A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

Prostate specific antigen

Enzyme-linked immunosorbent assay (ELISA)

Venereal disease research laboratory (VDRL)

Western blot test

Answer and Explanation

The Correct Answer is C

A.   Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B.   Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C.   Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D.   Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.

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Correct Answer is B

Explanation

A. An endometrial biopsy. This test is used to diagnose endometrial cancer, not cervical cancer.
B. Papanicolaou test. The Pap test (Papanicolaou test) is the preferred and standard method for detecting cervical cancer by identifying precancerous or cancerous cells on the cervix.
C. CA 125. CA 125 is a tumor marker that is often used in the detection and management of ovarian cancer, not cervical cancer.
D. Transvaginal ultrasound. This imaging test is typically used to evaluate ovarian and endometrial abnormalities but is not the preferred method for detecting cervical cancer.

A. Presence of plethora (excess body fluid) B. Calf swelling and pain C. Platelet count 450,000/microL D. Hematocrit 55%

Correct Answer is B

Explanation

A. Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B. Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C. A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D. Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.

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A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which is an appropriate response by the nurse?

Correct Answer is B

Explanation

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Correct Answer is B

Explanation

Which of the following can cause bone marrow suppression?

A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

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