ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 74 Questions
Question 1 of 5
A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?
Correct Answer: D
Rationale: Chills and a fever of 101°F suggest a persistent infection, requiring immediate adjustment of antibiotic therapy. Anger is a normal emotional response, and gastrointestinal symptoms like anorexia and nausea are common antibiotic side effects, but they do not warrant urgent action compared to signs of ongoing infection.
Question 2 of 5
A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge. Because the results from the culture of the cervical cells are not available, the client will be treated for both Chlamydia and gonorrhea. Which question by the nurse is best?
Correct Answer: D
Rationale: Identifying and treating sexual partners is critical to prevent the spread of Chlamydia and gonorrhea. While history, timing of last encounter, and symptom onset are useful, contacting and treating partners is the priority to break the chain of transmission.
Question 3 of 5
A nurse is assessing a client who presents with a scale in rash over the palms and soles of the feet and the feel, a client is assessing a client who presents with a scale in syphilis. Which statement of the nurse is appropriate?
Correct Answer: C
Rationale: The client's symptoms suggest secondary syphilis, characterized by a rash on the palms and soles due to spirochetes in the bloodstream. Further assessment of lesions is critical to confirm the diagnosis and guide treatment. Reassuring about non-infectiousness is incorrect, as secondary syphilis is highly infectious, and cardiovascular symptoms are more relevant in tertiary syphilis.
Question 4 of 5
The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: The statement about limiting irritation due to pain is vague and suggests a misunderstanding of specific comfort measures. Sitz baths, anesthetic sprays, and loose clothing are appropriate measures to reduce discomfort and irritation from genital herpes lesions.
Question 5 of 5
Before marriage, a female client has a blood test drawn for syphilis. The test reveals a positive Venereal infection. What information should the nurse give the client?
Correct Answer: C
Rationale: A positive syphilis screening test may be a false positive due to conditions like hepatitis or lupus. A more specific treponemal test, such as the fluorescent treponemal antibody absorption test, is needed to confirm the diagnosis before treatment. Checking sexual activity or pregnancy status is secondary, and multiple doses of penicillin are not standard for early syphilis.