Nokea
The nurse discusses healthy sexual behaviors with the client. Which risk factor predisposes the client to acquiring a sexually transmitted infection?
- A. Experiencing early puberty
- B. Finding sex information on the Internet
- C. Having multiple sexual partners
- D. Receiving limited sex education
Correct Answer: C
Rationale: Multiple sexual partners increase exposure to STIs, significantly raising infection risk.
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Which information given by the nurse is most appropriate to provide to the client?
- A. Take the medication until the symptoms clear.
- B. Refill the prescription if symptoms persist.
- C. Take the medication for the full amount of time.
- D. Treatment of the infection is likely to be lifelong.
Correct Answer: C
Rationale: Completing the full course of doxycycline ensures eradication of Chlamydia, preventing recurrence or resistance.
The client had a mastectomy for cancer of the breast and asks the nurse about a TRAM flap procedure. Which information should the nurse explain to the client?
- A. The surgeon will insert a saline-filled sac under the skin to simulate a breast.
- B. The surgeon will pull the client's own tissue under the skin to create a breast.
- C. The surgeon will use tissue from inside the mouth to make a nipple.
- D. The surgeon can make the breast any size the client wants the breast to be.
Correct Answer: B
Rationale: TRAM flap uses abdominal tissue for breast reconstruction. Saline sacs describe implants, mouth tissue isn’t used for nipples, and breast size is limited by available tissue.
The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be taught to the client?
- A. The client will develop antibodies to protect against a future infection.
- B. This infection will not have any long-term effects for the client.
- C. Both the client and the sexual partner must be treated simultaneously.
- D. Once the infection subsides, the pain will go away and not be a problem.
Correct Answer: C
Rationale: Chlamydia-related PID requires simultaneous treatment of the client and partner to prevent reinfection. Antibodies do not confer immunity, PID can cause infertility, and pain may persist.
The client diagnosed with cancer of the testes calls and tells the nurse he is having low back pain that does not go away with acetaminophen, a nonnarcotic analgesic. Which action should the nurse implement?
- A. Ask the client to come in to see the HCP for an examination.
- B. Tell the client to use a nonsteroidal anti-inflammatory drug instead.
- C. Inform the client this means the cancer has metastasized.
- D. Encourage the client to perform lower back-strengthening exercises.
Correct Answer: A
Rationale: Low back pain in testicular cancer may indicate metastasis (e.g., to retroperitoneal nodes); HCP evaluation is urgent. NSAIDs, assuming metastasis, or exercises are inappropriate without assessment.
Which statement best describes the responsibility of the public health nurse regarding sexually transmitted diseases?
- A. Notify the sexual partners of clients diagnosed with an STD.
- B. Determine the course of treatment for clients diagnosed with an STD.
- C. Explain the legal aspects of STD reporting to a client diagnosed with an STD.
- D. Analyze the statistics regarding STD transmission and reporting the findings.
Correct Answer: C
Rationale: Public health nurses educate clients on legal reporting requirements for STDs, ensuring compliance. Partner notification is often handled by health departments, treatment is physician-driven, and statistical analysis is secondary.