A nurse is caring for a patient with suspected gonorrhea. Which diagnostic method should the nurse anticipate using to confirm the infection?
Nucleic acid amplification test (NAAT) using urine samples.
Serologic test using blood sample.
Wet mount microscopy using vaginal discharge.
Visual inspection of genital warts.
The Correct Answer is A
Choice A rationale:
NAAT is a highly sensitive and specific diagnostic method used to detect the genetic material of the causative organism. It is suitable for diagnosing gonorrhea and can be performed using urine samples, making it non-invasive and convenient.
Choice B rationale:
Serologic tests are used to detect antibodies produced by the body in response to infections. It is not the primary diagnostic method for confirming acute gonorrhea, as antibodies may take time to develop.
Choice C rationale:
Wet mount microscopy is more commonly used to diagnose Trichomonas vaginalis, not gonorrhea. It involves examining vaginal discharge under a microscope to identify the parasite.
Choice D rationale:
Visual inspection of genital warts is not relevant to diagnosing gonorrhea. It is used for diagnosing and assessing the severity of warts caused by HPV.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This choice is correct because the patient demonstrates understanding of the importance of notifying sexual partners and encouraging them to get tested. This approach helps prevent the spread of chlamydia.
Choice B rationale:
This choice is correct as well. Taking antibiotics as prescribed and completing the full course of treatment is essential to ensure complete eradication of the infection and prevent antibiotic resistance.
Choice C rationale:
This choice is also correct. Resistance testing may be necessary in cases of antibiotic-resistant strains of chlamydia to determine the most effective treatment.
Choice D rationale:
This choice is incorrect. The patient should continue using condoms even after symptom resolution to prevent reinfection and the transmission of STIs.
Correct Answer is ["D","E"]
Explanation
Choice A rationale:
Chlamydia does not typically present with painful vesicles or ulcers; it usually causes genital discharge and discomfort during urination.
Choice B rationale:
Gonorrhea does not commonly cause painful vesicles or ulcers; it primarily leads to genital discharge and discomfort during urination.
Choice C rationale:
Syphilis can cause ulcers (chancre) but is not typically associated with recurrent vesicles, tingling, or itching. It goes through different stages.
Choice D rationale:
This is the correct choice. Genital herpes commonly presents with painful vesicles or ulcers on the genitals, anus, or mouth, along with tingling, burning, or itching before the outbreak.
Choice E rationale:
This is the correct choice. Genital warts, caused by human papillomavirus (HPV), can lead to the development of warts on the genitalia and surrounding areas.
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