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?

Human papillomavirus infection

Genital herpes

Gonorrhea

Infectious mononucleosis

Answer and Explanation

The Correct Answer is C

Choice A rationale: HPV is a sexually transmitted infection but must not necessarily be reported to the public health department.

Choice B rationale: Genital herpes should not be reported to the public health department.

Choice C rationale: Gonorrhea is a reportable disease, meaning that health care providers must notify the public health department of any confirmed cases. This helps to prevent the spread of the infection and provide treatment and counseling to the affected individuals and their partners.

Choice D rationale: Infectious mononucleosis should not be reported to the public health department.

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Correct Answer is D

Explanation

Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.

Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.

Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.

Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.

A. "If I develop confusion with this medication, I should call 911." B. "I should limit the amount of fluids that I drink after 5:00 PM." C. "I will need to weigh myself at the same time every day." D. "I should put both doses of the desmopressin in one nostril." E. "I need to keep a log of my fluid intake and urine output." F. "I may need an additional dose if I keep urinating a lot."

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale: Correct. The statement is accurate because developing confusion could be a sign of a serious condition like severe electrolyte imbalance or dehydration, requiring immediate medical attention.

Choice B rationale: Incorrect. Fluid intake should not be arbitrarily limited without medical advice, especially for a client with diabetes insipidus. Maintaining a consistent fluid intake is crucial, and any changes should be guided by a healthcare provider.

Choice C rationale: Correct. Weighing oneself at the same time every day is a good practice for monitoring fluid balance and identifying sudden changes that may indicate a problem.

Choice D rationale: Incorrect. Desmopressin doses should be administered as prescribed. The medication's administration should be consistent with the healthcare provider's instructions or the medication guide, not arbitrarily altered.

Choice E rationale: Correct. Keeping a log of fluid intake and urine output is important for managing diabetes insipidus effectively and allows for informed adjustments in fluid intake or medication dosage.

Choice F rationale: Incorrect. Adjusting medication dosage without consulting a healthcare provider is not safe. While increased urination is a symptom of diabetes insipidus, the client should consult their healthcare provider if their symptoms persist or worsen, rather than self-adjusting the medication dose.

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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?

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Naxlex Comprehensive Predictor Exams

For which client with severe migraine headaches would the nurse question an order for sumatriptan?

Correct Answer is D

Explanation

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?

Correct Answer is ["A","C","E"]

Explanation

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A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

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?

A client arrives at the clinic with his daughter, reporting memory impairments: Exhibits Which of the following clinical feature are consistent with delirium? Select all that apply?