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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While the chest x-ray report is important, it is not as immediately critical as a low potassium level.
Choice B reason: The surgical consent form is important but can be addressed quickly before surgery.
Choice C reason:
The correct answer is c) because a preoperative serum potassium level of 2.8 mEq/L is dangerously low and requires immediate correction to avoid cardiac complications during surgery.
Choice D reason: A pulse oximeter reading of 96% is within normal limits and does not require immediate action.
Correct Answer is A
Explanation
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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