When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

point out that inappropriate sexual behavior caused the infection.

position the woman in a semi-Fowler position.

tell her that antibiotics need to be taken until pelvic pain is relieved.

explain to the woman that infertility is a likely outcome of this type of infection.

Answer and Explanation

The Correct Answer is D

Choice A reason: Pointing out that inappropriate sexual behavior caused the infection is not helpful, as it may make the woman feel guilty, ashamed, or defensive. The nurse should avoid blaming or judging the woman and focus on providing education and support.

Choice B reason: Positioning the woman in a semi-Fowler position is not necessary, as it does not affect the treatment or recovery of pelvic inflammatory disease. The nurse should assess the woman's comfort level and offer pain relief as needed.

Choice C reason: Telling her that antibiotics need to be taken until pelvic pain is relieved is incorrect, as it may lead to incomplete treatment and recurrence of the infection. The nurse should instruct the woman to take the full course of antibiotics as prescribed, regardless of the symptoms.

Choice D reason: Explaining to the woman that infertility is a likely outcome of this type of infection is the best option, as it informs the woman of the possible complications and the need for follow-up care. Pelvic inflammatory disease can cause scarring and blockage of the fallopian tubes, which can prevent the fertilization of the egg or cause ectopic pregnancy. The nurse should also discuss the prevention of sexually transmitted infections and the importance of regular screening.

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Correct Answer is B

Explanation

Choice A reason: Human immunodeficiency virus (HIV) is a viral sexually transmitted infection that causes acquired immunodeficiency syndrome (AIDS). It is characterized by a progressive decline of the immune system, leading to opportunistic infections and cancers. It does not have recurrent episodes, but rather a chronic and incurable course.

Choice B reason: Herpes simplex virus (HSV)-2 is a viral sexually transmitted infection that causes genital herpes. It is characterized by a primary infection followed by recurrent episodes of painful blisters and ulcers in the genital area. The virus remains latent in the nerve cells and can reactivate periodically or in response to triggers such as stress, illness, or menstruation.

Choice C reason: Human papillomavirus (HPV) is a viral sexually transmitted infection that causes genital warts and cervical cancer. It is characterized by a persistent infection that may or may not produce symptoms. It does not have recurrent episodes, but rather a variable and unpredictable course.

Choice D reason: Cytomegalovirus (CMV) is a viral sexually transmitted infection that causes mild or asymptomatic infections in healthy adults. It is characterized by a latent infection that can reactivate in immunocompromised individuals, causing serious complications such as retinitis, pneumonia, or encephalitis. It does not have recurrent episodes, but rather a dormant and opportunistic course.

A. a daily consumption of alcohol indicates a risk for alcoholism. B. she will be at risk for abusing other substances as well. C. the fetus is at risk for multiple organ anomalies. D. the fetus is placed at risk for altered brain growth.

Correct Answer is D

Explanation

Choice A reason: A daily consumption of alcohol does not necessarily indicate a risk for alcoholism, although it is not recommended for pregnant women. Alcoholism is a chronic disease that involves physical and psychological dependence on alcohol, and it requires more than one criterion to be diagnosed.

Choice B reason: She will not be at risk for abusing other substances as well, unless she has a history or predisposition for substance abuse. Alcohol use during pregnancy does not cause other substance abuse problems, although it may co-occur with them.

Choice C reason: The fetus is not at risk for multiple organ anomalies, unless the mother consumes large amounts of alcohol during the first trimester of pregnancy. This can cause fetal alcohol syndrome (FAS), which is characterized by facial dysmorphia, growth retardation, and intellectual disability. However, FAS is rare and not related to moderate alcohol intake during the second trimester.

Choice D reason: The fetus is placed at risk for altered brain growth, as alcohol can cross the placenta and affect the developing nervous system of the fetus. Alcohol exposure during the second trimester can impair the formation and migration of neurons, leading to reduced brain size and function. This can result in learning difficulties, behavioral problems, and cognitive impairments in the child.

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When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

Correct Answer is B

Explanation

A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because:

Correct Answer is D

Explanation

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