A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?

"The medication will decrease manifestations but not cure the infection."

"I need to take all the antibiotics, as prescribed, to treat the infection."

"If I don't have any lesions, I can't transmit the infection to my partner."

"Once I finish the medication, my partner is not at risk for getting the infection."

Answer and Explanation

The Correct Answer is A

Choice A reason:
This statement is correct. Medications for genital herpes, such as antiviral drugs, can help decrease the severity and frequency of symptoms but do not cure the infection. The herpes simplex virus remains in the body and can cause recurrent outbreaks.

Choice B reason:
This statement is incorrect and indicates a misunderstanding. Genital herpes is caused by the herpes simplex virus and cannot be treated with antibiotics, which are effective only against bacterial infections. Antiviral medications are used to treat viral infections like genital herpes.

Choice C reason:
This statement is incorrect. Genital herpes can be transmitted to a partner even when lesions are not present. The virus can be shed from the skin even without visible symptoms, a process known as asymptomatic viral shedding.

Choice D reason:
This statement is incorrect. Even after finishing a course of medication, the risk of transmitting genital herpes to a partner remains because the virus persists in the body. Safe sex practices, including the use of condoms, can help reduce the risk of transmission.

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Correct Answer is C

Explanation

Choice A reason:
Determining the client's understanding of the procedure is important as it ensures informed consent and can help alleviate anxiety. However, while this is a necessary part of preoperative care, it may not be the immediate priority¹.

Choice B reason:
Establishing the need for psychological support is a valuable aspect of holistic care. It addresses the client's emotional well-being and can improve overall satisfaction with the surgical experience. Nonetheless, it is not the primary focus of the preoperative assessment².

Choice C reason:
Identifying possible surgical risks is the priority in a preoperative assessment. This includes evaluating the client's medical history, current health status, and any factors that could increase the risk of complications during or after surgery. A thorough risk assessment is crucial for planning safe surgical care and for making decisions about proceeding with the surgery¹³.

Choice D reason:
Recognizing resources needed postoperatively is part of discharge planning and is essential for ensuring continuity of care. While it is an important consideration, it is not the immediate priority during the preoperative assessment².

A. "Use closed-ended questions when obtaining the health history." B. "A client's reproductive health history is not needed for counseling purposes." C. "Refer the client to genetic counseling if they have had an STI." D. "Ask about the client's exposure to any past or present STIs."

Correct Answer is D

Explanation

Choice A reason:
Using closed-ended questions when obtaining a health history can be limiting and may not provide the full context of the patient's sexual health risks. Open-ended questions are generally recommended to encourage a more comprehensive discussion about sexual behaviors and risks.

Choice B reason:
A client's reproductive health history is crucial for counseling purposes. It provides insight into potential risks for STIs and helps tailor the counseling to the client's specific needs and circumstances.

Choice C reason:
Referring a client to genetic counseling for having had an STI is not typically necessary. Genetic counseling is more relevant for hereditary conditions and is not a standard part of STI management.

Choice D reason:
Asking about a client's exposure to past or present STIs is essential in STI counseling. It helps assess the client's risk level and informs the necessary prevention and treatment strategies.

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A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for surgery. Which of the following is a priority when completing an assessment preoperatively?

Correct Answer is C

Explanation

A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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