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?
Tetracycline.
Acyclovir.
Metronidazole.
Amoxicillin.
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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Correct Answer is D
Explanation
Choice A rationale
Applying a corticosteroid cream is not appropriate for acute perineal pain. It is more suitable for chronic inflammation or skin conditions.
Choice B rationale
Increasing fluid intake is beneficial for overall health, but it does not directly address acute perineal pain.
Choice C rationale
Catheterizing the bladder is not indicated for perineal pain unless there is a specific issue with urinary retention.
Choice D rationale
Offering an ice pack helps reduce swelling and numb the area, providing immediate relief for acute perineal pain. It is a standard intervention for postpartum perineal discomfort.
Correct Answer is A
Explanation
Choice A rationale
Checking the identity of individuals who come to remove the baby from the room is crucial for preventing infant abduction and ensuring the safety of the newborn.
Choice B rationale
Matching the bracelet on the baby with the footprint record each shift is not a standard practice for newborn identification and safety.
Choice C rationale
Scanning the baby’s identification bracelet each time they are checked on is not a common practice and may not be feasible.
Choice D rationale
Wearing an electronic bracelet when out of the room is a safety measure, but it does not replace the need for parents to verify the identity of individuals handling their baby.