A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
"You need to come back in a week for retesting."
“I have to notify the public health department."
“I have to contact your parents."
“Let’s review the side effects of metronidazole."
The Correct Answer is B
Rationale:
A. Retesting in a week may be necessary, but notifying the public health department is a more immediate concern.
B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis.
C. Involving the patient's parents may not be appropriate for a 20-year-old patient.
D. Metronidazole is not typically used to treat syphilis; penicillin or other antibiotics are the standard treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. While EMLA cream can provide local anesthesia, it takes time to take effect and might not be practical for immediate use before administering immunizations.
B. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and stress during immunizations in infants, promoting atraumatic care.
C. Injecting immunizations into the deltoid muscle is a common practice, but it does not specifically address atraumatic care.
D. Using a smaller gauge needle (e.g., 22-25 gauge) is generally recommended for infants to minimize pain, but specifying a 20-gauge needle is not necessarily related to atraumatic care.
Correct Answer is A
Explanation
Rationale:
A. An elevated creatinine level may indicate kidney dysfunction, which is a potential adverse effect of gentamicin therapy. It should be reported to the provider for further evaluation.
B. A creatinine level within the normal range is expected.
C. BUN within the normal range is expected.
D. BUN within the normal range is expected.
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