A nurse is caring for a client who has a prescription for 81 mg acetylsalicylic acid (Aspirin) daily.
Which of the following actions should the nurse plan to take?

Choice A rationale

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, not a virus, and it is curable with appropriate antibiotic therapy, such as ceftriaxone. Informing the client that it is a virus and incurable provides false and misleading information, which could lead to non-adherence to treatment and continued transmission of the infection to sexual partners.

Choice B rationale

The presence of a chancre, or primary lesion, is the hallmark clinical manifestation of primary syphilis, an infection caused by the spirochete Treponema pallidum. Although both are sexually transmitted infections, gonorrhea typically presents with urethritis, cervicitis, or pharyngeal infection, not a chancre, which makes this assessment finding irrelevant to a diagnosis of gonorrhea.

Choice C rationale

Public health mandates and ethical responsibilities require the nurse to conduct thorough contact tracing for sexually transmitted infections like gonorrhea. Obtaining information about the client's recent sexual partners is vital so that they can be notified, tested, and treated, preventing further disease propagation and potential long-term complications, such as pelvic inflammatory disease.

Choice D rationale

A diaphragm is a barrier method primarily used for contraception and offers minimal protection against sexually transmitted infections like gonorrhea because it does not cover the external genitalia. The nurse should instruct the client on the consistent and correct use of condoms (male or female) as the most effective barrier method for preventing reinfection and transmission. 80mm.5pt.

Choice A rationale

Polyuria is defined as excessive or abnormally large production or passage of urine, often greater than 2.5 liters in a 24-hour period. It is typically associated with conditions like diabetes mellitus (osmotic diuresis) or diabetes insipidus (deficiency of antidiuretic hormone). A routine urinary tract infection (UTI) usually presents with symptoms like increased frequency and urgency, but not necessarily an increase in total urine volume.

Choice B rationale

Urinary frequency is a classic symptom of a urinary tract infection (UTI), particularly cystitis (bladder infection). Inflammation and irritation of the bladder lining (urothelium) caused by the colonizing bacteria (often E. coli) lead to increased sensitivity and involuntary detrusor muscle contractions, resulting in a persistent, urgent, and frequent need to void small amounts of urine.

Choice C rationale

Dysuria, or painful and difficult urination, is a hallmark clinical manifestation of a urinary tract infection (UTI). The discomfort arises from the inflammatory response in the urethra and bladder lining (mucosa) as the body attempts to fight the bacterial invasion, causing a burning sensation, especially upon the passage of acidic urine over the inflamed tissues.

Choice D rationale

Dependent edema is the accumulation of excess interstitial fluid in the body's lower extremities due to the effect of gravity, often associated with systemic conditions like heart failure (elevated venous pressure) or renal disease (proteinuria/hypoalbuminemia). It is not a typical or expected finding directly associated with an uncomplicated, localized urinary tract infection (UTI).

Choice E rationale

Hematuria, the presence of blood in the urine, is a common finding in urinary tract infections (UTIs), especially cystitis. Inflammation and damage to the delicate capillary walls and mucosal lining of the bladder and lower urinary tract by the invading bacteria (e.g., E. coli) and the host's immune response can lead to the leakage of red blood cells into the urine.