A male patient with gonorrhea asks the nurse how he can reduce his risk of contracting another sexually transmitted infection. The patient is not in a monogamous relationship. The nurse should instruct the patient to do which of the following?
- A. Ask all potential sexual partners if they have a sexually transmitted disease.
- B. Wear a condom every time he has intercourse.
- C. Consider intercourse to be risk-free if his partner has no visible discharge, lesions, or rashes.
- D. Aim to limit the number of sexual partners to fewer than five over his lifetime.
Correct Answer: B
Rationale: Condom use significantly reduces STI transmission risk. Partner inquiries, visible symptoms, or limiting partners are less reliable prevention methods.
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A public health nurse is teaching a mother about vaccinations prior to obtaining informed consent for her childs vaccination. What should the nurse cite as the most common adverse effect of vaccinations?
- A. Temporary sensitivity to the sun
- B. Allergic reactions to the antigen or carrier solution
- C. Nausea and vomiting
- D. Joint pain near the injection site
Correct Answer: B
Rationale: Allergic reactions to vaccine components are the most common adverse effects. Sun sensitivity, nausea, and joint pain are not typical.
An infectious outbreak of unknown origin has occurred in a long-term care facility. The nurse who oversees care at the facility should report the outbreak to what organization?
- A. Centers for Disease Control and Prevention (CDC)
- B. American Medical Association (AMA)
- C. Environmental Protection Agency (EPA)
- D. American Nurses Association (ANA)
Correct Answer: A
Rationale: The CDC is responsible for disease prevention and control, making it the appropriate agency for reporting outbreaks. AMA, EPA, and ANA do not handle outbreak reporting.
A nursing home patient has been diagnosed with Clostridium difficile. What type of precautions should the nurse implement to prevent the spread of this infectious disease to other residents?
- A. Contact
- B. Droplet
- C. Airborne
- D. Positive pressure isolation
Correct Answer: A
Rationale: Clostridium difficile spreads via skin-to-skin contact or contaminated surfaces, requiring contact precautions. Droplet and airborne precautions are for respiratory pathogens, and positive pressure isolation is not applicable.
The nurse places a patient in isolation. Isolation techniques have the potential to break the chain of infection by interfering with what component of the chain of infection?
- A. Mode of transmission
- B. Agent
- C. Susceptible host
- D. Portal of entry
Correct Answer: A
Rationale: Isolation prevents pathogen spread by blocking the mode of transmission. It does not directly affect the agent, host, or portal of entry.
A nurse is preparing to administer a patients scheduled dose of subcutaneous heparin. To reduce the risk of needlestick injury, the nurse should perform what action?
- A. Recap the needle before leaving the bedside.
- B. Recap the needle immediately before leaving the room.
- C. Avoid recapping the needle before disposing of it.
- D. Wear gloves when administering the injection.
Correct Answer: C
Rationale: Avoiding needle recapping prevents needlestick injuries. Used needles should be placed directly into puncture-resistant containers. Gloves do not prevent needlesticks.
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