A nurse in a gynecology office is caring for a client.

Nurses' Notes

1000:

Client reports vaginal itching and discharge in the last week. Describes the discharge as thick and "smelly." Reports pain with urination and sexual intercourse. Verbalizes that the discharge became worse after their menstrual period this month. Reports has been treated for STIs in the past and is currently sexually active in a new relationship. Provider notified.

1035:

Vaginal swab for culture and nucleic acid amplification testing (NAAT) performed. Physical Examination

1015:

Labia majora and minora inflamed. Large amount of frothy, yellow-green, malodorous discharge observed.

Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

(Select all that apply.)

Have the client douche every morning and night.

Instruct the client to avoid alcohol for 72 hr after treatment.

Administer metronidazole 2 g PO x 1 dose.

Recommend the client's partner receive treatment.

Perform an oatmeal sitz bath.

Answer and Explanation

Correct Answer : B,C,D

A.   Having the client douche every morning and night is not recommended as it can disrupt the natural balance of vaginal flora and exacerbate the condition. It may worsen symptoms and increase the risk of complications.

B.   Instructing the client to avoid alcohol for 72 hours after treatment is not necessary in this scenario. Metronidazole is an antibiotic used to treat bacterial vaginosis and does not typically interact with alcohol.
C.   Metronidazole is the treatment of choice for bacterial vaginosis, which is suggested by the client's symptoms (frothy, yellow-green, malodorous discharge) and the provider's likely diagnosis based on the clinical presentation.
D.   Recommending the client's partner receive treatment is important to prevent reinfection or transmission of the infection. Bacterial vaginosis can be sexually transmitted, and treating both partners helps reduce the risk of recurrence.
E.   Performing an oatmeal sitz bath may provide symptomatic relief for certain conditions, but it is not typically indicated for the treatment of bacterial vaginosis.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. "I'll make sure his diaper is loose in the front." This is correct because a loose diaper can prevent pressure on the circumcision site, reducing discomfort and the risk of disrupting the healing process.
B. "I'll expect the plastic ring to fall off by itself within a week." This statement is accurate as the Plastibell ring is designed to fall off on its own as the circumcision heals.
C. "I'll call the doctor if I see any bleeding." This is an appropriate action as bleeding can be a sign of a complication and should be assessed by a healthcare provider.
D. "I'll apply petroleum jelly to his penis with diaper changes." This is correct; applying petroleum jelly can help prevent the diaper from sticking to the circumcision site and aid in healing.
E. "I'll wash his penis with warm water and mild soap each day." This statement is not recommended with the Plastibell technique as it can disrupt the healing process. The site should be kept as dry as possible to allow the ring to fall off naturally.

A. Liver function tests B. Edema C. Fetal heart rate and variability D. Headache E. Epigastric discomfort F. Urine dipstick

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement.
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement.
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a client who is at 36 weeks of gestation. Exhibits For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS).Which of the following statements should indicate to the nurse the need for additional teaching?

A nurse is presenting educational materials for a group of middle-aged clients aboutmenopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the information?