A 31-year-old patient has just been instructed in the treatment for a Chlamydia trachomatis vaginal infection. Which patient statement indicates that the nurse's teaching has been effective?
a. "I can purchase an over-the-counter medication to treat this infection."
b. "The symptoms are due to the overgrowth of normal vaginal bacteria."
c. "The medication will need to be inserted once daily with an applicator."
d. "Both my partner and I will need to take the medication for a full week."
ANS: D
Chlamydia is a sexually transmitted bacterial infection that requires treatment of both partners with antibiotics for 7 days. The other statements are true for the treatment of Candida albicans infection.
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The patient is confused, is trying to get out of bed, and is pulling at the intravenous infusion tubing. Which nursing diagnosis will the nurse add to the care plan?
a. Impaired home maintenance b. Deficient knowledge c. Risk for poisoning d. Risk for injury
A nurse is caring for a terminally ill client with a fluid volume deficit. Which of the following actions represents one of the last reflexes to disappear as death approaches?
A) Taking sips of water B) Sucking on wrapped ice cubes C) Drinking fresh juices D) Eating hot soups
A hospice client is clearly dehydrated and the family is arguing over whether or not the client should receive intravenous fluids. The nurse would guide this discussion based on what know-ledge about dehydration in the terminally ill client?
a. If the terminally ill client complains of thirst, he/she is dehydrated. b. Peripheral edema in the terminally ill client indicates fluid overload. c. The emphasis of all treatments should be on comfort and reduction of symptoms. d. The only choices for hydration are oral and intravenous.
Because terminally ill patients often breathe through their mouths, the nursing assistant should
A. Push fluids and ice chips, to increase intake. B. Use medicated gel, to moisturize bleeding gums. C. Swab the mouth and lips with a cotton-tipped applicator dipped in glycerin or lubricant. D. Have the patient swish and spit antiseptic mouthwash.