A nurse is educating a group of clients about STIs.
Select all the appropriate nursing assessments related to STIs:
Ask about the number of sexual partners.
Inquire about condom use during sexual activity.
Check for the presence of a painless sore at the site of infection.
Perform a physical examination of the genital area.
Assess for swollen lymph nodes in the neck.
Correct Answer : A,B,D,E
Choice A rationale:
Ask about the number of sexual partners.
Assessing the number of sexual partners is an important nursing assessment related to STIs.
A higher number of sexual partners increases the risk of exposure to STIs.
Understanding this information allows the nurse to provide appropriate education on safe sex practices and the importance of regular STI screenings.
Choice B rationale:
Inquire about condom use during sexual activity.
Inquiring about condom use is crucial when discussing STIs because consistent and correct condom use can significantly reduce the risk of transmission.
Understanding a client's condom use practices provides insight into their level of protection against STIs and can guide the nurse in providing education on safer sex practices.
Choice D rationale:
Perform a physical examination of the genital area.
A physical examination of the genital area is essential for assessing and diagnosing STIs.
Some STIs may present with visible symptoms or lesions in the genital area, and a physical examination helps in identifying these signs.
It also allows for the assessment of any painless sores or unusual skin changes that may indicate an STI.
Choice E rationale:
Assess for swollen lymph nodes in the neck.
Swollen lymph nodes in the neck can be an indicator of certain STIs, particularly syphilis.
Lymphadenopathy is one of the clinical manifestations of syphilis, and assessing for swollen lymph nodes is part of a comprehensive STI assessment.
It can help identify possible systemic involvement of the infection.
Choice C rationale:
Check for the presence of a painless sore at the site of infection.
While the presence of a painless sore is important in diagnosing syphilis, this choice alone is not sufficient as a nursing assessment.
A comprehensive assessment should include inquiries about sexual partners, condom use, and physical examinations, as STIs can manifest in various ways beyond just painless sores.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice a. Initial outbreak.
Choice A rationale:
The initial outbreak, also known as the primary stage of syphilis, is characterized by the appearance of a painless sore called a chancre at the site of infection. This sore typically appears about three weeks after exposure to the bacteria and is a hallmark of the primary stage of syphilis.
Choice B rationale:
The secondary stage of syphilis occurs weeks to months after the initial chancre heals. It is characterized by skin rashes, mucous membrane lesions, and other systemic symptoms such as fever, sore throat, and swollen lymph nodes.
Choice C rationale:
The latent stage of syphilis is a period where the infection is not active, and there are no visible symptoms. This stage can last for years and occurs after the secondary symptoms have resolved.
Choice D rationale:
The tertiary stage of syphilis can occur years to decades after the initial infection if it is not treated. This stage can cause severe health problems, including damage to the heart, brain, and other organs.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Using barrier methods like condoms consistently and correctly during sexual intercourse is an effective prevention strategy for STIs.
Condoms create a barrier that can prevent the exchange of bodily fluids, reducing the risk of infection.
Choice B rationale:
Having a monogamous sexual relationship with a partner who is known to be free of STIs is a preventive measure.
Monogamy with an uninfected partner can reduce the risk of exposure to STIs, but it is essential to ensure both partners are free of STIs through testing.
Choice C rationale:
Engaging in sexual activity without any form of contraception to prevent STIs is not a recommended strategy.
This increases the risk of STI transmission.
The correct approach is to use barrier methods like condoms or other forms of contraception to reduce the risk.
Choice D rationale:
Getting regular STI screenings if you have multiple sexual partners is a crucial preventive measure.
It allows for early detection and treatment of STIs, reducing their spread.
Regular screenings are especially important for individuals with multiple sexual partners or those at higher risk of STIs.
Choice E rationale:
Sharing needles or drug paraphernalia with others is a high-risk behavior that can lead to the transmission of bloodborne infections, including HIV and hepatitis C.
It is not a strategy to prevent STIs; instead, it increases the risk of infection.
Sharing needles should always be avoided.
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