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NU472 Week 4 HESI Case Study Evolve Elsevier Gonorrhea - 30 Questions And Answers Latest Update
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NU472 Week 4 HESI Case Study Evolve Elsevier Gonorrhea - 30 Questions And Answers Latest Update
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NU472 Week 4 HESI Case Study Evolve ElsevierGonorrhea - 30 Questions And Answers Latest
Update
Which interventions can the nurse implement to decrease the client's anxiety during this examination? Select all that
apply.
o Explain each step of the procedure in advance using models.
o Talk to the client directing relaxation and breathing techniques.
o Warm a cold speculum between the folds of a heating pad before the exam.
o Tell the client the procedure is painless and she will feel nothing.
o Instruct the client that anxiety will make the exam more difficult.
o Explain each step of the procedure in advance using models.
· The nurse decreases the client’s anxiety during the exam by explaining the procedure in advance and answering any
questions the client has.
o Talk to the client directing relaxation and breathing techniques.
· Reassuring the client during the procedure will have a relaxing effect.
o Warm a cold speculum between the folds of a heating pad before the exam.
· Preparation of equipment beforehand maximizes the client’s comfort.
The client describes the pain in her lower abdomen as sharp and cramping. The HCP prescribes hydrocodone bitartrate
5mg with acetaminophen 325 mg, two tabs PO prior to the client's pelvic exam. Before initiating the treatment, it is
most important for the nurse to implement which interventions? Select all that apply.
o Perform a focused assessment on the upper and lower abdomen.
o Implement a numeric pain assessment on a scale of 1 to 10.
o Document a baseline of vital signs including a pulse oximetry.
o Use at least two client identifiers before administering the medication.
o Initiate the treatment without further delay because the client is in pain.
o Perform a focused assessment on the upper and lower abdomen.
· The focused assessment is concerned with one very specific problem area such as pain. It is important to always assess
the client before initiating treatment.
, o Implement a numeric pain assessment on a scale of 1 to 10.
· Because pain is a subjective experience, the nurse must have a way to measure the severity of pain. The numeric pain
scale serves this purpose.
o Document a baseline of vital signs including a pulse oximetry.
· Establishing a base line of vital signs is important for monitory respiratory function before, during, and after the
administration of pain medication.
o Use at least two client identifiers before administering the medication.
· The Joint Commission’s National Patient Safety Goals state the purpose of the two client identifiers standard is to
reliably identify the individual as the person for whom the service or treatment is intended, and to match the service or
treatment to that individual.
The pelvic examination allows for the inspection and palpation of external and internal reproduction structures in order
to identify deviations, inform medical diagnoses, and collect specimens for laboratory analysis. Which is the best
approach for the nurse to position the client for the pelvic examination?
o Head flush with top of examination table, hips and knees flexed, feet in stirrups.
o Genupectoral position with weight of body supported by knees and chest.
o Buttocks at the edge of the examination table, hips and knees flexed, feet in stirrups.
o Sim’s position on one side with knee and thigh drawn upward to chest.
o Buttocks at the edge of the examination table, hips and knees flexed, feet in stirrups.
· The client assumes the lithotomy position, with her buttocks at the edge of the examination table, her hips and knees
flexed, and her feet in stirrups.
The nurse explains to the client that medications will be administered to obtain which expected outcome?
o The first treatment is one in a series of treatments that will cure the infection.
o Uncomplicated gonorrhea is cured with a single dose of antibiotic therapy.
o The infection cannot be cured completely, but medication will reduce the pain.
o Antiviral medication will cure the infection faster and minimize pain in one dose.
o Uncomplicated gonorrhea is cured with a single dose of antibiotic therapy.
· Gonorrhea infections are cured with a single dose of antibiotic therapy unless there are complications from the
infection. Complications from gonorrhea, such as meningitis and endocarditis, require hospitalization for initial treatment
and then continued home therapy for up to 4 to 6 weeks.
The client is instructed to return for a follow-up examination if symptoms persist after treatment. The nurse explains to
the client that recent research shows that strains of gonorrhea bacteria have emerged that are resistant to penicillin,
tetracycline, ciprofloxacin, and cefixime. Which instructions are the most important for the nurse to provide to the client
prior to discharge? Select all that apply.
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