A nurse is caring for a client who has a new diagnosis of Chlamydia trachomatis.
Which of the following actions should the nurse take?
Instruct the client to abstain from sexual intercourse for 1 month.
Administer ceftriaxone via intermittent IV bolus.
Schedule the client for retesting in 1 week.
Report the infection to the state department of health.
The Correct Answer is D
Choice A rationale:
Instructing the client to abstain from sexual intercourse for one month is not necessary for the management of Chlamydia trachomatis. Instead, the client should be advised to abstain from sexual activity until they and their partner(s) have completed the prescribed course of antibiotics and are no longer contagious, which is usually within 7 days.
Choice B rationale:
Administering ceftriaxone via intermittent IV bolus is not the recommended route for treating Chlamydia trachomatis. The standard treatment for Chlamydia trachomatis infection is oral antibiotics, such as azithromycin or doxycycline. Intravenous administration is not typically required for uncomplicated cases.
Choice C rationale:
Scheduling the client for retesting in one week is not necessary if the client has received appropriate treatment and follows the prescribed course of antibiotics. Retesting is generally recommended 3 months after treatment, especially in cases of persistent or recurrent symptoms.
Choice D rationale:
Reporting the infection to the state department of health is a crucial action. Chlamydia trachomatis is a reportable sexually transmitted infection in many jurisdictions. Reporting helps public health authorities track the incidence of the disease, implement preventive measures, and allocate resources effectively to control its spread within the community. It is essential for the nurse to comply with legal and ethical obligations by reporting the infection to the appropriate health authorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Iron is essential for healthy blood, but it is not specifically associated with preventing neural tube defects. Iron supplementation is crucial during pregnancy to prevent iron-deficiency anemia.
Choice B rationale:
Calcium is essential for bone health, but it is not directly related to preventing neural tube defects. Adequate calcium intake is vital, especially during adolescence and pregnancy, to support bone development and maintenance.
Choice C rationale:
"Folate." This is the correct answer. Folate, also known as vitamin B9, is crucial for preventing neural tube defects. Adequate folate intake, especially before and during early pregnancy, can significantly reduce the risk of neural tube defects in newborns. The normal recommended dietary allowance (RDA) for folate is 400 micrograms per day for adults.
Choice D rationale:
Zinc is a mineral important for immune function and wound healing but is not specifically associated with preventing neural tube defects. Adequate zinc intake is essential for overall health, but it is not a primary nutrient targeted for neural tube defect prevention.
Correct Answer is A
Explanation
The correct answer is choiceA. Lift the penis so that it is perpendicular to the client’s body.
Choice A rationale:
Lifting the penis so that it is perpendicular to the client’s body straightens the urethra, making it easier to insert the catheter without causing trauma.
Choice B rationale:
While cleansing the tip of the penis in a circular motion is important for maintaining aseptic technique, it is not the specific action that facilitates the insertion of the catheter.
Choice C rationale:
Picking up the catheter 13 cm (5 in) from its tip is not a standard practice.The nurse should hold the catheter closer to the tip to maintain control and ensure accurate insertion.
Choice D rationale:
Inflating the catheter balloon before insertion can cause trauma to the urethra and is not recommended.The balloon should only be inflated once the catheter is correctly positioned in the bladder.
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