a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
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a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
- A. determine the clients understanding of her living situation
- B. assist the client to develop goals for obtaining shelter
- C. discuss the risks of being homeless with the client
- D. develop client teaching using a variety of strategies
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This is the first action the nurse should take because it addresses the immediate health and safety concerns of the client. By discussing the risks associated with homelessness, the nurse can help the client understand the potential dangers and motivate them to seek assistance. Option A focuses on assessing the client's understanding, which can come later once immediate risks are addressed. Option B involves future planning and is not the most urgent priority. Option D involves teaching strategies, which may not be effective if the client is not aware of the risks. Therefore, option C is the most appropriate initial action to ensure the client's immediate well-being.
which of the following .........should the nurse include
- A. .............should be placed beside the child’s bed
- B. house hold contacts will receive prophylactic antibiotics
- C. transmission will be emitted because of herd immunity
- D. the child is most contagious after the rash develops
Correct Answer: C
Rationale: The correct answer is C. The nurse should include information about transmission being limited due to herd immunity. This is important because herd immunity occurs when a large portion of the community becomes immune to a disease, reducing the chances of transmission even to those who are not immune. This information is crucial for preventing the spread of infectious diseases within a community.
Choice A is incorrect as it does not provide relevant information about disease transmission or prevention. Choice B is incorrect as it focuses on treatment rather than prevention of transmission. Choice D is incorrect as it provides inaccurate information about the timing of contagion.
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
- A. You should have a complete eye examination every 2 years until the age of 64.
- B. You should have your hearing screened every 5 years.
- C. You should have your stool tested for blood every other year until the age of 74.
- D. You should have your fasting blood glucose level checked every 6 years.
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
- A. meet with community members to discuss methods of playground maintenance
- B. partner city officials with community members to improve the playground condition
- C. work with local businesses to sponsor more trash receptacles in the playground
- D. engage neighborhood families to monitor the playground for further trash buildup
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue effectively. By involving the community directly, the nurse empowers residents to take ownership of the problem and fosters a sense of responsibility for maintaining a clean environment. This approach promotes sustainable change by creating a culture of vigilance and accountability among families. Other choices such as A, B, and C involve external parties and may not address the root cause or build community capacity for long-term solutions. Therefore, D is the most proactive and community-centered option to promote a clean and safe environment.
a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
- A. discuss the benefits of eating a well-balanced diet with the client’s family
- B. assist the client and the clients partner with finding an affordable exercise program
- C. offer to accompany the client and the clients partner during health care provider visits
- D. ask family members about the impact of the disease on relationships within the family
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because regular exercise is essential for managing heart disease. By helping the client and partner to find an affordable exercise program, the nurse is promoting a crucial aspect of heart disease management. This action directly addresses a key component of the treatment plan and supports the client's overall well-being.
Other choices are incorrect because they do not address the immediate need for implementing a lifestyle change to manage heart disease. Choice A focuses on diet, which is important but exercise is the priority. Choice C involves healthcare provider visits, which may be important but not the first step. Choice D addresses relationships, which is relevant but not the immediate priority.