How many mL of penicillin G benzathine should the nurse administer to treat syphilis if the dose is 2.4 million units and the concentration is 1,200,000 units/mL?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) 2 mL. To understand why, we need to calculate the amount of penicillin G benzathine needed. The dose required is 2.4 million units, and the concentration is 1,200,000 units/mL. To find the volume needed, we divide the dose by the concentration: 2,400,000 units ÷ 1,200,000 units/mL = 2 mL. Option A) 1 mL is incorrect because the dose required is 2.4 million units, which would need 2 mL to achieve that dosage. Option C) 3 mL and Option D) 4 mL are also incorrect as they exceed the calculated volume required based on the concentration and dose specified. In an educational context, understanding medication calculations is crucial for nurses to ensure accurate administration of medications. This type of question assesses the nurse's ability to calculate dosages accurately, which is a fundamental skill in maternal and reproductive health nursing to provide safe and effective care to patients. Practice and proficiency in medication calculations are essential to prevent medication errors and promote patient safety.

Correct Answer: C

Rationale: In this scenario, option C is the most appropriate response to a woman who denies needing medical attention for gonorrhea exposure. This response acknowledges the woman's perspective while also providing important information about the asymptomatic nature of gonorrhea in women. By stating that women often report no symptoms, the healthcare provider educates the woman about the potential insidious nature of the infection, emphasizing the importance of seeking medical attention for testing and treatment. Option A is incorrect because it invalidates the woman's feelings and fails to address the medical issue at hand. Option B is also incorrect as it denies the possibility of the woman being exposed to gonorrhea, which could potentially lead to her not seeking necessary medical care. Option D, while addressing the importance of disclosing contacts, does not directly address the woman's denial of needing medical attention and may come across as confrontational. Educationally, this question highlights the importance of effective communication and patient education in maternal and reproductive health nursing. Nurses must approach sensitive topics with empathy and provide accurate information to empower patients to make informed decisions about their health. Understanding the nuances of patient responses and tailoring communication to address individual concerns is crucial in promoting positive health outcomes.

Correct Answer: B

Rationale: The correct answer is B) Teen women are most high risk for sexually transmitted infections (STI). This option is the most accurate because adolescent females are indeed at a higher risk of contracting STIs due to their physiological vulnerability. This statement highlights the importance of understanding the specific risks faced by different demographic groups when it comes to sexual health. Option A is incorrect as it spreads misinformation by suggesting that oral sex is completely safe from infections, which is untrue. Option C is incorrect as it promotes the misconception that using spermicide alone is an effective method of preventing STIs, neglecting the importance of barrier methods like condoms. Option D is incorrect as it perpetuates a gender stereotype about HIV transmission, which is not supported by scientific evidence. In an educational context, it is crucial to emphasize accurate information about infection control to adolescents, including the importance of using protection consistently, understanding individual risk factors, and debunking common myths surrounding STIs. By providing comprehensive and evidence-based education, we can empower adolescents to make informed decisions about their sexual health and well-being.

Correct Answer: A

Rationale: In the context of maternal and reproductive health nursing, it is crucial to provide accurate and evidence-based information to clients. The correct answer is A) There is currently no approved test to detect HPV in men. This is because HPV testing in men is primarily focused on detecting the virus in the anogenital region, specifically the penis and anus. However, unlike in women where HPV testing is commonly done through Pap smears, there is no standardized or FDA-approved test for HPV screening in men. Option B) stating that a viral culture of the penis and rectum is used to detect HPV in men is incorrect as viral cultures are not typically used for routine HPV screening. Option C) suggesting a Pap smear of the meatus of the penis is also incorrect as a Pap smear is a screening test primarily used in women to detect cervical cell changes, not for HPV detection in men. Option D) stating that men do not become infected with HPV is blatantly false, as HPV is a common sexually transmitted infection that can affect individuals of all genders. Educationally, it is important for nurses to be knowledgeable about HPV testing guidelines and to provide accurate information to both male and female clients. By understanding the limitations of HPV testing in men, nurses can effectively counsel and educate clients on prevention strategies and the importance of vaccination for both genders in reducing the risk of HPV-related complications.

Correct Answer: A

Rationale: The correct response is option A: "That is correct. It is best to use a condom with spermicide during every sexual contact." This answer is the most accurate because using condoms with spermicide provides dual protection against both unwanted pregnancies and sexually transmitted infections. Spermicide helps to immobilize and kill sperm, enhancing the contraceptive effectiveness of the condom. Additionally, spermicide can also help reduce the risk of certain sexually transmitted infections by killing some bacteria and viruses. Option B is incorrect because it provides misleading information that spermicide does not need to be reapplied after multiple instances of intercourse, which is not true. Reapplication of spermicide with each instance of intercourse is recommended for optimal effectiveness. Option C is incorrect because it falsely claims that condoms alone are very effective and implies that spermicide may increase the transmission of viruses. In reality, the combination of condoms and spermicide is considered more effective in preventing both pregnancy and STIs compared to using condoms alone. Option D is incorrect and also misleading as there is no conclusive evidence linking spermicide to causing cancer in men and women who use it. This statement lacks scientific basis and may create unnecessary fear among individuals considering using condoms with spermicide. In an educational context, it is crucial for nurses to provide accurate information regarding contraceptive methods to ensure the well-being of their patients. Understanding the benefits and proper use of condoms with spermicide is essential in promoting safe sex practices and preventing unintended pregnancies and STIs. Nurses play a vital role in educating individuals about the various contraceptive options available and guiding them in making informed decisions regarding their sexual health.