The nurse continues to care for the client.

Which of the following actions should the nurse take? Select all that apply.

Obtain a provider order for vaginal/anal culture.

Obtain a provider prescription for antibiotics.

Obtain a provider prescription for ibuprofen 600 mg every 6 hr for mild to moderate pain.

Obtain a provider prescription for phenazopyridine.

Obtain a provider order for a urine culture.

Answer and Explanation

Correct Answer : B,D,E

A. Obtain a provider order for vaginal/anal culture: A vaginal or anal culture is not indicated at this time because the client’s symptoms—dysuria, urinary frequency, and positive leukocyte esterase—are consistent with a urinary tract infection rather than a sexually transmitted infection or perianal infection.

B. Obtain a provider prescription for antibiotics: The client demonstrates signs of a urinary tract infection, including dysuria, positive leukocyte esterase, elevated WBC count, and cloudy urine. Prompt initiation of antibiotics is important in pregnancy to prevent complications such as pyelonephritis and preterm labor.

C. Obtain a provider prescription for ibuprofen 600 mg every 6 hr for mild to moderate pain: Ibuprofen is generally avoided during the third trimester because it can cause premature closure of the fetal ductus arteriosus and oligohydramnios. Alternative analgesics that are safe in pregnancy should be used instead.

D. Obtain a provider prescription for phenazopyridine: Phenazopyridine is a urinary analgesic that can help relieve dysuria and urinary discomfort while the client awaits antibiotic therapy. It does not treat the infection itself but improves client comfort.

E. Obtain a provider order for a urine culture: A urine culture is indicated to confirm the presence of infection and identify the causative organism. This ensures that antibiotic therapy can be tailored appropriately, which is especially important in pregnancy to reduce maternal and fetal complications.

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Correct Answer is B

Explanation

A. Candidiasis: Candidiasis is a common fungal infection that is not nationally notifiable. While it may require treatment, it does not need to be reported to the state health department for public health surveillance.

B. Chlamydia: Chlamydia is a nationally notifiable sexually transmitted infection. Reporting to the state health department is required to monitor prevalence, track outbreaks, and implement public health interventions to reduce transmission.

C. Herpes simplex virus: Genital herpes infections are not generally reportable to public health authorities in most states, though some jurisdictions may require reporting under specific circumstances. It is not considered nationally notifiable in the same way as chlamydia.

D. Human papillomavirus: HPV infection is highly prevalent and usually asymptomatic, and it is not a nationally notifiable disease. Public health efforts focus on vaccination and screening rather than mandatory reporting.

A. Bacon and cheese quiche with milk B. Ham sandwich with milk C. Shrimp salad and tomato soup with milk D. Scrambled eggs and toast with milk

Correct Answer is D

Explanation

A. Bacon and cheese quiche with milk: Bacon is pork, which is prohibited in kosher dietary laws, and combining meat with dairy (cheese) is also not allowed. This choice violates both the type of meat and the meat–dairy combination rules.

B. Ham sandwich with milk: Ham is derived from pork, which is forbidden in kosher practice, and pairing it with milk further violates the prohibition against mixing meat and dairy. This makes the selection inappropriate for a kosher diet.

C. Shrimp salad and tomato soup with milk: Shrimp is considered a non-kosher seafood and cannot be consumed under kosher laws. Including it on the tray makes this option unacceptable regardless of the other items.

D. Scrambled eggs and toast with milk: Eggs are considered kosher, and when paired with dairy (milk), they comply with kosher dietary rules because eggs are neither meat nor fish. Toast is acceptable, making this the appropriate choice for a client following kosher traditions.

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The nurse continues to care for the client. Which of the following actions should the nurse take? Select all that apply.

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Correct Answer is D

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