A male client who had sexual intercourse with a causal partner three days ago tells the practical nurse (PN) that he is experiencing painful urination, urinary frequency, and discharge from the penis. Which action should the PN implement?
Obtain a specimen of urethral drainage for culture.
Identify all sexual partners in the last four days.
Observe the perineal area for a chancroid-like lesion.
Assess for perineal itching, erythema, and excoriation.
The Correct Answer is A
A. Obtain a specimen of urethral drainage for culture:
Symptoms suggest possible gonorrhea or chlamydia; culture needed for diagnosis and treatment guidance.
B. Identify all sexual partners in the last four days:
Partner notification is important but follows confirmed diagnosis.
C. Observe the perineal area for a chancroid-like lesion:
Chancroid presents differently; symptoms point to urethritis.
D. Assess for perineal itching, erythema, and excoriation:
These are signs of fungal infection or dermatitis, not primary concern here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Apply the cream to the sterile dressings using a sterile tongue blade:
Silver sulfadiazine is applied directly to the burn, not to the dressing.
B. Remove the previous layer of medication using sterile normal saline:
Old cream must be removed to ensure medication effectiveness and prevent debris accumulation.
C. Open all the supplies before donning sterile gloves:
Helps maintain sterile field but is not the most important step before application.
D. Evaluate the client's response to the medications:
Pain relief should be assessed, but cleansing is the critical preparation step before new application.
Correct Answer is A
Explanation
A. Provide dolls and equipment to re-enact feelings associated with painful procedures: Therapeutic play helps children express and cope with anxiety.
B. Include the child in play therapy with children hospitalized for similar surgery: May help but can increase anxiety if peers share negative experiences.
C. Provide a family tour of the pre-op unit a week before surgery: Helpful but less effective for immediate anxiety relief.
D. Give child syringes or masks to play with at home before hospitalization: May help familiarity, but direct guided play with healthcare context is more effective.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.