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 D
Explanation
A. "Do you like your new school?": This question invites only a yes-or-no response and provides limited information. It does not encourage the child to elaborate on specific experiences or interactions that might be affecting adjustment.
B. "Are you happy with your teacher?": While this question addresses one aspect of the school environment, it is also close-ended and may not fully reveal the child’s feelings or experiences related to school adjustment.
C. "Do you enjoy reading a book?": This question focuses on a specific activity rather than the broader social and emotional adjustment to school. It does not assess interactions with peers or the classroom environment.
D. "What are your new classmates like?": This open-ended question encourages the child to describe social relationships and peer interactions, which are key factors in school adjustment at this age. It provides valuable insight into the child’s feelings, social adaptation, and possible sources of stress or comfort.
Correct Answer is C
Explanation
A. Pap test: A Pap test screens for cervical cancer by detecting abnormal cervical cells. It cannot diagnose endometriosis because the condition involves endometrial tissue growing outside the uterus, not within the cervix.
B. Abdominal ultrasound: While an ultrasound can help identify ovarian cysts or endometriomas, it cannot definitively confirm endometriosis. Ultrasound imaging may miss small or deep lesions that are only visible during direct visualization.
C. Laparoscopy: Laparoscopy is the gold standard for diagnosing endometriosis. It allows direct visualization of endometrial implants and adhesions in the pelvic cavity, and tissue samples can be taken for biopsy to confirm the diagnosis.
D. Hysterosalpingogram: This imaging test evaluates the shape of the uterine cavity and patency of the fallopian tubes using contrast dye. It is primarily used in infertility assessments, not for diagnosing endometriosis.
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