A nurse is teaching a woman with genital herpes how to care for the lesions. Which statement by the client indicates a need for additional teaching?
"I should avoid applying ice or heat to my genital area."
"I need to wash my hands after touching any of the lesions."
"I can try lukewarm sitz baths to help ease the discomfort."
"I need to abstain from intercourse primarily when the lesions are present."
The Correct Answer is A
A. "I should avoid applying ice or heat to my genital area.": Applying ice packs wrapped in a clean cloth can help relieve pain and swelling associated with genital herpes. Heat, however, should be avoided as it may increase irritation.
B. "I need to wash my hands after touching any of the lesions.": Proper hand hygiene is essential to prevent autoinoculation or transmission of the herpes virus to other body parts or individuals. Washing hands thoroughly after contact with lesions helps minimize the risk of spreading the infection.
C. "I can try lukewarm sitz baths to help ease the discomfort.": Sitz baths using lukewarm water can soothe irritated tissues, promote cleanliness, and provide comfort during outbreaks. This measure helps relieve pain without aggravating the lesions.
D. "I need to abstain from intercourse primarily when the lesions are present.": Abstaining from sexual contact during active outbreaks reduces the risk of transmitting the herpes virus. However, even when lesions are absent, the virus can still shed asymptomatically, so barrier protection should always be recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
Determine the concentration of the Cipro solution in milligrams per milliliter (mg/mL).
Available dose = 400 mg
Available volume = 200 mL
Concentration (mg/mL) = (Available dose (mg) / Available volume (mL))
= (400 mg / 200 mL)
= 2 mg/mL.
Calculate the flow rate in mL/hr.
Ordered infusion rate = 200 mg/hr
Flow rate (mL/hr) = (Ordered rate (mg/hr) / Concentration (mg/mL))
= (200 mg/hr / 2 mg/mL)
= 100 mL/hr.
Correct Answer is A
Explanation
A. Tell the client she will need to learn to live with the problems: This approach dismisses the client’s symptoms and delays diagnosis. Abnormal uterine bleeding can result from hormonal imbalance, uterine fibroids, or malignancy, and requires diagnostic evaluation and treatment.
B. Prepare her for an ultrasound to check internal pelvic structures: A pelvic ultrasound is an appropriate diagnostic tool to identify possible causes such as uterine fibroids, endometrial abnormalities, or ovarian cysts. It provides valuable information about the internal reproductive organs.
C. Obtain a prescription for CBC and PT blood test: Laboratory tests like a complete blood count (CBC) and prothrombin time (PT) help assess anemia from blood loss and detect possible coagulation disorders that may contribute to abnormal bleeding.
D. Obtain a prescription for pregnancy test to rule out ectopic pregnancy: A pregnancy test is appropriate because irregular bleeding may be an early sign of ectopic pregnancy. Ruling out pregnancy is a necessary first step in evaluating any woman of childbearing age presenting with abnormal bleeding.
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