A patient has tested positive for a sexually transmitted infection (STI). Which actions are essential in the management of this condition?

Administer azithromycin 1 g PO one time.

Administer ibuprofen 600 mg PO twice a day PRN pain.

Notify all sexual partners within the prior 30 days of the need for STI screening.

Administer ceftriaxone 250 mg IM now.

Notify the appropriate public health agency of the positive diagnostic test results.

Administer acyclovir 400 mg PO three times per day.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

The correct answer is:

A. Administer azithromycin 1 g PO one time. Anticipated.

B. Administer ibuprofen 600 mg PO twice a day PRN pain. Nonessential.

C. Notify all sexual partners within the prior 30 days of the need for STI screening. Anticipated.

D. Administer ceftriaxone 250 mg IM now. Anticipated.

E. Notify the appropriate public health agency of the positive diagnostic test results. Anticipated.

F. Administer acyclovir 400 mg PO three times per day. Nonessential. .

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Correct Answer is D

Explanation

Choice A rationale

During pregnancy, the body’s production of red blood cells usually increases to meet the increased demands of the growing fetus. Therefore, a drop in hematocrit is not typically due to insufficient red blood cell production.

Choice B rationale

While iron is essential during pregnancy, a reduction in hematocrit levels at 16 weeks' gestation is primarily due to increased plasma volume, rather than iron deficiency. Nutritional counseling may still be beneficial but isn't the primary explanation for this change.

Choice C rationale

A hematocrit level of 34% at 16 weeks is generally not considered indicative of a severe problem. Instead, it is a physiological response to increased plasma volume, known as dilutional anemia of pregnancy.

Choice D rationale

The primary reason for a lower hematocrit count during pregnancy is the increase in blood plasma volume, leading to dilutional anemia. This is a normal adaptation to pregnancy that ensures adequate blood flow to the fetus.

A. I will limit exercising to low-impact aerobics. B. I will swim in the pool because this is considered a safe exercise for me. C. I will walk around the indoor track. D. I only go to the spa to sit in the sauna in the morning.

Correct Answer is D

Explanation

Choice A rationale

Limiting exercise to low-impact aerobics is safe and suitable for pregnant women.

Choice B rationale

Swimming is considered a safe and beneficial exercise during pregnancy.

Choice C rationale

Walking is a recommended form of exercise for pregnant women.

Choice D rationale

Sitting in a sauna is not advised during pregnancy due to risks of overheating and dehydration. .

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A patient has tested positive for a sexually transmitted infection (STI). Which actions are essential in the management of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant client, at 16 weeks' gestation, has a hematocrit of 34%. Her pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

Correct Answer is D

Explanation

A pregnant patient enjoys exercising at a local health spa once a week.Which patient comment indicates to the nurse that more health teaching is needed?

Correct Answer is D

Explanation

The student nurse is preparing a presentation on the nutritional needs of pregnant teens.Which items should be included in her teaching plan? (Select all that Apply)

A primigravida is 18 weeks gestation and asks the nurse how long it will be until she feels the baby move.The best response by the nurse is:

Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format: "October 20"

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The nurse is assessing a woman in early labor.While positioning her for a vaginal exam, she complains of dizziness and nausea and appears pale.Her blood pressure has dropped slightly.What is the appropriate initial nursing action?

The nurse knows that a normal physiologic alteration of the circulatory system associated with thromboembolic events in pregnancy is:

A newborn who weighs 3900 grams is to receive 25mg/kg of Augmentin (Amoxicillin Clavulanate Potassium) q 24 hours. The supply on hand is 125mg/5mL. How many ml will the newborn receive in 24 hours? (Write in your answer).