Nokea
A teenager returns to the gynecological clinic for a follow-up visit for a sexually transmitted infection (STI). Which statement by the teenager indicates the need for further teaching?
- A. I know you won't tell my parents I'm sick.
- B. I finished all of the antibiotics, just like you said.
- C. I always make sure that my boyfriend uses a condom.
- D. My boyfriend doesn't have to come in for treatment, does he?
Correct Answer: D
Rationale: When treating STIs, all sexual contacts must be contacted and treated with medication. The treatment of a teenager for an STI is confidential, and parents will not be contacted, even if the client is less than 18 years old. Clients should always finish the course of antibiotics prescribed by the primary health care provider. Clients should always use a condom with any sexual contact.
You may also like to solve these questions
A nurse is preparing staff education on the developmental stages and milestones in a normally developing fetus. Which information should be included?
- A. The testes at the inguinal ring descend to scrotum at 12 weeks.
- B. The bladder and urethra separate from the rectum at 12 weeks.
- C. The kidneys are in position at 16 weeks with typical shape and plan.
- D. The nostrils reopen and primitive respiratory-like movement begins at 24 weeks.
Correct Answer: C
Rationale: Kidneys reach their position by 16 weeks. Testicular descent occurs later (28-32 weeks), bladder-urethra separation by 8 weeks, and respiratory movements by 20-24 weeks.
The home care nurse visits a client who was recently diagnosed with cirrhosis and provides home care management instructions to the client. Which statement by the client indicates the need for further teaching?
- A. I will obtain adequate rest.
- B. I should monitor my weight regularly.
- C. I will take Tylenol if I get a headache.
- D. I should include sufficient carbohydrates in my diet.
Correct Answer: C
Rationale: Cirrhosis is a chronic liver disease, and acetaminophen (Tylenol) should be avoided because it can cause fatal liver damage in clients with cirrhosis. Adequate rest, regular weight monitoring, and sufficient carbohydrate intake (2000 to 3000 calories daily) are appropriate for managing cirrhosis.
A clinic nurse providing home care instructions to an adolescent diagnosed with iron deficiency anemia concentrates on the administration of oral iron preparations. The nurse should tell the adolescent that it is best to take the iron with which liquid?
- A. Cola
- B. Soda
- C. Water
- D. Tomato juice
Correct Answer: D
Rationale: Iron should be administered with vitamin C-rich fluids because vitamin \mathrm{C enhances the absorption of the iron preparation. Tomato juice has a high ascorbic acid (vitamin C) content, whereas cola, soda, and water do not contain vitamin C.
The nurse provides discharge teaching to a client after a vasectomy. Which statement by the client indicates the need for further teaching?
- A. I can use a scrotal support if I need to.'
- B. I don't need to practice birth control any longer.'
- C. I can resume sexual intercourse whenever I want.'
- D. I can use an ice bag and take an analgesic for pain or swelling.'
Correct Answer: B
Rationale: After vasectomy, the client must continue to practice a method of birth control until the follow-up semen analysis shows azoospermia. Live sperm may be present in the vas deferens after this procedure. Using scrotal support, resuming sexual activity, and promoting pain relief with ice and taking an analgesic such as acetaminophen are appropriate client statements.
The nurse is caring for a client who is 38 weeks pregnant and plans to breastfeed. This is the client's first child, and she expresses concern about lactation. The nurse tells the client that which measures stimulate lactation? Select all that apply.
- A. breast massage
- B. frequent breastfeeding
- C. pumping breasts between feedings
- D. vigorous exercise one week after birth
- E. applying cold compresses to the breasts
Correct Answer: A,B,C
Rationale: Breast massage, frequent breastfeeding, and pumping stimulate milk production. Exercise and cold compresses do not.