent visits in the early stages of pregnancy and less frequent visits in the later stages.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse in the prenatal clinic is educating a group of pregnant women attending the clinic for the first time about the visit schedule. Which of the following is correct about the visit schedule?

Correct Answer is C

Explanation

A nurse is caring for a patient who is 18 weeks pregnant. The patient tells the nurse that she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this finding as which of the following?

A nurse is instructing a male client about a semen analysis to be done for suspected infertility. Which of the following should be included in the teaching?

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 caring for a client suspected of having a hydatidiform mole. What findings should the nurse expect to observe in this client?

A nurse is attending to a client during her first prenatal visit. The client, who has a BMI of 26.5, is curious about the amount of weight she should gain during her pregnancy. What should the nurse’s response be?

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

A nurse is educating a client who has a positive pregnancy test about common discomforts in the first trimester of pregnancy and warning signs of potential danger. Which of the following manifestations should the nurse instruct the client to report to the clinic?