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 A
Explanation
Choice A reason:
The correct answer is a) because observing the color of the extremity provides additional information about circulation and potential complications such as compartment syndrome.
Choice B reason: Notifying the healthcare provider is necessary if there are abnormal findings.
Choice C reason: Discontinuing elevation is not necessary unless there are signs of compromised circulation.
Choice D reason: Documenting the assessment as normal comes after completing a thorough assessment.
Correct Answer is D
Explanation
Choice A reason: Bringing foods from home may encourage eating but does not address the underlying issue of visual perception.
Choice B reason: Reassuring about weight loss recovery is not helpful in the immediate context of improving meal intake.
Choice C reason: Encouraging the family to feed the client may help but does not promote independence.
Choice D reason:
The correct answer is d) because teaching visual scanning techniques can help the client compensate for visual perception difficulties and increase food intake.
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