The most common sexually transmitted infection that can cause genital warts with cauliflower-like appearance that may not itch or hurt is
syphillis
chlamydia
Group B streptococcus
human papilloma virus
The Correct Answer is D
A. Syphilis: Syphilis, caused by Treponema pallidum, typically presents with painless ulcers (chancres) in primary infection. It does not cause the characteristic cauliflower-like genital warts seen in HPV infections.
B. Chlamydia: Chlamydia trachomatis infections are often asymptomatic or present with urethritis or cervicitis. They do not cause visible genital warts and are not associated with the papillomatous lesions described.
C. Group B streptococcus: Group B Streptococcus is primarily a concern for neonatal infections during childbirth. It does not cause sexually transmitted genital warts in adults.
D. Human papilloma virus: HPV is the most common sexually transmitted infection that causes genital warts. The warts often have a cauliflower-like appearance, may be painless, and sometimes do not cause itching, making them easily unnoticed without inspection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer the dose as ordered: In infants, digoxin is typically held if the apical heart rate is below 90–110 bpm. An apical rate of 114 bpm is above the threshold, so it is safe to administer the medication while continuing to monitor for signs of toxicity.
B. Hold the medication until the next dose: Holding digoxin unnecessarily can compromise therapeutic effectiveness and cardiac output, especially in infants with heart failure. Medication should only be held if the heart rate is below the established threshold.
C. Wait and recheck the apical heart rate in 30 minutes: Rechecking is unnecessary if the initial assessment shows a heart rate within safe limits. Delaying administration without cause may disrupt the medication schedule and its efficacy.
D. Notify the physician about the infant's heart rate: The heart rate is within an acceptable range for digoxin administration, so notifying the physician is not required in this instance. Routine monitoring and documentation are sufficient.
Correct Answer is D
Explanation
A. The child has above-normal growth for his age: Congenital hypothyroidism typically results in slowed growth and delayed skeletal maturation due to insufficient thyroid hormone. Above-normal growth is not consistent with this condition and would be unexpected.
B. The child is active and playful: Hypothyroidism in infants usually causes lethargy, hypotonia, and decreased activity. A highly active and playful infant would be atypical and not indicative of untreated congenital hypothyroidism.
C. The skin is pink and healthy looking: Infants with congenital hypothyroidism often have pale, dry, or mottled skin due to decreased metabolism and poor perfusion. Healthy, rosy skin is not a common finding in this condition.
D. It is difficult to keep the child awake: Lethargy and excessive sleepiness are hallmark signs of congenital hypothyroidism in infants. Difficulty keeping the infant awake reflects central nervous system depression caused by thyroid hormone deficiency and is a key clinical indicator.
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