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A nurse is caring for a client who has bacterial vaginosis. Which of the following medications should the nurse expect the provider to prescribe?

A.

Metronidazole

B.

Doxycycline

C.

Azithromycin

D.

Acyclovir

Answer and Explanation

The Correct Answer is A

Rationale:
A. Metronidazole: This is the treatment of choice for bacterial vaginosis because it effectively targets anaerobic bacteria such as Gardnerella vaginalis, the main causative organism.

B. Doxycycline: This antibiotic is primarily used to treat Chlamydia trachomatis infections and is not effective for bacterial vaginosis.

C. Azithromycin: This medication is effective for Chlamydia trachomatis and Mycoplasma genitalium infections, not for bacterial vaginosis caused by anaerobes.

D. Acyclovir: This antiviral agent is used to treat herpes simplex virus infections and has no therapeutic effect against bacterial pathogens.


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Related Questions

Correct Answer is C

Explanation

Rationale:
A. "This medication can increase your risk for osteoporosis.": Long-term warfarin use may affect bone density slightly, but this is not the primary teaching point for safety and daily management. It is less immediately relevant than bleeding risk.

B. "This medication can cause hearing loss.": Warfarin is not associated with ototoxicity or hearing loss; this statement does not reflect a known adverse effect of the medication.

C. "Avoid drinking cranberry juice while taking this medication.": Cranberry products can interact with warfarin and increase the risk of bleeding by potentiating its anticoagulant effect. Clients should be advised to avoid or limit cranberry intake to maintain safe INR levels.

D. "Increase your intake of foods high in vitamin K while taking this medication.": Consuming consistent amounts of vitamin K is important, but the client does not need to increase intake. Sudden increases can counteract warfarin’s effect; the emphasis is on maintaining a stable vitamin K intake.

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

Explanation

Rationale:
A. "You sound like you have questions about your mom dying. Let's talk about it.": This response acknowledges the daughter’s emotional struggle and invites open dialogue. It encourages expression of thoughts and feelings, which supports coping and helps build trust.

B. "Tell me how you are feeling about your mom dying.": This therapeutic response promotes emotional expression and validates the daughter’s experience. It allows the nurse to assess the daughter’s understanding, provide reassurance, and offer emotional support.

C. "Hospice will take good care of your mom, so I wouldn't worry about that.": This response minimizes the daughter’s emotions and shuts down communication. It focuses on reassurance rather than addressing the underlying fear or uncertainty the daughter feels about her mother’s death.

D. "Let's talk about your mom's cancer and how things will progress from here.": Providing honest and compassionate information about disease progression helps the daughter prepare emotionally and practically. It also fosters understanding and reduces anxiety about the unknown aspects of dying.

E. "Tell her not to worry. She still has plenty of time left.": Offering false reassurance denies the reality of the situation and prevents the daughter from processing anticipatory grief. Such a response discourages open, honest communication between the client and family.

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