A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:

candidiasis

Chlamydia

bacterial vaginosis

trichomoniasis

Answer and Explanation

The Correct Answer is A

Choice A rationale: candidiasis - The described symptoms of inflammation, cottage

cheese-like discharge, and vaginal/vulvar inflammation are indicative of a yeast infection or candidiasis.

Choice B rationale: Chlamydia - Chlamydia often presents with different symptoms such as discharge, but it's not typically associated with a cottage cheese-like appearance.

Choice C rationale: bacterial vaginosis - Bacterial vaginosis typically presents with a different type of discharge, often described as "fishy" smelling, rather than a cottage cheese appearance.

Choice D rationale: trichomoniasis - Symptoms of trichomoniasis usually include frothy, malodorous discharge, not consistent with the described cottage cheese-like discharge.

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Correct Answer is B

Explanation

Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.

Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.

Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.

Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.

A. Increases insulin release from the pancreas, inhibits glucagon secretion, and decreases gastric emptying. B. Reduces glucose production by the liver and enhances insulin sensitivity. C. Slows the absorption of carbohydrate in the small intestine. D. Increases insulin production from the pancreas.

Correct Answer is B

Explanation

Choice A rationale: Metformin does not significantly affect insulin release from the pancreas or glucagon secretion but reduces glucose production by the liver and enhances insulin sensitivity in tissues.

Choice B rationale: Metformin primarily works by reducing glucose production in the liver and improving the body's response to insulin, thereby lowering blood sugar levels.

Choice C rationale: Metformin does not notably slow carbohydrate absorption in the small intestine.

Choice D rationale: Metformin does not directly increase insulin production from the pancreas.

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A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

Correct Answer is B

Explanation

The newly diagnosed patient with type 2 diabetes has been prescribed metformin (Glucophage). What should the nurse tell the patient to best explain how this medication works?

Correct Answer is B

Explanation

A 45-year-old man on the neurology floor can understand instructions but is unable to express himself through talking. Which lobe of the brain controls the expression of speech?

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?

The home health nurse visits a client with chronic diabetes insipidus: Exhibits Which three (4) client statements would indicate a correct understanding of the teaching?

What topic should the nurse plan as a priority to teach a 26-year-old patient who has been treated for pelvic inflammatory disease?

A client with diffuse axonal injury is experiencing difficulty with respiration, heart rate, blood pressure. Which region of the brain does the nurse suspect to be affected?

The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?

The nurse observes the final diagnosis of four clients in their case reports as given below. In which client does the nurse notice the presence of Chvostek sign and Trousseau sign?