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If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which consequence?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
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Which nursing instruction is best to provide to the client with chlamydia to prevent a recurrence of the infection?
- A. Shower or bathe after intercourse.
- B. Wash your hands well using an antiseptic soap.
- C. Encourage your sexual partners to be tested and treated.
- D. Make sure you receive adequate nutrition and fluid intake.
Correct Answer: C
Rationale: Partner testing and treatment prevent reinfection, addressing the primary source of chlamydia transmission.
Before the client leaves the office, on which topic should the nurse provide health teaching?
- A. Ask about the qualifications of the person who did the tattoos and piercings
- B. Whether the client is practicing safe, protected sex
- C. The client's sexual experiences with members of both sexes
- D. The names of all of the client's sexual partners
Correct Answer: B
Rationale: Tattoos and piercings increase infection risk, but safe sex practices are critical to discuss due to potential STI transmission, especially with vaginal bleeding.
The nurse is admitting a client diagnosed with trichomoniasis. Which assessment data support this diagnosis?
- A. Odorless, white, curdlike vaginal discharge.
- B. Strawberry spots on the vaginal surface and itching.
- C. Scant white vaginal discharge and dyspareunia.
- D. Purulent discharge from the endocervix and pelvic pain.
Correct Answer: B
Rationale: Trichomoniasis causes strawberry spots (petechiae) on the vagina and itching due to inflammation. Curdlike discharge is candidiasis, scant discharge/dyspareunia is nonspecific, and purulent discharge suggests PID.
If a culture is ordered to detect the causative organism, which body substance will the nurse collect?
- A. Venous blood
- B. Sterile urine
- C. Specialized semen
- D. Urethral drainage
Correct Answer: D
Rationale: Urethral drainage is the primary specimen for culturing gonorrhea, as it directly samples the infection site.
The nurse correctly informs the client that the breast self-examination (BSE) technique involves palpating each breast moving in small concentric circles, following imaginary spokes in a wheel, or moving in rows from superior to inferior stress of the breast. Besides the breast, which other body area is essential to palpate?
- A. The axillae
- B. The sternum
- C. The clavicles
- D. The ribs
Correct Answer: A
Rationale: The axillae (armpits) contain lymph nodes that drain the breast, and palpating this area is essential to detect any abnormal lymph node enlargement, which could indicate breast pathology.