The nurse is caring for a client at the clinic who tests positive for the sexually transmitted infection (STI) trichomoniasis. The client reports having sex with multiple partners. Which response should the nurse provide?
Confirm that sexual activity may resume after initial treatment.
Notify that persons with STIs are reported to local health departments.
Provide counseling that most contraceptives protect against infection.
Remain non-judgmental and assure the client of confidentiality.
The Correct Answer is D
Choice A rationale: Sexual activity should be avoided until the client and all sexual partners have completed treatment and are symptom-free. This is to prevent reinfection and transmission of the STI.
Choice B rationale: Persons with STIs are not reported to local health departments unless they have a reportable disease such as syphilis, gonorrhea, chlamydia or HIV. Trichomoniasis is not a reportable disease in most jurisdictions.
Choice C rationale: Most contraceptives do not protect against infection. The only contraceptive method that provides some protection against STIs is the male or female condom.
Choice D rationale: The nurse should remain non-judgmental and assure the client of confidentiality. This is because the nurse has a professional and ethical obligation to respect the client's autonomy, privacy and dignity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D"]
Explanation
- Choice A Rationale: This choice is not optimal because the PN has the skills necessary to assist with the thoracentesis, a procedure that requires clinical judgment and skill, which the UAP does not possess. The RN is also needed to obtain the report from the ED due to the complexity of unstable angina, which requires advanced knowledge and assessment skills.
- Choice B Rationale: This option incorrectly assigns the UAP to prepare the room, which is within their scope, but fails to utilize the PN's skills effectively. The PN should be involved in more complex tasks such as assisting with procedures or obtaining detailed reports, rather than the UAP.
- Choice C Rationale: This choice is inappropriate because it assigns the UAP to assist with the thoracentesis, a task they are not trained for and is outside their scope of practice. The RN should be involved in the more complex care of obtaining the report, and the PN should assist with the thoracentesis.
- Choice D Rationale: This is the correct choice because it utilizes all staff members according to their scope of practice and skills. The PN assists with the thoracentesis, a task they are qualified for, the RN obtains the report on the new admission, which requires advanced knowledge, and the UAP prepares the room, a task that fits their role.
- Choice E Rationale: As there is no Choice E provided in the question, no rationale can be given for this option. It is important to follow the instructions and options given in the scenario to provide accurate and relevant information.
Correct Answer is B
Explanation
Choice A rationale: Vital signs within the normal range two hours after receiving morphine do not indicate an immediate need for intervention by a registered nurse. Choice B rationale: A client reporting severe pain one hour after receiving hydromorphone requires assessment and intervention by a registered nurse to determine the cause of the pain and implement appropriate measures. Hydromorphone is a potent opioid analgesic that can cause serious side effects such as respiratory depression, sedation, hypotension, and constipation. A registered nurse has the knowledge and skills to monitor these effects and intervene if necessary.
Choice C rationale: Changing a fentanyl transdermal patch is a routine procedure and can be safely performed by a practical nurse.
Choice D rationale: A postoperative client reporting incisional pain requires assessment, but the pain level alone does not indica
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