A nurse in a community clinic is reviewing the laboratory result of four client s. the nurse should identify that which of the following sexually transmitted infections is nationally notifiable.
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The correct answer is choice c. Sunken anterior fontanel.

Choice A rationale:

A heart rate of 162/min in a 2-month-old infant can be within the upper range of normal, especially if the infant is crying or agitated. While it is important to monitor, it is not the most critical finding in this context.

Choice B rationale:

A negative doll’s eye reflex (oculocephalic reflex) can indicate neurological issues, but it is not directly related to heart failure or the administration of furosemide.

Choice C rationale:

A sunken anterior fontanel indicates dehydration, which is a critical concern for an infant receiving furosemide, a diuretic that can lead to significant fluid loss. Dehydration can exacerbate heart failure and lead to severe complications.

Choice D rationale:

A potassium level of 5.1 mEq/L is slightly elevated but not immediately life-threatening. It requires monitoring and potential intervention but is not the most urgent issue compared to dehydration.

Monitoring for dehydration is crucial in infants on diuretics like furosemide, making the sunken anterior fontanel the priority finding.

Choice A rationale

Bacterial vaginosis and trichomoniasis are both sexually transmitted infections, but they are not nationally notifiable, meaning cases are not required to be reported to the Centers for Disease Control and Prevention.

Choice B rationale

Gonorrhea is a nationally notifiable sexually transmitted infection. This means that confirmed and probable cases are required to be reported to the Centers for Disease Control and Prevention.

Choice C rationale

Human Papilloma Virus (HPV) is a common sexually transmitted infection, but it is not nationally notifiable.

Choice D rationale

Genital Herpes Simplex Virus is a common sexually transmitted infection, but it is not nationally notifiable.