Exhibits

Select a condition, the assessment cues, and anticipated solutions for this client.

Answer and Explanation

The Correct Answer is []

A. Assessment Cues

Unprotected Sexual Activity increases the risk of sexually transmitted infections (STIs). The client has had multiple sexual partners in the past month without protection, making her susceptible to infections such as trichomoniasis, gonorrhea, chlamydia, and bacterial vaginosis. This is a significant risk factor for her symptoms.
Foul-smelling discharge is a common symptom of trichomoniasis, bacterial vaginosis, and other vaginal infections. UTIs primarily cause dysuria, frequency, urgency, and suprapubic pain, not vaginal symptoms. Since the urinalysis does not show leukocytes, nitrates, or bacteria, a UTI is unlikely.

B. Condition – Trichomoniasis

The client's symptoms—green-yellow vaginal discharge, vaginal itching, and foul-smelling odor—are classic signs of trichomoniasis, a sexually transmitted infection caused by Trichomonas vaginalis. The disease is associated with malodorous discharge, vaginal irritation, and possible dysuria.

C. Anticipated Solutions

Oral Metronidazole: The first-line treatment for trichomoniasis is oral metronidazole (Flagyl) 2g as a single dose or 500mg twice daily for 7 days. Metronidazole effectively eliminates the infection. Patients must be educated to avoid alcohol while taking metronidazole due to the risk of a disulfiram-like reaction (severe nausea and vomiting).
Safe sexual behaviors, such as consistent condom use, regular STI screening, mutual monogamy, and open communication about sexual history, are essential for reducing the risk of sexually transmitted infections (STIs), including trichomoniasis.

Incorrect answers:

Human Papillomavirus (HPV): HPV causes genital warts and increases the risk of cervical cancer, but it does not typically cause vaginal discharge, itching, or foul odor. Therefore, HPV is not the most likely condition in this case.

Depression: While multiple sexual partners and STI diagnoses can cause emotional distress, depression is not directly relevant to her current presentation. However, mental health screening may be beneficial if she expresses concerns about her emotional well-being.

Herpes simplex virus (HSV) is a sexually transmitted infection (STI) that can cause genital ulcers, pain, and discomfort. However, based on the client’s symptoms, HSV is not the most likely diagnosis.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. Unexplained weight gain
This is incorrect because weight gain is not a characteristic symptom of endometriosis. Endometriosis primarily affects the reproductive organs and is associated with pain and infertility rather than metabolic or weight-related changes.

B. Pain during menstrual period
This is correct because dysmenorrhea (painful menstruation) is a hallmark symptom of endometriosis due to the presence of ectopic endometrial tissue responding to hormonal changes.

C. Pain during intercourse
This is correct because dyspareunia (pain during intercourse) is a common symptom of endometriosis due to the inflammatory and fibrotic changes caused by ectopic endometrial tissue.

D. Infertility
This is correct because endometriosis can lead to infertility due to scarring, adhesions, and inflammation affecting the fallopian tubes and ovaries. Many clients with endometriosis seek medical attention due to difficulty conceiving.

A. "The placenta is the site of gas exchange for the fetus." B. "The umbilical arteries carry deoxygenated blood from the fetus to the placenta." C. "The fetal heart pumps blood to both the placenta and the developing organs." D. "Maternal and fetal blood mix to allow for nutrient and oxygen exchange."

Correct Answer is D

Explanation

A. "The placenta is the site of gas exchange for the fetus."
This is correct because the placenta facilitates oxygen and carbon dioxide exchange between maternal and fetal circulation without direct blood mixing.
B. "The umbilical arteries carry deoxygenated blood from the fetus to the placenta."
This is correct because the two umbilical arteries carry deoxygenated blood from the fetus to the placenta, where gas exchange occurs.
C. "The fetal heart pumps blood to both the placenta and the developing organs."
This is correct because the fetal heart pumps oxygenated blood to its developing organs and sends deoxygenated blood to the placenta for gas exchange.
D. "Maternal and fetal blood mix to allow for nutrient and oxygen exchange."
This is incorrect because maternal and fetal blood do not mix under normal conditions. Instead, nutrients, gases, and waste products pass through the placental barrier via diffusion. If maternal and fetal blood mix, it could indicate a placental rupture or pathological condition.

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Exhibits Select a condition, the assessment cues, and anticipated solutions for this client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment findings might raise the nurse's suspicion of endometriosis in the client they are evaluating?

Correct Answer is ["B","C","D"]

Explanation

The nurse is reviewing fetal and maternal circulation with a group of nursing students. Which statement by a student demonstrates a need for further clarification?

Correct Answer is D

Explanation

A nurse is reviewing the different signs of pregnancy with a client who is in her first trimester. Which of the following symptoms should the nurse classify as a positive sign of pregnancy?

G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) The nurse will implement the following interventions based on the fetal heart rate.(Select All that Apply.)

A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

35-year-old postpartum client. Select the condition, risk factors and assessment findings that the client may be experiencing.

G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) Complete the following sentence using the drop-down options. The nurse's greatest concern is the client's risk of developing __i_____ and related to __ii____ and ___iii____.

While caring for a client in labor, which assessment finding best indicates fetal well-being to the nurse?

A male client reports to the nurse that he took sildenafil for erectile dysfunction but did not achieve an erection. Which of the following considerations should the nurse evaluate to determine possible reasons for the lack of response?

Exhibits

Select a condition, the assessment cues, and anticipated solutions for this client.