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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.
Choice B rationale
Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.
Choice C rationale
The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.
Choice D rationale
RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.
Correct Answer is A
Explanation
Choice A rationale
This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.
Choice B rationale
Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.
Choice C rationale
Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.
Choice D rationale
Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.
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