A charge nurse is teaching a newly licensed nurse about nationally notifiable diseases. Which of the following diseases should the charge nurse include in the teaching as being reportable?

Syphilis

Trichomoniasis

Genital herpes

Human papillomavirus (HPV)

Answer and Explanation

The Correct Answer is A

A. Syphilis: Syphilis is a nationally notifiable disease in the United States. Healthcare providers are required to report cases to local or state public health authorities to facilitate disease tracking, outbreak management, and public health interventions.

B. Trichomoniasis: Trichomoniasis is not a nationally notifiable disease. While it is a common sexually transmitted infection, reporting is not required by law at the national level, though some states may have local reporting requirements.

C. Genital herpes: Genital herpes is not nationally reportable because it is highly prevalent and often managed in outpatient settings without mandatory reporting. Surveillance focuses on population studies rather than individual case reporting.

D. Human papillomavirus (HPV): HPV infections are not nationally notifiable. Although HPV is common and associated with cancers, individual cases are not reported to public health authorities. Reporting is limited to cancer registries for HPV-related malignancies.

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Correct Answer is B

Explanation

A. High Fowler's: High Fowler’s position can assist with respiratory effort and comfort, but it does not specifically optimize cardiac output in a pregnant client. Upright positioning alone may not relieve pressure from the gravid uterus on major vessels.

B. Left lateral: Placing the client in the left lateral position relieves pressure of the uterus on the inferior vena cava and aorta, enhancing venous return to the heart and improving cardiac output. This position is especially important in clients with cardiac disease to reduce the risk of supine hypotensive syndrome and optimize maternal and fetal circulation.

C. Standing: Standing does not provide support for venous return and can increase the workload on the heart, potentially exacerbating cardiac compromise. It is not recommended for prolonged periods in clients with cardiac disease during pregnancy.

D. Supine: Supine positioning can compress the inferior vena cava and aorta, reducing venous return and cardiac output. This can lead to hypotension and decreased perfusion to both the mother and fetus, making it unsafe for pregnant clients with cardiac disease.

A. "This medication may cause me to experience a metallic taste in my mouth." B. "This medication can cause my potassium level to decrease." C. "This medication can cause drowsiness." D. "This medication may cause me to lose weight."

Correct Answer is C

Explanation

A. "This medication may cause me to experience a metallic taste in my mouth.": Lorazepam is a benzodiazepine and does not commonly cause a metallic taste. This statement reflects a misunderstanding of common adverse effects associated with the medication.

B. "This medication can cause my potassium level to decrease.": Lorazepam does not affect electrolyte levels such as potassium. Monitoring potassium is not typically necessary with this medication, so this statement is inaccurate.

C. "This medication can cause drowsiness.": Drowsiness is a common side effect of lorazepam due to its sedative properties. Understanding this effect helps the client anticipate and manage daytime sleepiness and avoid activities requiring alertness, demonstrating correct comprehension of teaching.

D. "This medication may cause me to lose weight.": Lorazepam is not associated with weight loss. Clients should be informed about the expected side effects, and weight changes are not typical with this medication, making this statement incorrect.

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A charge nurse is teaching a newly licensed nurse about nationally notifiable diseases. Which of the following diseases should the charge nurse include in the teaching as being reportable?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 32 weeks of gestation and has a history of cardiac disease. In which of the following positions should the nurse place the client to promote optimal cardiac output?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has a new prescription for lorazepam. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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