The nurse is preparing to collect an ordered urine sample for urinalysis. The nurse should be aware that this test will include what assessment parameters? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A: Specific gravity of the patient's urine. Specific gravity measures the concentration of solutes in urine, indicating the kidney's ability to concentrate or dilute urine. B: Testing for the presence of glucose is typically done to assess for diabetes, not a routine urinalysis. C: Microscopic examination for RBCs is mainly done to detect presence of blood in urine, not a routine parameter. D: Microscopic examination for casts is done to assess for kidney disease, not part of a routine urinalysis. Therefore, specific gravity is the key parameter for urine concentration and kidney function, making it the correct choice.

Correct Answer: C

Rationale: The correct answer is C: Genital herpes. Genital herpes presents as clusters of small vesicles on the glans surrounded by erythema. This is a classic presentation of genital herpes infection caused by herpes simplex virus. Peyronie disease (A) is characterized by penile curvature. Genital warts (B) are caused by human papillomavirus and appear as flesh-colored growths. Syphilitic chancre (D) is a painless ulcer seen in primary syphilis, not vesicles. In this case, the presence of vesicles and erythema points towards genital herpes as the most likely diagnosis.

Correct Answer: D

Rationale: The correct answer is D: Ampicillin. Ampicillin is considered safe for use in newborn babies because it is a commonly used antibiotic in neonates and has a favorable safety profile. It is effective against a wide range of bacteria commonly found in newborns. Chloramphenicol (A) can cause serious side effects like gray baby syndrome. Trimethoprim/Sulfamethoxazole (B) is not recommended in newborns due to potential risks. Tetracyclines (C) can lead to tooth discoloration and bone growth inhibition in newborns.

Correct Answer: C

Rationale: The correct answer is C: Steven-Johnson syndrome from Trimethoprim/Sulfamethoxazole. Steven-Johnson syndrome is a severe and potentially life-threatening adverse reaction characterized by rash, blistering, and mucosal involvement. Once a patient experiences Steven-Johnson syndrome from a specific drug like Trimethoprim/Sulfamethoxazole, they should never be given that drug again due to the high risk of recurrence and the severity of the reaction. This is known as a contraindication, making it unsafe to administer the drug in the future. A, B, and D are incorrect because GI upset from Clarithromycin, skin rash from Ampicillin, and Clostridium difficile superinfection from Ciprofloxacin, while unpleasant, are not typically considered contraindications for future use of the same drug. These adverse reactions can often be managed with dose adjustments, alternative medications, or supportive care without ruling out the drug entirely

Correct Answer: A

Rationale: Step-by-step rationale: 1. Cloxacillin is a beta-lactam antibiotic effective against Staphylococci. 2. Streptococci are not within the spectrum of activity for Cloxacillin. 3. Gonococci are also not susceptible to Cloxacillin. 4. Therefore, the correct answer is A (Streptococci), as Cloxacillin is indicated only for Staphylococcal infections. Summary: Choice A is correct because Cloxacillin is effective against Staphylococci. Choices B and C are incorrect because Cloxacillin is not indicated for Gonococci or all of the organisms mentioned.