A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Report the infection to the local health department.

Apply an antiviral cream to lesions.

Instruct the client to use condoms until the treatment is completed.

Initiate contact precautions.

Answer and Explanation

The Correct Answer is A

A.   Reporting infections like chlamydia to the local health department is crucial for public health monitoring and contact tracing to prevent further spread of the infection.
B.   Chlamydia is a bacterial infection, and antiviral creams are not effective against it.
C.   While advising the client about preventive measures like condom use is important, reporting the infection is the priority for public health purposes.
D.   Contact precautions are not necessary for chlamydia as it is primarily spread through sexual contact and not through casual contact or airborne transmission.

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Correct Answer is C

Explanation

A. Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.
B.A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client.
C. Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.
D. An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.

A. Wait to dispose of sharps containers until they are completely full. B. Use clean gloves rather than sterile gloves for colostomy care. C. Return unused supplies from the bedside to the unit's supply stock. D. Store opened bottles of normal saline in a refrigerator for up to 48 hours.

Correct Answer is B

Explanation

A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.

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A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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