Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

Choice A rationale:

Emphasize that using safe sex practices removes the risk of STIs. Rationale: While promoting safe sex practices is essential in preventing STIs, this response is not directly addressing the client's situation. The client already reports having unprotected sex, so this choice does not provide relevant information or address the potential consequences.

Choice B rationale:

Explain that reinfections occur from sex with untreated partners. Rationale: This is the correct response. Syphilis is a sexually transmitted infection that can be treated with antibiotics, but reinfections can occur if sexual partners are not treated. This response provides essential information about the potential consequences of unprotected sex with untreated partners.

Choice C rationale:

Clarify that all STIs are transmitted through sexual intercourse. Rationale: While this statement is accurate in a general sense, it does not specifically address the client's situation or the risks associated with syphilis. It lacks the focus needed to educate the client effectively about their current situation.

Choice D rationale:

Provide counseling that most contraceptives protect against infection. Rationale: This response is inaccurate. Contraceptives primarily aim to prevent pregnancy, not protect against STIs. Therefore, it does not address the client's concern or provide relevant information about syphilis.

The correct answer is 21 gtt/min,

To calculate the flow rate (in gtt/min), you can use the following formula: Flow rate (gtt/min) = (Volume to be infused in mL ÷ Time in minutes) × Drop factor (gtt/mL) In this case, the volume to be infused is 1 liter, which is equivalent to 1000 mL. The time for infusion is 12 hours, which is equivalent to 720 minutes. The drop factor is given as 15 gtt/mL. Flow rate (gtt/min) = (1000 mL ÷ 720 min) × 15 gtt/mL = (1.39 gtt/min) × 15 gtt/mL ≈ 20.83 gtt/min Rounded to the nearest whole number, the nurse should regulate the infusion at 21 gtt/min.