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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 C

Explanation

Choice A rationale

Agitation is not a common adverse effect of magnesium sulfate therapy. It is more likely to be caused by other factors.

Choice B rationale

Polyuria, or excessive urination, is not a common adverse effect of magnesium sulfate therapy. It is more likely to be caused by other factors.

Choice C rationale

Hyporeflexia, or diminished reflexes, is a significant adverse effect of magnesium sulfate therapy. It indicates magnesium toxicity and requires immediate attention.

Choice D rationale

Tachypnea, or rapid breathing, is not a common adverse effect of magnesium sulfate therapy. It is more likely to be caused by other factors.

Correct Answer is B

Explanation

Choice A rationale

Limiting the client’s daily fluid intake is not recommended. Adequate hydration is important for clients with mastitis to help clear the infection and maintain milk supply.

Choice B rationale

Encouraging the client to continue to breastfeed is recommended. Breastfeeding helps to empty the breasts and reduce milk stasis, which can alleviate symptoms of mastitis.

Choice C rationale

Preparing the client for an abdominal sonogram is not relevant to the management of mastitis. Mastitis is typically diagnosed based on clinical symptoms and physical examination.

Choice D rationale

Encouraging the client to wear a bra that is loose fitting is not recommended. A well-fitting, supportive bra can help to reduce discomfort and support the breasts during mastitis.

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