A nurse in a community clinic is counseling a client who has been diagnosed with a sexually transmitted infection. What advice should the nurse provide?

You have to avoid sexual relations for 3 days.

If your sexual partner has no symptoms, no medication is needed.

You need to return in 6 months for retesting.

This infection is treated with one dose of erythromycin.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Avoiding sexual relations for 3 days is not sufficient advice for a client diagnosed with a sexually transmitted infection (STI). The client should abstain from sexual activity until they and their partner(s) have completed treatment and are symptom-free.
Choice B rationale
Even if a sexual partner has no symptoms, they could still be infected and require treatment. Many STIs can be asymptomatic, meaning they do not show symptoms, but can still be transmitted to others.
Choice C rationale
Returning in 6 months for retesting is a good practice for individuals diagnosed with an STI. Some infections, like chlamydia and gonorrhea, should be retested about 3 months after treatment. Other infections, like HIV, might need a follow-up test 6 months later to confirm the results.
Choice D rationale

The treatment for STIs varies depending on the specific infection. Not all STIs are treated with a single dose of erythromycin. For example, gonorrhea is typically treated with an injection of ceftriaxone and oral azithromycin.

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Correct Answer is C

Explanation

Choice A rationale
Administering oxygen at 10 L/min via a non-rebreather mask is a common intervention for fetal distress, but it is not the first action a nurse should take when a decrease in fetal heart rate is observed.
Choice B rationale
Applying a fetal scalp electrode can provide a more accurate fetal heart rate reading, but it is an invasive procedure and is not the first action a nurse should take when a decrease in fetal heart rate is observed.
Choice C rationale
Changing the client’s position is the correct action. This is often the first intervention for a decrease in fetal heart rate because it can relieve possible compression of the umbilical cord, which can improve fetal circulation and increase the fetal heart rate.
Choice D rationale
Increasing the rate of the IV infusion can increase maternal blood volume and improve placental blood flow, but it is not the first action a nurse should take when a decrease in fetal heart rate is observed.

A. Insert an indwelling urinary catheter. B. Initiate IV access. C. Witness the signature for informed consent for surgery. D. Prepare the abdominal and perineal areas.

Correct Answer is B

Explanation

Choice A rationale
Inserting an indwelling urinary catheter is not the priority nursing action. While it may be necessary later, especially if the client goes to surgery, it is not the immediate concern.
Choice B rationale
Initiating IV access is the correct action. The client is losing blood rapidly, has hypotension, and tachycardia. IV access will allow IV fluids and blood to be administered quickly if hypovolemia develops.
Choice C rationale
Witnessing the signature for informed consent for surgery is not the priority nursing action. While consent will be necessary if the client needs a cesarean section, the immediate concern is stabilizing the client.
Choice D rationale
Preparing the abdominal and perineal areas is not the priority nursing action. This would be done as part of surgical preparation if a cesarean section is needed, but it is not the immediate concern.

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A nurse in a community clinic is counseling a client who has been diagnosed with a sexually transmitted infection. What advice should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a decrease in the fetal heart rate. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa. Which of the following observations would support this diagnosis?

A nurse in a prenatal clinic is caring for a client who believes she might be pregnant because she feels the baby moving.Which statement should the nurse make?

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination.Which of the following explanations of the primary reason should the nurse provide?

A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client’s blood pressure is 60 mm Hg. Which of the following actions should the nurse take first?

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. Which of the following actions should the nurse take if the client’s fingers are tingling?

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?

What action should a nurse take when caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad, with the fundus midline and firm at the umbilicus?