Helima presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis. Treatment of bacterial vaginosis in nonpregnant symptomatic women would be:
1. Metronidazole 500 mg PO bid x 7 days
2. Doxycycline 100 mg PO bid x 7 days
3. Intravaginal tinidazole daily x 5 days
4. Metronidazole 2 grams PO x 1 dose
1
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The nurse is assessing a client's remote memory. Which statement by the client confirms that remote memory is intact?
a. "Mary had a little lamb whose fleece was white as snow." b. "I was born on April 3, 1967, in Johnstown Community Hospital." c. "Apple, chair, and pencil are the words you just stated." d. "My sister brought me to the clinic for this appointment."
A 32-year-old patient with a history of polycystic kidney disease is admitted to the surgical unit after having shoulder surgery. Which of the routine postoperative orders is most important for the nurse to discuss with the health care provider?
a. Infuse 5% dextrose in normal saline at 75 mL/hr. b. Order regular diet after patient is awake and alert. c. Give ketorolac (Toradol) 10 mg PO PRN for pain. d. Draw blood urea nitrogen (BUN) and creatinine in 2 hours.
A patient is receiving intravenous (IV) chemotherapy through a peripheral line. Which IV site assessment finding indicates to the nurse that the IV access needs to be discontinued?
a. Bruising at the insertion site b. Coolness of the skin below the site c. Tissue swelling above and below the site d. Wetness of the dressing over the access site
A patient who has migraine headaches has begun taking timolol and 2 months after beginning this therapy reports no change in frequency of migraines. The patient's current dose is 30 mg once daily. The primary care NP should:
a. change the medication to propranolol. b. increase the dose to 40 mg once daily. c. obtain serum drug levels to see if the dose is therapeutic. d. tell the patient to continue taking the timolol and return in 1 month.