A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)

The client is Black.

The client has several sexual partners.

The client is male.

The client has sex with men.

The client is 37 years old.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason:
The statement "The client is Black" does not contribute to the risk of chlamydia based on race alone. Chlamydia infection rates are influenced by a variety of factors, including access to healthcare and socioeconomic status, rather than race itself.

Choice B reason:
Having multiple sexual partners significantly increases the risk of contracting sexually transmitted infections (STIs) like chlamydia because it raises the likelihood of exposure to an infected partner.

Choice C reason:
While being male is not a risk factor in itself, men who have sex with men (MSM) are at a higher risk for STIs like chlamydia due to biological and behavioral factors that facilitate transmission.

Choice D reason:
Engaging in sexual activities with men is a known risk factor for chlamydia among MSM due to the higher prevalence of this STI within this group.

Choice E reason:
The age of 37 does not specifically contribute to the risk of chlamydia. However, chlamydia is more commonly diagnosed in younger individuals, typically those under 25 years old, due to higher rates of new and multiple sexual partnerships.

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Correct Answer is ["B","C","E"]

Explanation

Choice A reason:
Increased hematocrit levels are not typically associated with fluid overload. In fact, hematocrit may decrease in fluid overload due to hemodilution, where the volume of plasma increases, diluting the concentration of red blood cells.

Choice B reason:
An increased respiratory rate can be a sign of fluid overload. As fluid accumulates in the body, it can lead to pulmonary edema, which is the buildup of fluid in the lung's air sacs. This can impair gas exchange and lead to increased respiratory rate as the body attempts to compensate for reduced oxygenation.

Choice C reason:
Increased blood pressure is a common finding in fluid overload. As the volume of fluid in the bloodstream increases, it can lead to higher blood pressure due to the extra fluid that the heart must pump and the increased resistance in the blood vessels.

Choice D reason:
Increased temperature is not a direct finding associated with fluid overload. While fever may indicate an infection or other conditions, it is not specifically related to the volume of fluid in the body.

Choice E reason:
An increased heart rate may occur in fluid overload as the heart works harder to pump the excess volume of blood through the body. This compensatory mechanism aims to maintain adequate circulation and blood pressure despite the increased fluid volume.

A. "I need to urinate a small amount in the toilet before collecting the sample." B. "I should let the urine cool to room temperature before sending it to the lab." C. "I will wipe from back to front with the cleansing cloth." D. "I should not collect a urine sample when I am menstruating."

Correct Answer is A

Explanation

Choice A Reason:
The instruction to urinate a small amount into the toilet before collecting the sample is correct because it helps clear the urethra of organisms that could contaminate the specimen. This initial void helps to flush out bacteria that are present at the opening of the urethra.

Choice B Reason:
This choice is incorrect because urine samples should be kept at body temperature and sent to the lab as soon as possible. Cooling the urine can lead to precipitation of solutes and may affect the results of certain tests.

Choice C Reason:
This statement is incorrect. The proper technique for cleansing prior to urine collection is to wipe from front to back, not back to front. Wiping from back to front can contaminate the urine with bacteria from the anal area.

Choice D Reason:
It is advisable not to collect a urine sample during menstruation unless absolutely necessary because menstrual blood can contaminate the urine specimen, leading to inaccurate test results.

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A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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