A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?
"Pouring water over my genitals will decrease the pain of urinating."
"I will wash my hands carefully after applying ointment."
"When I don't have lesions, I am not contagious to my sexual partner."
"I should increase my fluid intake when I have open lesions."
The Correct Answer is C
A. Pouring water over the genitals can help reduce the pain of urination, which is common in clients with genital herpes.
B. Washing hands carefully after applying ointment is important to prevent the spread of the virus.
C. The herpes simplex virus can be transmitted even when lesions are not present, so this statement indicates a need for further education. The virus can be spread through asymptomatic viral shedding.
D. Increasing fluid intake when lesions are open helps to prevent urinary retention and promote healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This description is indicative of possible myocardial infarction (MI), a life-threatening emergency. Immediate evaluation and intervention, such as administering oxygen, obtaining an EKG, and providing pain relief, are crucial to prevent further damage to the heart and reduce mortality.
B. Moderate pain worse on inspiration suggests pleuritic pain, often associated with conditions like pleuritis or pulmonary embolism, which are serious but generally not as immediately life-threatening as an MI.
C. Cramping substernal pain may indicate a gastrointestinal issue, such as gastroesophageal reflux disease (GERD), which is less urgent than a potential MI.
D. A dull ache may be related to musculoskeletal or gastrointestinal issues and does not suggest the immediate need for intervention seen in MI.
Correct Answer is B
Explanation
A. Sucking on small quantities of ice chips is not appropriate in this case as it may worsen the airway obstruction or cause further irritation.
B. Applying oxygen and continuously monitoring the client's pulse oximetry will help ensure that the client's oxygen saturation remains adequate and that they do not experience respiratory distress or hypoxemia due to inhalation injury. Early intervention is crucial to prevent worsening of respiratory status.
C. Humidified room air can help in cases of airway irritation, but the priority is to ensure oxygenation and avoid hypoxia.
D. Antitussive medications may be indicated later, but airway management and oxygenation take precedence.
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