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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.
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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.
Which statement indicates further instruction is needed for the client with a cystocele?
- A. I need to have a sonogram to diagnose this problem.'
- B. I need to practice Kegel exercises to help strengthen my muscles.'
- C. I lose my urine when I sneeze because of my cystocele.'
- D. I can never have sexual intercourse again.'
Correct Answer: D
Rationale: Cystocele does not preclude sexual intercourse; this statement indicates a misconception needing correction. Sonograms aid diagnosis, Kegels are appropriate, and stress incontinence is a symptom.
The 50-year-old female client complains of bloating and indigestion and tells the nurse she has gained two (2) inches in her waist recently. Which question should the nurse ask the client?
- A. What do you eat before you feel bloated?'
- B. Have you had your ovaries removed?'
- C. Are your stools darker in color lately?'
- D. Is the indigestion worse when you lie down?'
Correct Answer: C
Rationale: Bloating, indigestion, and waist expansion are concerning for ovarian cancer; dark stools may indicate GI bleeding or metastasis, warranting urgent evaluation. Diet, oophorectomy, and positional indigestion are less specific.
When carrying out this intervention, which action is most appropriate?
- A. Apply ice to the site in a sealed plastic bag.
- B. Place a covered ice pack to the scrotum.
- C. Position the client on a hypothermia blanket.
- D. Seat the client on an ice-filled ring.
Correct Answer: B
Rationale: A covered ice pack reduces swelling and pain in the scrotum safely and effectively post-hydrocele aspiration.
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.