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 D
Explanation
A. Administering multiple vitamins and minerals via IV alone would not be sufficient for adequate nutrition in this patient, especially given the large burn surface area.
B. Total parenteral nutrition (TPN) may be used if enteral feeding is not possible, but enteral feeding is usually preferred when feasible.
C. Encouraging oral intake is not appropriate for a client with a 60% TBSA burn, as they would likely require more significant nutritional support than oral intake can provide.
D. Enteral feeding is the preferred method for nutrition in burn patients as it maintains gut integrity and prevents the complications associated with parenteral nutrition. Although the client has absent bowel sounds and a distended abdomen, this can be common early in burn care, and enteral feedings should be started as soon as feasible to prevent malnutrition and promote recovery.
Correct Answer is B
Explanation
A. Stool frequency does not directly evaluate the prevention of stress ulcers or gastrointestinal bleeding.
B. Fecal occult test directly assesses for hidden gastrointestinal bleeding, making it the best evaluation method.
C. Bowel sounds, while important for general gastrointestinal assessment, bowel sounds do not directly evaluate the effectiveness of Esomeprazole in preventing bleeding.
D. Abdominal distention may indicate a variety of issues but is not specific to assessing the effectiveness of a proton pump inhibitor.
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