A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?
Prostate specific antigen
Enzyme-linked immunosorbent assay (ELISA)
Venereal disease research laboratory (VDRL)
Western blot test
The Correct Answer is C
A. Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B. Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C. Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D. Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.
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Related Questions
Correct Answer is A
Explanation
A. "My doctor will perform pelvic exams to detect for ovarian cancer.": Pelvic exams can help detect ovarian cancer or abnormalities in the pelvic region, although they are not always definitive.
B. "I will develop ovarian cancer If I have the BRCA1 gene.": While having the BRCA1 gene mutation increases the risk of ovarian cancer, not everyone with this gene mutation will develop the disease.
C. "I will have regular Pap tests to monitor for ovarian cancer.": Pap tests are used to screen for cervical cancer, not ovarian cancer.
D. "A decreased CA125 level places me at greater risk for ovarian cancer.": An elevated CA125 level is associated with ovarian cancer, not a decreased level.
Correct Answer is B
Explanation
A. "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D. "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.
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