Author Question: The nurse is seeing patients in the women's clinic. Which patient should be treated with ceftriaxone ... (Read 97 times)

brutforce · **on:** Jun 27, 2018

The nurse is seeing patients in the women's clinic. Which patient should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally?

1. A pregnant patient with gonorrhea and a yeast infection
2. A nonpregnant patient with gonorrhea and chlamydia
3. A pregnant patient with syphilis
4. A nonpregnant patient with chlamydia and trichomoniasis

Question 2

Which of the following behaviors noted in the postpartum client would require the nurse to assess further?

1. Responds hesitantly to infant cries.
2. Expresses satisfaction about the sex of the baby.
3. Numerous friends visit the client and give advice.
4. Talks to and cuddles with the infant frequently.

enass · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: A pregnant patient would not be treated with doxycycline.
Rationale 2: The combined treatment of ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally provides dual treatment for gonorrhea and chlamydia, which frequently occur together.
Rationale 3: The combined treatment of ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally is not the correct treatment for syphilis, and a pregnant patient would not be treated with doxycycline.
Rationale 4: The combined treatment of ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally is not the correct treatment for trichomoniasis.

Answer to Question 2

1
Rationale 1: Responding hesitantly to infant cries might need further assessment to determine what the mother is feeling. She might not know what to do, and needs assistance to guide her.
Rationale 2: Expressing satisfaction about the sex of the baby is usually a positive sign.
Rationale 3: Numerous friends who visit the client and give advice can provide a strong support system for her, and assessment can be done on her reactions to the advice.
Rationale 4: Talking to and cuddling with the infant frequently is a behavior that facilitates attachment.