A nurse is caring for a client who has a new diagnosis of Chlamydia trachomatis.
Which of the following actions should the nurse take?

Instruct the client to abstain from sexual intercourse for 1 month.

Administer ceftriaxone via intermittent IV bolus.

Schedule the client for retesting in 1 week.

Report the infection to the state department of health.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Instructing the client to abstain from sexual intercourse for one month is not necessary for the management of Chlamydia trachomatis. Instead, the client should be advised to abstain from sexual activity until they and their partner(s) have completed the prescribed course of antibiotics and are no longer contagious, which is usually within 7 days.

Choice B rationale:

Administering ceftriaxone via intermittent IV bolus is not the recommended route for treating Chlamydia trachomatis. The standard treatment for Chlamydia trachomatis infection is oral antibiotics, such as azithromycin or doxycycline. Intravenous administration is not typically required for uncomplicated cases.

Choice C rationale:

Scheduling the client for retesting in one week is not necessary if the client has received appropriate treatment and follows the prescribed course of antibiotics. Retesting is generally recommended 3 months after treatment, especially in cases of persistent or recurrent symptoms.

Choice D rationale:

Reporting the infection to the state department of health is a crucial action. Chlamydia trachomatis is a reportable sexually transmitted infection in many jurisdictions. Reporting helps public health authorities track the incidence of the disease, implement preventive measures, and allocate resources effectively to control its spread within the community. It is essential for the nurse to comply with legal and ethical obligations by reporting the infection to the appropriate health authorities.

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Correct Answer is C

Explanation

Choice A rationale:

Iron is essential for healthy blood, but it is not specifically associated with preventing neural tube defects. Iron supplementation is crucial during pregnancy to prevent iron-deficiency anemia.

Choice B rationale:

Calcium is essential for bone health, but it is not directly related to preventing neural tube defects. Adequate calcium intake is vital, especially during adolescence and pregnancy, to support bone development and maintenance.

Choice C rationale:

"Folate." This is the correct answer. Folate, also known as vitamin B9, is crucial for preventing neural tube defects. Adequate folate intake, especially before and during early pregnancy, can significantly reduce the risk of neural tube defects in newborns. The normal recommended dietary allowance (RDA) for folate is 400 micrograms per day for adults.

Choice D rationale:

Zinc is a mineral important for immune function and wound healing but is not specifically associated with preventing neural tube defects. Adequate zinc intake is essential for overall health, but it is not a primary nutrient targeted for neural tube defect prevention.

A. Improved short-term memory. B. Enhanced mood. C. Can perform ADLs independently. D. Increased food intake.

Correct Answer is A

Explanation

Choice A rationale:

Improved short-term memory. Donepezil is a medication used to treat Alzheimer's disease and other forms of dementia. It works by increasing the levels of certain chemicals in the brain that are involved in memory, thinking, and reasoning. Therefore, improved short-term memory is an indication that the medication is effective, as it suggests enhanced cognitive function in the client.

Choice B rationale:

Enhanced mood. While improved mood can be a positive outcome of treating dementia, it is not the primary goal of donepezil therapy. The main focus is on cognitive improvement, particularly in memory and thinking skills. Enhanced mood alone may not be a reliable indicator of the medication's effectiveness in this context.

Choice C rationale:

Can perform ADLs independently. The ability to perform activities of daily living (ADLs) independently is an important aspect of a patient's overall well-being. However, this improvement may not solely be attributed to the effects of donepezil. Other factors, such as rehabilitation or support services, can also contribute to the patient's ability to perform ADLs. While it is a positive outcome, it is not a specific indication of donepezil's effectiveness.

Choice D rationale:

Increased food intake. Increased food intake is not a direct effect of donepezil. Donepezil does not have a primary role in regulating appetite or food intake. Therefore, this finding is not a reliable indicator of the medication's effectiveness in treating dementia.

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A nurse is caring for a client who has a new diagnosis of Chlamydia trachomatis.Which of the following actions should the nurse take?

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A nurse is caring for a client who has a new diagnosis of Chlamydia trachomatis.
Which of the following actions should the nurse take?