During the nursing assessment of a 23-year-old female patient, the nurse considers the patient's risk for sexually transmitted diseases (STDs). Which statement by the patient indicates the most need for patient teaching?
"I have an IUD and have had the same boyfriend for 3 years."
“I have never been tested for syphilis or chlamydia."
"I make an appointment every year for a pelvic exam."
"I use the birth control pill because I am not ready to settle down yet."
The Correct Answer is B
A. "I have an IUD and have had the same boyfriend for 3 years.": Being in a mutually monogamous relationship reduces the risk of acquiring STDs, and the presence of an IUD primarily prevents pregnancy rather than influencing STD risk. This statement indicates lower concern for immediate STD education.
B. “I have never been tested for syphilis or chlamydia.": Lack of screening for common STDs places the patient at increased risk of undiagnosed infections. Chlamydia and syphilis can be asymptomatic but cause long-term complications, highlighting the critical need for patient teaching about routine testing and early detection.
C. "I make an appointment every year for a pelvic exam.": Annual pelvic exams are important for reproductive health and early detection of abnormalities, but they do not guarantee protection against STDs. The patient demonstrates proactive preventive care in this context.
D. "I use the birth control pill because I am not ready to settle down yet.": Using oral contraceptives addresses pregnancy prevention but does not prevent STDs. While additional teaching on barrier protection may be warranted, this statement primarily reflects awareness of contraceptive needs rather than immediate high-risk behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Unruptured membranes: Internal fetal monitoring devices, such as a fetal scalp electrode or intrauterine pressure catheter, require rupture of membranes to access the amniotic fluid and fetal scalp. Attempting insertion with intact membranes increases the risk of trauma, infection, and procedural failure.
B. Cervix is dilated to 4 cm: A cervical dilation of 4 cm is typically sufficient for safe internal monitoring once membranes are ruptured. The degree of dilation itself does not prevent application, provided other criteria for internal monitoring are met.
C. External monitors are currently being used: External monitoring is noninvasive and can be used concurrently or as an initial step. The presence of external monitors does not contraindicate internal monitoring; internal devices are considered when more accurate fetal heart rate or contraction data are needed.
D. Fetus has a known heart defect: Some fetal heart defects may alter baseline heart rate or variability but do not automatically preclude the use of internal monitoring devices. Internal monitoring can still be applied safely if membranes are ruptured and other clinical criteria are met.
Correct Answer is B
Explanation
A. Prevent reinfection during treatment: Antibiotics do not prevent reinfection; reinfection can occur if sexual partners are not treated or if protective measures are not used. Counseling about partner treatment and safe sex is necessary.
B. Treat any coexisting chlamydial infection: Gonorrhea and chlamydia often occur concurrently. Ceftriaxone targets Neisseria gonorrhoeae, while doxycycline is effective against Chlamydia trachomatis, addressing potential coinfection to ensure comprehensive treatment.
C. Eradicate resistant strains of N. gonorrhoeae: While ceftriaxone is effective against most gonococcal strains, doxycycline is not used to treat gonorrhea. This combination does not target resistant gonococcal strains.
D. Prevent the development of resistant organisms: The purpose of the combination is not primarily resistance prevention but rather to treat coinfection. Resistance prevention involves proper dosing, adherence, and avoiding unnecessary antibiotic use.
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