ATI RN
Maternal Disorders Questions
Question 1 of 5
A male client is being seen by a physician at a community clinic regarding a painless ulcer on his penis. The provider will be communicating his diagnosis of syphilis and prescribing treatment. In the primary stage of syphilis, what is the time between infection and development of symptoms?
Correct Answer: C
Rationale: The correct answer is C: 21 days. The primary stage of syphilis typically occurs around 21 days after infection when a painless ulcer, known as a chancre, appears at the site of infection. This is due to the multiplication of the bacterium Treponema pallidum. Choice A (7 days) is too short for the development of symptoms. Choice B (10 days) is also too short. Choice D (35 days) is too long for the primary stage of syphilis.
Question 2 of 5
A nurse is developing a plan of care for a 16-year-old female client experiencing her first outbreak of genital herpes. The client states that she contracted the disease by holding hands with someone who has syphilis. Which nursing diagnosis should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Lack of knowledge about the disease and its transmission. This is the priority nursing diagnosis because the client's statement about contracting herpes by holding hands with someone who has syphilis indicates a lack of understanding about how genital herpes is transmitted. The nurse should prioritize educating the client about the disease, its transmission, and prevention to empower the client to make informed decisions about her health. Choices A, C, and D are incorrect: A: Acute pain may be a symptom of genital herpes, but addressing the lack of knowledge about the disease and its transmission is more essential for the client's well-being. C: While coping with the stress of the infection is important, addressing the lack of knowledge should take precedence to prevent further transmission and help the client manage the condition effectively. D: Noncompliance with treatment may be a concern, but addressing the client's lack of knowledge about the disease and its transmission is crucial in promoting understanding and adherence to treatment.
Question 3 of 5
When the client is started on antiretroviral drugs for HIV, what will be important for the nurse to teach the client?
Correct Answer: B
Rationale: The correct answer is B: This drug will not cure the disease but could extend your life expectancy. Antiretroviral drugs for HIV do not cure the disease but help manage it by reducing viral load and boosting immune function, extending life expectancy. Choice A is incorrect because currently, there is no cure for HIV. Choice C is incorrect as antiretroviral drugs are not used prior to vaccines but are used to treat HIV infection. Choice D is incorrect because the availability of antiretroviral drugs may vary worldwide.
Question 4 of 5
A client who has been diagnosed with HIV develops an oral candida infection. When teaching the client, which instructions will the health care provider include?
Correct Answer: C
Rationale: The correct answer is C: Select foods that are soft or pureed. This is because soft or pureed foods are easier to swallow and less likely to irritate the oral mucosa affected by the candida infection. Rinsing with a commercial mouthwash (choice A) may temporarily relieve symptoms but won't address the root cause. Citrus juices (choice B) can be irritating to the oral mucosa. Hot soups and beverages (choice D) can worsen the discomfort in the mouth. Overall, choosing soft or pureed foods will help alleviate discomfort and promote healing.
Question 5 of 5
How does HPV manifest in HIV-positive clients?
Correct Answer: C
Rationale: The correct answer is C: Condylomata. HPV manifests in HIV-positive clients through the development of genital warts known as condylomata acuminata. This is a common manifestation due to the weakened immune system in HIV-positive individuals. Condylomata lata (choice B) is associated with syphilis, not HPV. Cough (choice A) is not a typical manifestation of HPV in HIV-positive clients. Chancre (choice D) is a primary lesion seen in syphilis, not HPV.