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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Missing front deciduous teeth are a common occurrence during childhood and are not necessarily indicative of physical abuse.
B. Weight in the 45th percentile is within the normal range for a 7-year-old and does not indicate physical abuse.
C. Bruising around the wrists can be a sign of physical abuse, especially if it appears in patterns consistent with being restrained.
D. Abrasions on the knees are common in children who are active and are not necessarily indicative of physical abuse.
Correct Answer is D
Explanation
A. Rhinorrhea (runny nose) is a common symptom of respiratory syncytial virus (RSV) and may not require immediate reporting unless severe or accompanied by other concerning symptoms.
B. Pharyngitis (sore throat) is not typically considered a critical finding in RSV infection.
C. Coughing is a common symptom of RSV and is expected in infants with the infection. While coughing may require monitoring, it is not typically an immediate cause for concern unless severe.
D. Tachypnea (rapid breathing) is a concerning finding in infants with RSV infection, especially if it is severe or accompanied by signs of respiratory distress. Severe tachypnea may indicate worsening respiratory compromise and requires immediate attention and reporting to the healthcare provider for further evaluation and management.
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