A nurse is planning care for a client who has primary syphilis. Which of the following actions should the nurse take?

Monitor the client for hearing loss.

Use contact precautions when caring for the client.

Administer an antiviral medication to the client.

Report the infection to the public health department.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Monitoring for hearing loss is not a specific action for primary syphilis. Hearing loss can occur in later stages of syphilis.

Choice B rationale:

Contact precautions are not typically required for primary syphilis, as it is primarily transmitted through sexual contact.

Choice C rationale:

Antiviral medications are not used to treat syphilis. Antibiotics are the primary treatment.

Choice D rationale:

Syphilis is a sexually transmitted infection that is required to be reported to the public health department for tracking and control.

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Correct Answer is C

Explanation

Choice A rationale:

Placing the client on a low-protein diet is not appropriate based solely on the provided information.

Choice B rationale:

Restricting dietary sodium might be considered for specific conditions but is not directly related to the client's confusion.

Choice C rationale:

A high magnesium level can contribute to confusion in older adults. Requesting a reduction in the magnesium hydroxide dosage can help address this issue.

Choice D rationale:

Discontinuing diphenhydramine might be considered if it is contributing to the client's confusion, but there is no specific information provided to support this action.

A. WBC count 12.000/mm3 B. History of asthma C. Hgb 11.2 g/dL. D. Blood pressure 154/98 mm Hg

Correct Answer is B

Explanation

Choice A rationale:

A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.

Choice B rationale:

Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.

Choice C rationale:

Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.

Choice D rationale:

Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.

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A nurse is planning care for a client who has primary syphilis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of an older adult client who is confused to place and time. Which of the following actions should the nurse plan to take? Exhibits

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?

Correct Answer is B

Explanation

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