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 A

Explanation

Choice A rationale

Ambivalent feelings are common in early pregnancy due to hormonal changes and the significant life adjustments that accompany pregnancy. It is normal for pregnant women to experience mixed emotions as they adapt to the reality of impending parenthood.

Choice B rationale

Suggesting the client speak to her mother about these feelings may not be appropriate as it could dismiss the client's current feelings and needs. While family support is valuable, the nurse should first address the client's concerns directly.

Choice C rationale

Referring the client to a counselor may be necessary in some cases, but it is essential to first normalize the client's feelings. It helps in providing immediate reassurance and understanding before suggesting further intervention.

Choice D rationale

Telling the client "Don't worry, you will be fine once the baby is born" is dismissive and minimizes her current concerns. It is important to validate her feelings and provide supportive responses to help her cope with her emotions.

A. During labor, I will get Zidovudine (ZVD) through my IV. B. I am planning to breast and bottle feed my baby. C. My baby will get Zidovudine (ZVD) orally right after birth for 6 weeks. D. During pregnancy, I will take my Zidovudine (ZVD) tablet at the same time every day.

Correct Answer is B

Explanation

Choice A rationale

Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.

Choice B rationale

HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.

Choice C rationale

Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.

Choice D rationale

Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.

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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

Correct Answer is A

Explanation

A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?

Correct Answer is B

Explanation

A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:

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