A client with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline 100mg BID for 7 days, The nurse explains to the client that this combination is prescribed to

Treat any coexisting chlamydial infection.

Eradicate any resistant strains of N. gonorrhoeae.

Prevent reinfection during treatment.

Prevent the development of resistant organisms.

Answer and Explanation

The Correct Answer is A

A. Gonorrhea and chlamydia often coexist in individuals, and doxycycline is prescribed to treat chlamydia in addition to ceftriaxone for gonorrhea. Treating both infections is crucial to reduce the risk of complications and reinfection.

B. While ceftriaxone is effective against N. gonorrhoeae, doxycycline is used to treat chlamydia, not to eradicate resistant strains of gonorrhea.

C. Reinfection during treatment can be minimized with both medications, but the primary purpose of doxycycline is to treat a possible co-infection with chlamydia.

D. This combination therapy does not primarily aim to prevent the development of resistant organisms but to treat both infections effectively.

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Correct Answer is D

Explanation

A. Increasing IV fluids would exacerbate the client's fluid overload and worsen heart failure symptoms.

B. Trendelenburg positioning is typically used for shock management, but this client’s fluid overload needs to be addressed first.

C. Monitoring is important but does not address the immediate need to manage fluid overload.

D. The client's elevated CVP, PAWP, and BNP levels indicate fluid overload and heart failure with reduced ejection fraction. The priority is to reduce fluid overload by administering IV diuretics, which will help reduce the pressure in the heart and lungs, improving oxygenation and decreasing the risk of pulmonary edema.

A. "Testicular self-exam will be important on the remaining testis." B. "I will investigate sperm banking before the operation." C. "I can still function sexually without one of my testes." D. "There should be no effect on my ability to reproduce."

Correct Answer is D

Explanation

A. Testicular self-exam remains important for the remaining testis.

B. Sperm banking is a reasonable consideration.

C. Sexual function is usually maintained with one testis.

D. This statement is incorrect; fertility may be affected, hence sperm banking consideration.

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Test Name	Results	Reference Range
WBC	12, 000	4, 000- 11, 000
Na+	149 mEq/L	135-145 mEq/L
K+	5.0 mEq/L	3.5- 5.0 mEq/L
Cl-	110 mEq/L	96-106 mEq/L
pH	7.34	7.35-7.45
PaCO2	34 mmHg	35- 45 mmHg
PaO2	78 mm Hg	80-100 mmHg
HCO3	21 mEq/L	22- 26 mEq/L

A client with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline 100mg BID for 7 days, The nurse explains to the client that this combination is prescribed to

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer. What statement by the client indicates the need to review the information?

Correct Answer is D

Explanation

The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm. What assessment technique requires further education by the supervising nurse?

The nurse assesses a client who just returned to the recovery area after undergoing a balloon angioplasty to improve circulation to the left leg. What assessment finding is the most concerning?

Which client should the nurse assign as a roommate for a client who has aplastic anemia?

After starting the treatment for type 2 diabetes mellitus 6 months earlier, a client is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the clients adherence to the antidiabetic therapy over the past few months?

A client who has chronic heart failure tells the nurse, "I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as

A client is in the emergency department after being rescued from a house fire. After the initial assessment, the client develops a loud, brassy cough. What intervention by the nurse takes priority?

A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?