A client tells the clinic nurse about experiencing burning on urination, and assessment reveals that the client had sexual intercourse four days ago with a person who was a casual acquaintance. Which action should the nurse implement?

Obtain a specimen of urethral drainage for culture.

Observe the perineal area for a chancre-like lesion.

Identify all sexual partners in the last four days.

Assess for perineal itching, erythema, and excoriation.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because obtaining a specimen for culture is essential to diagnose a potential sexually transmitted infection and guide appropriate treatment.

Choice B reason: Observing for a chancre-like lesion may be part of the assessment but is not the first step.

Choice C reason: Identifying sexual partners is important for contact tracing but is secondary to obtaining a diagnostic specimen.

Choice D reason: Assessing for itching and erythema is important but not the immediate priority.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because visualizing the abdominal incision will help the nurse assess for wound dehiscence or evisceration, which requires immediate intervention.

Choice B reason: Notifying the healthcare provider is necessary but comes after assessing the wound.

Choice C reason: Obtaining sterile towels soaked in saline is important if dehiscence or evisceration is confirmed but is not the first action.

Choice D reason: Reassuring the client is important but does not address the immediate need to assess the wound.

A. Deep partial-thickness. B. Full-thickness. C. Superficial partial-thickness. D. Deep full-thickness.

Correct Answer is B

Explanation

Choice A reason: Deep partial-thickness burns are characterized by blisters and significant pain.

Choice B reason:

The correct answer is b) because full-thickness burns involve all layers of the skin and can extend into underlying tissues. They often appear brown or yellow and are usually painless due to nerve damage.

Choice C reason: Superficial partial-thickness burns affect the epidermis and part of the dermis, causing pain and redness.

Choice D reason: Deep full-thickness burns are also a possible answer, but full-thickness better describes the extent and characteristics given.

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A client tells the clinic nurse about experiencing burning on urination, and assessment reveals that the client had sexual intercourse four days ago with a person who was a casual acquaintance. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?

Correct Answer is A

Explanation

The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the nurse document?

Correct Answer is B

Explanation

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

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The nurse plans to provide diet instructions to a client who was recently diagnosed with diverticulosis. Which dietary modification should the nurse include in the teaching plan?

Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with lens implant?

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