A female client returns to the clinic after being treated for chlamydia with azithromycin IM and reports that she still has symptoms. The healthcare provider obtains a swab of the discharge from the cervix for testing for chlamydia. The client reports maintaining a monogamous relationship when the laboratory results are positive for the sexually transmitted infection. Which information should the nurse obtain to evaluate the ineffective results of treatment?

Confer with the healthcare provider about a different course of antibiotics.

Determine if the client's sexual partner received treatment for chlamydia.

Inquire further about all sexual encounters and any other sexual activity.

Ask the client if the complete course of antibiotics was completed.

Answer and Explanation

The Correct Answer is B

A. Confer with the healthcare provider about a different course of antibiotics: While this may be necessary if treatment failure is confirmed, the first step is to evaluate whether the sexual partner was treated, as reinfection is common if the partner was not also treated.
B. Determine if the client's sexual partner received treatment for chlamydia: It is critical to ensure that the sexual partner has been treated for chlamydia as well. If the partner has not been treated, the client could have been reinfected, leading to ongoing symptoms despite completing the antibiotic regimen.
C. Inquire further about all sexual encounters and any other sexual activity: While understanding sexual history is important, the client explicitly stated she is maintaining a "monogamous relationship." the primary focus should be on ensuring that the partner was treated.
D. Ask the client if the complete course of antibiotics was completed: The client was treated with "azithromycin IM." Azithromycin for chlamydia is typically a single dose. The reinfection is more likely from an untreated partner, causing of the persistent symptoms.

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Correct Answer is D

Explanation

A. Urge the client to have regular STI screening every two years: While regular STI screenings are important, the client should be encouraged to get tested more frequently based on risk factors rather than waiting every two years. Regular testing should be based on the client's sexual activity and risk exposure.
B. Clarify that all STIs are transmitted through sexual intercourse: While many STIs are transmitted through sexual intercourse, some (like HPV) can also be spread through skin-to-skin contact. It’s important to provide accurate information specific to HPV transmission.
C. Discuss that partners without similar symptoms may not be infected: This is inaccurate. Many STIs, including HPV, can be asymptomatic. Even if a partner does not show symptoms, they could still be infected and capable of transmitting the virus.
D. Answer questions directly and correct any misinformation: The nurse should provide accurate, clear, and compassionate answers to the client’s questions. Correcting misinformation helps the client make informed decisions and manage their health appropriately.

A. A primiparous adolescent living at home with her parents and significant other. B. A multiparous female with a large family living in the community. C. A primiparous woman who has recently immigrated to the U.S. with her spouse. D. A multiparous client who lives with her husband and his family members.

Correct Answer is C

Explanation

A. A primiparous adolescent living at home with her parents and significant other: While being a young, first-time mother may pose challenges, the support system of living with parents and a significant other may help mitigate psychological risks.

B. A multiparous female with a large family living in the community: A woman with multiple children and a support system in the community is less likely to experience significant psychological difficulties, as she may be more experienced and have more resources to draw from.

C. A primiparous woman who has recently immigrated to the U.S. with her spouse: This woman is at high risk for psychological difficulties, such as postpartum depression, due to potential isolation, lack of support, cultural differences, and challenges adjusting to a new environment without an extended support network.

D. A multiparous client who lives with her husband and his family members: While living with extended family can sometimes present stress, this client has a support system, including both her husband and family members, which may help reduce the risk of psychological difficulties.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with the sexually transmitted infection (STI) human papillomavirus (HPV). The client reports having sex with someone who had many partners. Which response should the nurse provide?

Correct Answer is D

Explanation

The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period?

Correct Answer is C

Explanation

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