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NU 608 Porths ch 46 Practice Exam Questions and Answers

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NU 608 Porths ch 46 Practice Exam Questions and Answers A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be: A. Antibiotics suppress the normal protective va...

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  • October 16, 2024
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NU 608 Porths ch 46 Practice Exam
Questions and Answers

A client presents with signs and symptoms of candidiasis and is concerned about why this

occurs after taking antibiotics. The most appropriate information for the nurse to provide would

be:


A. Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans.


B. The inappropriate use of antibiotics will cause overgrowth of Candida.


C. The bacterium is found in the vagina and can overgrow due to poor vaginal hygiene.


D. Antibiotics cause an increase in vaginal glycogen, which promotes candidiasis. - Answer✔✔-

A. Rationale:


Antibiotics suppress the normal protective vaginal flora which will allow C. albicans to overgrow.

Other factors that contribute to vaginal candidiasis include


oral contraceptives, diabetes, and HIV.


The nurse should assess a client with a history of untreated chlamydia for which potential

disease process?


A. Reiter syndrome


B. Early-onset dementia

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C. HIV encephalopathy


D. Cervical cancer - Answer✔✔-A. Rationale:


Reiter syndrome, a reactive arthritis that includes the triad of urethritis, conjunctivitis, and

painless mucocutaneous lesions, is a complication of an


untreated chlamydial infection. The remaining options are not related to chlamydial infection.


When is syphilis highly contagious?


A. After the characteristic rash disappears


B. When gummas lesions are observable


C. Years 3 to 5 of its latent stage


D. During its primary stage - Answer✔✔-D.: During its primary stage


Rationale:


The infection is highly contagious during its primary stage, but because the symptoms are mild,

it frequently goes unnoticed. The other options are not


necessarily indicators of a highly contagious period.


What is the primary reason that the nurse urges clients to be seen by their health care provider

when they have genital warts?


A. To have an MRI to screen for other conditions


B. To be informed of the risk of premalignant and malignant changes


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C. To be informed of the chance of transmitting to others


D. To receive intravenous antibiotics - Answer✔✔-B. Rationale:


The association with premalignant and malignant changes has increased concern regarding the

diagnosis and treatment of this viral infection. Intravenous antibiotics are not used to treat

viruses. The client does not have to see the health care provider to be told that they have a risk

of transmitting this condition to others. There are several pharmacologic treatments for

symptomatic removal of visible genital warts, and cryotherapy is one of them.


Which clients would the nurse determine are at increased risk of infection with gonorrhea?

Select all that apply.


A. The client who has constant urinary tract pain


B. The client who married late in life


C. The client with multiple sexual partners


D The client who does not use condoms


E. The client who is younger than 25 years of age - Answer✔✔-C. D. E. Rationale:


Clients who are identified as being at increased risk of infection include those who are 25 and

under, have multiple sexual partners, and do not use


condoms. Clients who marry late in life or have constant urinary tract pain are not documented

to be at increased risk.




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