Scenario:
A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant.
The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?
"If your HIV testing comes back positive, your baby will be infected."
"You may notice dark urine and a metallic taste caused by ceftriaxone."
"After you take the azithromycin, do not consume any calcium-rich foods."
"Let's discuss some options for notifying your sexual partners."
The Correct Answer is D
Choice B rationale: Ceftriaxone does not commonly cause dark urine or a metallic taste. These side effects are typically associated with other antibiotics, like metronidazole. The nurse should provide accurate information about medication side effects to maintain client trust.
Choice C rationale: Azithromycin absorption is not significantly affected by calcium intake. Unlike tetracyclines, which bind with calcium and reduce efficacy, azithromycin’s pharmacokinetics remain stable, ensuring the medication effectively treats the infection.
Choice D rationale: Discussing options for notifying sexual partners is essential for preventing the spread of sexually transmitted infections. It ensures that partners can seek testing and treatment, reducing the risk of re-infection and promoting overall community health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Avoiding fried and spicy foods can reduce nausea by preventing gastric irritation and reflux, common in pregnancy due to hormonal changes. Ginger, bland foods are better alternatives.
Choice B rationale
Lying down after eating may exacerbate nausea and acid reflux due to the relaxation of the lower esophageal sphincter caused by pregnancy hormones. Remain upright for at least 30 minutes.
Choice C rationale
Eating dry crackers before getting out of bed helps stabilize blood glucose levels, reducing morning sickness. This is effective due to hormonal fluctuations affecting digestion in pregnancy.
Choice D rationale
Avoiding overfilling the stomach prevents excessive distension, reducing pressure on the stomach and lower esophageal sphincter, thus minimizing nausea and reflux. Smaller, frequent meals are recommended.
Choice E rationale
This choice is invalid, as it does not directly correlate with recommended nausea management strategies in pregnancy. Focus on dietary adjustments and hydration instead.
Correct Answer is B
Explanation
Choice A rationale
Screening for group B streptococcus B-hemolytic (GBS) is typically performed between 35-37 weeks gestation, not during the initial visit. This screen aims to reduce neonatal GBS infections.
Choice B rationale
A complete physical assessment is necessary during the initial prenatal visit to establish a baseline health status and identify any potential health issues or risk factors in pregnancy.
Choice C rationale
Measuring fundal height is usually done after 20 weeks gestation to assess fetal growth and development, not during the initial prenatal visit, where the focus is on baseline assessments.
Choice D rationale
Performing a urinalysis is part of the initial prenatal visit to screen for urinary tract infections, glucose, protein, and other substances, ensuring maternal and fetal health.
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