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A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.Which of the following medications should the nurse plan to administer?

A.

Tetracycline.

B.

Acyclovir.

C.

Metronidazole.

D.

Amoxicillin.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Tetracycline is contraindicated in pregnancy due to its potential to cause fetal harm, including teeth discoloration and inhibition of bone growth.

 

Choice B rationale

 

Acyclovir is an antiviral medication used to treat herpes infections, not chlamydia.

 

Choice C rationale

 

Metronidazole is used to treat bacterial vaginosis and trichomoniasis, not chlamydia.

 

Choice D rationale

 

Amoxicillin is a safe and effective antibiotic for treating chlamydia in pregnant women. It is preferred due to its safety profile and effectiveness.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Providing additional hydration by offering glucose water is not recommended. Breast milk or formula should be the primary source of hydration for newborns.

Choice B rationale

Monitoring the newborn’s heart rate every 2 hours is not necessary for phototherapy. The focus should be on monitoring bilirubin levels, hydration status, and ensuring the newborn’s eyes are protected.

Choice C rationale

Applying a water-based lotion to the newborn’s skin every 4 hours is not recommended. Lotions can interfere with the effectiveness of phototherapy and may cause skin irritation.

Choice D rationale

Removing the newborn from phototherapy every 2 hours for breastfeeding is recommended. Frequent breastfeeding helps to promote bilirubin excretion and maintain hydration.

Correct Answer is A

Explanation

Choice A rationale

Warming the newborn’s heel for 5 to 10 minutes before the puncture increases blood flow, making it easier to collect a blood sample.

Choice B rationale

The outer aspect of the heel is the recommended site for puncture to avoid injury to the bone and nerves.

Choice C rationale

Leaving the heel open to the air after the puncture is not recommended as it can increase the risk of infection.

Choice D rationale

Applying an antiseptic after collecting the specimen is not necessary and can interfere with the blood sample.

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