A female patient is complaining of a "watery" vaginal discharge with a "really strong fishy" odor. The nurse asks additional assessment questions related to which disorder?
1. Bacterial vaginosis
2. Yeast infection
3. Trichomoniasis infection
4. Genital warts
1
Rationale 1: Bacterial vaginosis is the most common cause of vaginal infection in women of reproductive age. The primary manifestation is a vaginal discharge that is thin and grayish-white and has a foul, fishy odor.
Rationale 2: Yeast infections present with a thick, cheesy discharge.
Rationale 3: Trichomoniasis presents with a frothy, yellow-green discharge with a strong odor.
Rationale 4: Genital warts are growths, not discharge.
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In order to diagnose an individual with bipolar I syndrome, the clinician should look for episodes of:
A. Irritability and rage B. Grandiosity and high self-esteem C. Rapidly alternating moods D. None of the above
The nurse is testing a patient for visual tropia. Which actions are steps in this test? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Have the patient remove corrective lenses. 2. Sit in front of the patient. 3. Have the patient stare at an object about 20 feet behind the nurse. 4. Cover one of the patient's eyes. 5. Record eye movement toward the nose as exotropia.
The nurse preparing a teaching plan for an adolescent postpartum mother includes which topics?
1. Most medications are secreted into breast milk. 2. The new mother's insulin will not be secreted into her breast milk. 3. Over-the-counter (OTC) drugs and herbal products are secreted into breast milk and have the potential to cause harm to the infant. 4. Topical medications must be avoided as these also are secreted into breast milk. 5. Most drugs are safe to take right after breastfeeding because they have not reached the blood stream yet.
A parent brings a 6-year-old child to the clinic for evaluation of a rash
The primary care NP notes three annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the back of the neck that extends above the hairline. The NP should prescribe: a. fluconazole. b. griseofulvin. c. oral ketoconazole. d. topical ketoconazole.