Nokea
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.
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When assigning a nursing assistant to this client's care, which instruction for disposing of soiled drainage pads is correct?
- A. Flush all perineal pads down the toilet.
- B. Put the pads in biohazard waste bags.
- C. Place the pads in biohazard waste bags.
- D. Enclose the soiled pads in a clean paper bag.
Correct Answer: B
Rationale: Soiled pads from pelvic inflammatory disease may contain infectious material, requiring disposal in biohazard waste bags to prevent contamination.
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.
When a client with a transurethral resection of the prostate (TURP) complains of bladder discomfort and a feeling of urgency to void, which nursing action is best to take first?
- A. Check that the urinary drainage catheter is patent.
- B. Administer a prescribed analgesic as soon as possible.
- C. Change the client to semi-Fowler's position.
- D. Get the client out of bed to ambulate for a while.
Correct Answer: A
Rationale: Ensuring catheter patency addresses the most likely cause of discomfort (blockage or clots) and prevents complications like bladder distension.
Which action by the nurse is most appropriate?
- A. Allow the client's partner to stay in the examination room.
- B. Ask the client's friend to remain in the waiting room.
- C. Ask the physician to make the decision in this situation.
- D. Suggest that the friend wait outside the examination room door.
Correct Answer: A
Rationale: Allowing the client's partner to stay respects the client's preference and provides emotional support, as long as the client consents and privacy is maintained.
The 45-year-old male client has had a circumcision secondary to phimosis. Which intervention should the nurse include in the plan of care?
- A. Teach how to care for the glans to prevent recurrence of the phimosis.
- B. Assess for pain on a scale of one (1) to 10.
- C. Perform wet-to-dry dressing changes daily.
- D. Instruct the client to perform a monthly penis check for cancer.
Correct Answer: B
Rationale: Pain assessment is critical post-circumcision to manage discomfort. Glans care prevents infection but not phimosis recurrence, wet-to-dry dressings are unnecessary, and cancer checks are not standard.