A nurse is caring for a client who reports a recent episode of painful sores on the perineum, muscle aches, and chills for about 2 weeks.
The client currently denies pain but reports sitting is uncomfortable at times.
The client denies dysuria and reports mild vaginal itching.
What should the nurse anticipate?

Anticipate A

Anticipate B

Anticipate C

Anticipate D .

Answer and Explanation

The Correct Answer is D

Choice A rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate A. Anticipate A might be expected for a different set of symptoms or conditions.

Choice B rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate B. Anticipate B might be expected for a different set of symptoms or conditions.

Choice C rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate C. Anticipate C might be expected for a different set of symptoms or conditions.

Choice D rationale

The client’s symptoms of recent painful sores on the perineum, muscle aches, and chills, along with current discomfort when sitting and mild vaginal itching, could suggest a herpes simplex virus infection or another type of infection. Anticipate D might be an antiviral medication or other treatment to address the suspected condition.

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Correct Answer is A

Explanation

Choice A rationale

Feeling the baby move, also known as quickening, is a presumptive sign of pregnancy. Presumptive signs are those that suggest a woman could be pregnant, but they’re not definitive. Quickening is often described as a fluttering sensation and is usually felt between 16 and 25 weeks of gestation.

Choice B rationale

Positive signs of pregnancy are those that can only be explained by pregnancy. These include hearing the baby’s heartbeat, visualizing the fetus on ultrasound, and feeling the baby move by a healthcare provider.

Choice C rationale

Probable signs of pregnancy are those that are strongly suggestive of pregnancy but could be caused by other conditions. These include changes in the uterus, changes in the cervix, and positive pregnancy tests.

Choice D rationale

There is no classification of “possible” signs of pregnancy in medical terminology.

A. You need to return in 6 months for retesting. B. This infection is treated with a single dose of azithromycin. C. If your sexual partner has no symptoms, no medication is needed. D. You must abstain from sexual relations for several days.

Correct Answer is B

Explanation

Choice A rationale

While follow-up testing is important for individuals diagnosed with chlamydia, retesting is typically recommended 3 months after treatment, not 6 months.

Choice B rationale

This is the correct statement. Chlamydia is treated with antibiotics, and a single dose of azithromycin is one of the recommended treatments.

Choice C rationale

This statement is incorrect. Even if a sexual partner of a person diagnosed with chlamydia has no symptoms, they still need to be tested and treated if necessary. Chlamydia can be asymptomatic, and untreated chlamydia can lead to serious health problems.

Choice D rationale

While abstaining from sexual relations until treatment is complete is recommended, it is not the only necessary step. The client’s sexual partners also need to be informed, tested, and treated if necessary.

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving.Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.Which statement should the nurse make?

Correct Answer is B

Explanation

A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.The preliminary diagnosis is an inevitable abortion.Which nursing interventions should be included in the care plan?

During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation.The client inquires about the cause of her heartburn.Which of the following responses should the nurse make?

When educating a teenager about ovulation, the nurse would include that ovulation is triggered by a surge in which hormone?

During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers. Which Quality and Safety Education for Nurses competency does this action support?

A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa. What is the priority nursing action?

A nurse is reviewing contraception options for four clients.Which client has a contraindication for receiving oral contraceptives?

A nurse is evaluating a patient in her third trimester of pregnancy.Which findings should the nurse recognize as expected physiological changes during pregnancy?