A nurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching?
"I can use natural-skin condoms to prevent sexually transmitted infections."
"I can use petroleum jelly as a lubricant with the condom."
"I can re-use the condom one time after initial use."
"I can store the condoms in the drawer of my nightstand."
The Correct Answer is D
Choice A reason
"I can use natural-skin condoms to prevent sexually transmitted infections." This statement is incorrect. Natural-skin or lambskin condoms are not recommended for preventing sexually transmitted infections (STIs). They may provide some protection against pregnancy but do not effectively protect against STIs. Clients should use latex or polyurethane condoms to reduce the risk of STIs.
Choice B reason
"I can use petroleum jelly as a lubricant with the condom." This statement is also incorrect. Petroleum jelly (Vaseline) and other oil-based lubricants can damage latex condoms, leading to a higher risk of breakage or failure. Clients should use water-based or silicone-based lubricants with latex or polyurethane condoms.
Choice C reason:
"I can re-use the condom one time after initial use." This statement is incorrect. Condoms are designed for single-use only. Reusing a condom increases the risk of breakage, failure, and the transmission of STIs or unwanted pregnancy. Clients should always use a new condom for each sexual act.
Choice D reason:
"I can store the condoms in the drawer of my nightstand." This statement is correct because it indicates that the client understands the proper storage of condoms. Storing condoms in a cool, dry place, such as a drawer or a condom case, helps protect them from damage or deterioration, ensuring they remain effective when needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A.PRN (as needed) restraint prescriptions are not appropriate because restraints should only be used in situations where there is an immediate need for safety and all other methods of de-escalation have failed. Restraint use must be based on a current assessment of the client's behavior, and a specific prescription should be obtained each time restraints are applied.
B.Restraints should be removed every 2 hours to assess the client's skin, circulation, and range of motion, and to provide an opportunity for toileting, hydration, and movement. Prolonged use without breaks increases the risk of complications such as skin breakdown or impaired circulation.
C.Attach the restraint to the bed's side rails. Restraints should not be attached to the bed's side rails because it can lead to serious injuries if the client attempts to climb over the side rails while restrained. Instead, restraints should be attached to specific restraint ties or straps that are part of the bed frame.
D.The client's condition, including circulation, skin integrity, and behavior, should be monitored and documented every 15 minutes while restraints are in use. This frequent assessment helps ensure the client’s safety and comfort, and allows for early identification of potential complications.
Correct Answer is B
Explanation
A. Incorrect. Withholding pain medications for 24 hr after the old patch is removed is a harmful action that could cause severe withdrawal symptoms and uncontrolled pain for the client. The nurse should respect the client's right to refuse treatment and explore the reasons for their decision.
B. Correct. Asking another nurse to witness the disposal of the new patch is a safe and legal action that follows the policies and procedures for handling controlled substances. The nurse should document the disposal of the new patch and report it to the appropriate authority.
C. Incorrect. Sealing the patches in a plastic bag and placing them in the client's trash basket is an unsafe and illegal action that could lead to diversion, misuse, or accidental exposure of fentanyl to others. The nurse should dispose of the patches in a secure and designated container that prevents access by unauthorized persons.
D. Incorrect. Sticking the two patches to each other and placing them in the sharps bin is an unsafe and improper action that could cause contamination, injury, or infection to others who handle or dispose of sharps waste. The nurse should dispose of the patches separately and carefully, avoiding contact with their adhesive surfaces.
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