An adolescent patient has been diagnosed with a vulvovaginal candidiasis (yeast infection). The nurse expects the health care provider to recommend which vaginal cream?
a. Premarin
b. Estradiol (Estrace)
c. Miconazole (Monistat)
d. Clindamycin phosphate (Cleocin)
ANS: C
A number of antifungal preparations are available for the treatment of vulvovaginal candidiasis infections. Many of these medications (e.g., miconazole [Monistat] and clotrimazole [Gyne-Lotrimin]) are available as over-the-counter (OTC) agents. Premarin and Estrace are estrogen vaginal creams and are used to treat vaginal dryness. Cleocin is an antibacterial vaginal cream used to treat bacterial vaginal infections.
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Which statement by a patient diagnosed with Cushing syndrome leads a nurse to conclude that teaching has been effective?
a. "I know I should add salt to everything I eat." b. "I make a point to avoid excessive expo-sure to sun." c. "I avoid being exposed to anyone with an infection." d. "I am careful to wear well-fitting shoes."
The client returning to the clinic for a follow-up visit 3 weeks after abdominal surgery is concerned because she can feel small, uneven lumps under the suture line of the incision. What is the nurse's best response?
A. "Avoid touching those areas because you may dislodge the blood clots that keep your incision from bleeding." B. "What you are feeling is growth of new tissue proceeding at different rates in the incision." C. "Those are the deep stitches the surgeon placed, and they will eventually be ab-sorbed and disappear." D. "Keep the incision covered for as long as those lumps can be felt."
A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter. In which room should the nurse place the patient?
a. An interview room furnished with a desk and two chairs b. A small, empty storage room with no windows or furniture c. A room with an examining table, instrument cabinets, desk, and chair d. The nurse's office, furnished with chairs, files, magazines, and bookcases
The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?
A) Contact the physician. B) Offer a snack and administer another dose. C) Immediately administer another dose. D) Administer next dose as ordered in 12 hours.