The nurse when assessing the client's perineum found erythematous lesions on the vulva that looks like herpes. The nurse anticipates the patient's treatment regimen to include which of the following:
Penicillin G intravenously
Acyclovir orally
Betamethasone for late preterm labor
Ceftriaxone (Rocephin)
The Correct Answer is B
A. Penicillin G is an antibiotic used to treat bacterial infections, particularly those caused by streptococci and certain other bacteria. It is not effective against viruses like herpes simplex virus (HSV).
B. Acyclovir is an antiviral medication commonly used to treat infections caused by HSV, including genital herpes. It is effective in reducing the severity of symptoms, speeding up healing of lesions, and preventing recurrent outbreaks. Oral acyclovir is a standard treatment for genital herpes.
C. Betamethasone is a corticosteroid used to accelerate fetal lung maturity in cases of preterm labor between 24 and 34 weeks of gestation. It is not indicated for the treatment of herpes simplex virus infections.
D. Ceftriaxone is a broad-spectrum antibiotic used to treat bacterial infections. It is not effective against viral infections such as herpes simplex virus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Volume= Desired dose/ available concentration per ml Available concentration per ml= 5000 units/ml Volume= 3800/5000
Volume=0.76mls
= 0.8mls
Therefore, the nurse should administer 0.8mls of heparin
Correct Answer is A
Explanation
A. Abruptio placentae, especially when severe, can lead to significant bleeding into the maternal circulation. This massive release of blood into the maternal system can overwhelm the body's clotting mechanisms, leading to DIC. Petechiae (tiny purple or red spots on the skin), bleeding from IV sites or other mucosal surfaces, and abnormal laboratory findings such as prolonged clotting times (prothrombin time and activated partial thromboplastin time) and decreased platelet count.
B. Anaphylactoid syndrome of pregnancy occurs when amniotic fluid or fetal material enters the maternal circulation, triggering a systemic inflammatory response. This can cause rapid cardiovascular collapse and respiratory distress. Petechiae and bleeding from IV sites are less likely with this syndrome compared to DIC.
C. Puerperal infection refers to infections that occur after childbirth. It is typically associated with postpartum uterine infections (endometritis) or other infections related to childbirth procedures. Signs include; fever, uterine tenderness, foul-smelling lochia, and signs of systemic infection (e.g., elevated white blood cell count).
D. Preeclampsia is a hypertensive disorder of pregnancy characterized by new-onset hypertension and proteinuria after 20 weeks of gestation. It is not typically associated with petechiae or bleeding from IV sites.
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