A nurse is caring for a client who has bacterial vaginosis. Which of the following medications should the nurse expect the provider to prescribe?
Metronidazole
Doxycycline
Azithromycin
Acyclovir
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. The client exhibits a flat affect: A flat affect reflects blunted emotional expression and is typically a symptom of depression. Its persistence suggests the condition has not yet improved.
B. The client can express angry feelings: The ability to identify and express emotions, including anger, indicates improved emotional responsiveness and progress in managing depressive symptoms. This reflects increased insight and healthier coping.
C. The client experiences self-doubt when making decisions: Persistent self-doubt is a common feature of depression and suggests that the client still struggles with confidence and decision-making.
D. The client looks down when speaking to others: Avoiding eye contact and looking down are associated with low self-esteem and social withdrawal, which are characteristic of depression and indicate the condition is not yet improving.
Correct Answer is D
Explanation
Rationale:
A. Apply a cool pack to the perineum: Cool packs are useful for reducing perineal swelling and discomfort after delivery, not during the latent phase of labor. At this stage, the client benefits more from relaxation and distraction techniques that help manage early contractions.
B. Encourage the client to use pant-blow breathing: Pant-blow or patterned breathing is recommended during the transition phase of labor, when contractions are intense and close together. In the latent phase, the client typically uses slow, relaxed breathing to conserve energy and remain calm.
C. Have their support person leave the room when the doula arrives: Both the doula and the support person play complementary roles in providing emotional and physical support. Asking the partner to leave can increase anxiety and reduce the sense of safety.
D. Lightly stroke the abdomen during contractions: Light abdominal stroking, known as effleurage, promotes relaxation and distraction from contraction pain during the latent phase. This technique aligns with natural childbirth methods by using soothing touch to reduce tension and enhance comfort without pharmacologic intervention.
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