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 D
Explanation
Choice A rationale
The ductus arteriosus does not connect the umbilical artery to the inferior vena cava. It connects the pulmonary artery to the aorta, bypassing the lungs in fetal circulation.
Choice B rationale
The ductus arteriosus carries deoxygenated blood from the right side of the heart to the aorta. It does not carry oxygenated blood from the left side of the heart.
Choice C rationale
The ductus arteriosus is not located between the right and left atrium. It is a blood vessel connecting the pulmonary artery to the aorta in fetal circulation.
Choice D rationale
In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus. This allows blood to bypass the fetal lungs, which are not yet functional.
NGN QUESTIONS
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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