An adolescent female states that she had unprotected sex approximately 3 weeks ago and thinks she may have genital herpes. Findings NOT consistent with genital herpes include:
lymphadenopathy.
dysuria.
vesicular genital lesions.
mucopurulent cervicitis.
The Correct Answer is D
Rationale:
A. Lymphadenopathy (swollen inguinal lymph nodes) is a common finding during a primary genital herpes outbreak.
B. Dysuria (painful urination) can occur due to irritation from herpes lesions.
C. Vesicular genital lesions are classic and characteristic of genital herpes.
D. Mucopurulent cervicitis is typically caused by chlamydia or gonorrhea, not genital herpes, and is therefore not consistent with herpes infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Intra-articular corticosteroid injections are generally reserved for persistent or severe cases that do not respond to conservative therapy; they are not first-line.
B. COX-2 inhibitors are a type of NSAID but are not typically first-line due to cost and cardiovascular risk considerations in otherwise healthy adolescents.
C. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are the initial pharmacologic treatment for epicondylitis. They reduce inflammation and relieve pain, complementing rest, activity modification, and physical therapy.
D. Oral acetaminophen with codeine is not recommended initially due to risks of opioid use, side effects, and limited anti-inflammatory effects.
Correct Answer is B
Explanation
Rationale:
A. Increased weight gain is not typical of type 1 diabetes; lethargy and nocturia alone are nonspecific.
B. A persistent vaginal yeast infection, weight loss, and urinary frequency are classic signs of type 1 diabetes mellitus in young children. Hyperglycemia provides a favorable environment for yeast infections, causes osmotic diuresis (frequent urination), and leads to unintentional weight loss despite normal or increased appetite.
C. Increased activity and frequent stools are not typical presenting features of type 1 diabetes.
D. Weight gain is not consistent with type 1 diabetes; increased thirst and nocturia may occur, but the weight loss seen in option B is more indicative.
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