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A nurse is caring for a client who reports a recent episode of painful sores on the perineum, muscle aches, and chills for about 2 weeks.
The client currently denies pain but reports sitting is uncomfortable at times.
The client denies dysuria and reports mild vaginal itching.
What should the nurse anticipate?

A.

Anticipate A

B.

Anticipate B

C.

Anticipate C

D.

Anticipate D .

Answer and Explanation

The Correct Answer is D

Choice A rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate A. Anticipate A might be expected for a different set of symptoms or conditions.

Choice B rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate B. Anticipate B might be expected for a different set of symptoms or conditions.

Choice C rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate C. Anticipate C might be expected for a different set of symptoms or conditions.

Choice D rationale

The client’s symptoms of recent painful sores on the perineum, muscle aches, and chills, along with current discomfort when sitting and mild vaginal itching, could suggest a herpes simplex virus infection or another type of infection. Anticipate D might be an antiviral medication or other treatment to address the suspected condition.


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Related Questions

Correct Answer is A

Explanation

Based on your last menstrual period (LMP) of May 4, 2022, your estimated date of delivery (EDD) would be around February 11, 2023."

Rationale:

  • Calculating the Estimated Date of Delivery (EDD): The EDD can be calculated using Naegele's Rule, which is a standard method used to estimate the due date. The rule involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and adjusting the year if necessary.

  • Application of Naegele’s Rule:

    • Start with the first day of the LMP: May 4, 2022.
    • Subtract three months: February 4, 2022.
    • Add seven days: February 11, 2022.
    • Since the year needs to be adjusted, the EDD is February 11, 2023.

Key Points:

  • Naegele’s Rule is commonly used but assumes a 28-day menstrual cycle and ovulation on the 14th day. Variations in cycle length can affect the accuracy.

Correct Answer is D

Explanation

The correct answer is D. “Before I can help you, I need to know more about your sexual activity.”. Before recommending a specific contraceptive method, it’s important to understand more about the client’s sexual activity. This includes their sexual behaviors, frequency of sexual activity, and their comfort level with different contraceptive methods.

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