Practice Question
A health department nurse is providing teaching to a client who has a new diagnosis of syphilis. Which of the following statements should the nurse make?
Answer Choices:
Correct Answer:
“Expect the provider to prescribe intramuscular penicillin to treat your infection."
Rationale:
🟠Benzathine penicillin G IM is the first‑line, curative therapy for syphilis across stages (e.g., 2.4 million units once for early disease; weekly ×3 for late latent/unknown duration).
🟠 For pregnancy and penicillin allergy, desensitization is recommended because alternatives have inferior fetal outcomes.
🟠Teach sexual abstinence until treatment is complete and serologic titers (e.g., RPR/VDRL) demonstrate appropriate decline; ensure partner notification and treatment.
🟠Warn about the Jarisch–Herxheimer reaction (acute fever, myalgia, headache within 24 h of first dose)—uncomfortable but self‑limited and not an allergy.
🟠 Arrange test‑of‑cure/serologic follow‑up per guidelines to confirm response and identify reinfection.
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This question is from RN CONCEPT-BASED ASSESSMENT LEVEL 3 WITH NGN which contains 140 questions.
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From Exam
RN CONCEPT-BASED ASSESSMENT LEVEL 3 WITH NGN
140 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4