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A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?

"You need to come back in a week for retesting."

“I have to notify the public health department."

“I have to contact your parents."

“Let’s review the side effects of metronidazole."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Retesting in a week may be necessary, but notifying the public health department is a more immediate concern.

B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis.

C. Involving the patient's parents may not be appropriate for a 20-year-old patient.

D. Metronidazole is not typically used to treat syphilis; penicillin or other antibiotics are the standard treatment.

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Correct Answer is D

Explanation

Rationale:

A. Disseminated intravascular coagulation (DIC) is associated with consumption of clotting factors, leading to prolonged clotting times, such as increased prothrombin time (PT) and activated partial thromboplastin time (aPTT), rather than decreased.
B. DIC does not typically cause an increase in hemoglobin (Hgb) levels; in fact, it may lead to anemia due to blood loss and consumption of clotting factors.
C. DIC does not typically cause an increase in red blood cell (RBC) count; if anything, it can lead to anemia due to blood loss.
D. DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies.

A. Instruct the parent to ensure the pneumococcal vaccine is current. B. Administer folic acid as prescribed. C. Monitor oxygen saturation continuously. D. Place the client on strict bed rest. E. Apply cold compresses to the affected joints. F. Administer meperidine IV for pain. G. Restrict oral intake. H. Give oral hydroxyurea.

Correct Answer is ["A","B","C","F","H"]

Explanation

Rationale:

A.Clients with sickle cell disease are at increased risk for infections, including those caused by pneumococcus. Ensuring vaccination status helps prevent future complications.

B. Folic acid supplementation may be part of the overall management of sickle cell disease, but it is not a priority intervention during a vaso-occlusive crisis.

C. Vaso-occlusive crises can lead to tissue hypoxia due to impaired blood flow.

Continuous monitoring of oxygen saturation helps in assessing tissue perfusion and detecting hypoxemia early.

D. Placing the client on strict bed rest can increase the risk of thrombosis and impair circulation.

E.Cold can cause vasoconstriction, worsening the pain and sickling process. Warm compresses are more appropriate for promoting comfort and improving circulation.

F. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises.

G. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling.

H. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis. This is a medication that reduces the frequency and severity of vaso-occlusive crises by increasing the production of fetal hemoglobin, which prevents sickling.

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A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","F","H"]

Explanation

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