A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching?

Transmission of the disease will not occur when my lesions are gone.

The use of condoms will reduce the risk of transmission.

Antiviral medications will not cure the infection.

Abstaining from sexual activity reduces the risk of transmission of the disease.

Answer and Explanation

The Correct Answer is A

A. Transmission of the disease will not occur when my lesions are gone: This is incorrect. Genital herpes can still be transmitted even when lesions are not present, due to asymptomatic viral shedding.
B. The use of condoms will reduce the risk of transmission: This is correct. Condoms can reduce the risk of transmission but do not completely eliminate it, as herpes can be transmitted through skin-to-skin contact not covered by the condom.
C. Antiviral medications will not cure the infection: This is correct. Antiviral medications help manage symptoms and reduce the frequency of outbreaks but do not cure herpes.
D. Abstaining from sexual activity reduces the risk of transmission of the disease: This is correct. Abstaining from sexual activity during outbreaks or when symptoms are present reduces the risk of spreading the virus.

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Correct Answer is C

Explanation

A. Massage the legs: This is incorrect. Massage is contraindicated as it can cause further tissue damage and is not appropriate for frostbite.
B. Apply dry heat to the legs: This is incorrect. Dry heat can exacerbate tissue damage. Rewarming should be done using controlled, warm water immersion, not dry heat.
C. Elevate the legs: This is correct. Elevating the legs helps reduce swelling and can prevent further tissue damage. However, rewarming should be done carefully in a controlled environment.
D. Immerse the legs in cold water: This is incorrect. Immersing in cold water would worsen the frostbite. Rewarming should be done using warm (not hot) water, ideally at 37-39°C (98.6-102.2°F), for effective treatment.

A. Extreme abdominal pain with intercourse B. Postmenopausal bleeding C. Decreased white blood cell count D. Bilateral swelling on the posterior of the vulva

Correct Answer is B

Explanation

A. Extreme abdominal pain with intercourse: This is less specific for endometrial cancer and more indicative of conditions such as pelvic inflammatory disease or endometriosis.
B. Postmenopausal bleeding: This is correct. Postmenopausal bleeding is a common symptom of endometrial cancer and warrants further evaluation.
C. Decreased white blood cell count: This is incorrect. Endometrial cancer does not typically present with a decreased white blood cell count; it may present with normal or elevated levels depending on the stage and presence of infection.
D. Bilateral swelling on the posterior of the vulva: This is incorrect. Swelling of the vulva is not characteristic of endometrial cancer but may be associated with other gynecological issues.

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A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching?

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Naxlex Comprehensive Predictor Exams

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