A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. There is also inguinal lymphadenopathy present. The most likely cause of these lesions is:
A) pediculosis pubis.
B) contact dermatitis.
C) human papillomavirus.
D) herpes simplex virus type 2.
Answer: D) herpes simplex virus type 2.
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A patient complains of pain in her bladder. In which body cavity are the bladder, lower colon, rectum, and urinary and reproductive systems located?
a. Pelvic b. Mediastinum c. Pleural d. Abdominal
A patient tells the nurse that chronic kidney disease is "in his family" and his father died within a few months after having a kidney transplant in the late 1940s
The nurse realizes that which of the following has occurred since this patient's father had a kidney transplant? 1. Surgeons have learned how to suture the new kidney into a patient's body since then. 2. Researchers have developed medications to combat the immunological problems associated with organ transplantation. 3. Researchers have found that organ transplantation is the most successful between family members. 4. The most successful transplants have always been the heart and lungs.
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine showed greater than 10 leukocytes/mL, and a dipstick was positive for nitrites. What is probable diagnosis?
a. Lower urinary tract infection c. Candidiasis b. Chlamydia infection d. Pyelonephritis
A patient who has severe arthritis and who takes nonsteroidal antiinflammatory drugs (NSAIDs) daily develops a duodenal ulcer
The patient has tried a cyclooxygenase-2 selective NSAID in the past and states that it is not as effective as the current NSAID. The primary care nurse practitioner (NP) should: a. prescribe cimetidine (Tagamet). b. prescribe omeprazole (Prilosec). c. teach the patient about a bland diet. d. change the NSAID to a corticosteroid.