The physician has prescribed ceftriaxone (Rocephin) administered intramuscularly, followed by doxycycline (Vibramycin) orally for 7 days, to treat a client with gonorrhea. The nurse would explain that the rationale for the second medication is
a. because some strains of Neisseria gonorrhoeae are resistant to antibiotics.
b. that two drugs are better tolerated than one large dose.
c. to prevent reinfection.
d. to treat a chlamydial co-infection.
D
Doxycycline is added for the presumptive treatment of co-infection with Chlamydia trachomatis, because chlamydial infections often co-exist with gonorrheal infections. There is some resistance to quinolone antibiotics, and certain clients should not be treated with them. The two-drug regi-men is not better tolerated nor does it prevent reinfection.
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The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information?
a. "Blood pressure goes up toward the end of pregnancy." b. "My breathing will get deeper and a little faster." c. "I'll notice a decreased pigmentation in my skin." d. "There will be a curvature in the upper spine area."
Convert 17 oz to milliliters: ___________ (use appropriate unit notation)
Fill in the blank(s) with correct word
A 35-year-old patient in the women's health clinic has just told the nurse about being abused by her husband for the past 10 years. The nurse's most appropriate intervention, initially, is to:
1. Offer to call the police and help her to file charges. 2. Ask her to tell you the details surrounding the abuse. 3. Reassure her that many women experience the same problem. 4. Listen to her account of the situation and offer support.
Which action related to insulin administration should the nurse include in the teaching plan for an adolescent client who has been newly diagnosed with diabetes mellitus to avoid the development of lipoatrophy?
1. Rotating injection sites 2. Checking blood sugars at mealtime and bedtime 3. Using a sliding scale for additional coverage 4. Administration of insulin via insulin pump