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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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
Abstaining from all alcohol consumption is a key recommendation for a healthy pregnancy. Alcohol can cause a range of developmental problems in the fetus, including fetal alcohol syndrome. Therefore, it’s best to avoid alcohol entirely during pregnancy.
Choice B rationale
Maintaining a nutritious diet rich in fruits and vegetables is essential for a healthy pregnancy. A balanced diet ensures that the mother and baby get the necessary nutrients for healthy growth and development.
Choice C rationale
Ceasing smoking immediately is another important recommendation for a healthy pregnancy. Smoking during pregnancy can lead to a variety of health problems for the baby, including premature birth, low birth weight, and sudden infant death syndrome.
Choice D rationale
Incorporating cardiovascular exercises into her workout routine is beneficial during pregnancy. Regular, moderate-intensity exercise can help manage weight gain, improve mood, and reduce pregnancy-related discomforts such as back pain and fatigue.

A. Sudden gush of fluid from the vagina B. Abdominal pain C. Ballotement D. Quickening vaginal bleeding

Correct Answer is A

Explanation

Choice A rationale
A sudden gush of fluid from the vagina could indicate premature rupture of membranes, which is a condition where the amniotic sac breaks before labor begins. This is a serious condition that requires immediate medical attention. Therefore, if a client mentions this symptom, it indicates that she understands the information given to her.
Choice B rationale
While abdominal pain can be a symptom of various conditions during pregnancy, it is not specific and can be caused by non-pregnancy related issues as well. Therefore, mentioning this symptom does not necessarily indicate understanding of pregnancy-specific symptoms to report.
Choice C rationale
Ballottement is a technique used by healthcare providers to assess pregnancy. It involves pushing against the uterus and feeling for the rebound of the fetus. This is not a symptom that a pregnant woman would report.
Choice D rationale
Quickening refers to the first movements of the fetus felt by the pregnant woman, usually between 18 and 25 weeks of gestation. While it is an important milestone in pregnancy, it is not a symptom to report to healthcare providers.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an annual gynecological check-up, a woman informs the nurse that she and her partner are planning to conceive soon. What recommendations should the nurse make for a healthy pregnancy? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

When assessing a client’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the client comprehends the information given to her?

Correct Answer is A

Explanation

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