Practice Question
A nurse in a gynecology office is caring for a client.
Answer Choices:
Correct Answer:
Instruct the client to avoid alcohol for 72 hr after treatment.
Rationale:
Instruct the client to avoid alcohol for 72 hr after treatment.
🟢 Metronidazole, a common treatment for Trichomoniasis, has a known interaction with alcohol, leading to a disulfiram-like reaction characterized by nausea, vomiting, flushing, and tachycardia.
🟢 Clients must be advised to avoid all alcohol during treatment and for at least 72 hours after the last dose to prevent this reaction.
🟢 Educating the client on this interaction is a standard precaution when prescribing this medication.
🟢 Failure to comply can result in unpleasant and dangerous side effects that can lead to ER visits or treatment non-compliance.
Administer metronidazole 2 g PO x 1 dose.
🟡 The client presents with frothy, yellow-green, malodorous vaginal discharge, vaginal inflammation, dyspareunia, and dysuria, which are classic signs of Trichomoniasis, a protozoal STI.
🟡 The first-line treatment is oral metronidazole 2 g in a single dose, which is both effective and convenient.
🟡 NAAT and culture will confirm diagnosis, but based on the clinical presentation, empirical treatment is often initiated.
🟡 This therapy provides rapid symptom resolution and prevents ongoing transmission.
Recommend the client's partner receive treatment.
🔵 Trichomoniasis is a sexually transmitted infection, and re-exposure is likely if partners are not treated simultaneously.
🔵 CDC guidelines recommend treating all sexual partners, even if they are asymptomatic, to prevent reinfection and further spread.
🔵 Partners are often given the same oral metronidazole regimen.
🔵 Partner treatment is essential for infection control and public health safety.
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This question is from Custom NIJR209 Final ASSESSMENT SP-2024 which contains 9 questions.
More Questions from This Exam
A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)
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A nurse is providing care at a routine visit for a client who is at 36 weeks of gestation.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 5