The nurse is caring for a client diagnosed with the sexually transmitted infection (STI) chlamydia. The client reports having sex with multiple partners. Which response should the nurse provide?
Explain that reporting the infection to health agencies is required.
Discuss that partners without similar symptoms may not be infected.
Urge the client to have regular STI screening every two years.
Provide counseling that most contraceptives protect against infection.
The Correct Answer is A
Choice A reason: Chlamydia is a reportable disease in many jurisdictions. Public health reporting helps with contact tracing and reducing community spread. The nurse must inform the client of this legal and ethical obligation to notify health authorities.
Choice B reason: This statement is misleading. Many individuals with chlamydia are asymptomatic but still infectious. Assuming that asymptomatic partners are not infected can lead to untreated transmission and complications such as pelvic inflammatory disease.
Choice C reason: STI screening should be more frequent than every two years for individuals with multiple partners. The CDC recommends annual screening for sexually active individuals under 25 and more frequent testing for high-risk populations.
Choice D reason: Most contraceptives, such as oral pills or IUDs, do not protect against STIs. Only barrier methods like condoms offer protection. This statement could falsely reassure the client and increase risk of transmission.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: An A1C of 9.1% is significantly above the target range and indicates poor glycemic control. Congratulating the client would be inappropriate and misleading, potentially undermining the seriousness of the situation.
Choice B reason: While the value should be communicated to the healthcare provider, immediate reporting is not typically required unless the client is symptomatic or experiencing complications. The nurse’s role includes assessment and education before escalation.
Choice C reason: Asking the client why their A1C is out of control may come across as accusatory and lacks therapeutic communication. It does not foster collaboration or support behavior change. The nurse should use motivational interviewing and assessment techniques instead.
Choice D reason: Exploring the diabetes self-care regimen allows the nurse to identify gaps in medication adherence, dietary habits, physical activity, and glucose monitoring. This approach supports patient-centered care and enables tailored interventions to improve glycemic control.
Correct Answer is C
Explanation
Choice A reason: Starting antitubercular medications without confirming active disease is premature. A positive skin test indicates exposure, not necessarily active TB. Further diagnostic evaluation is required before initiating treatment.
Choice B reason: Rescreening the entire population may be necessary depending on exposure risk, but it is not the immediate priority. The first step is to determine whether the two inmates have active TB.
Choice C reason: Chest x-rays are the next diagnostic step after a positive skin test to assess for active pulmonary TB. This helps determine whether the individuals are infectious and guides further management, including isolation and treatment.
Choice D reason: Screening prison guards may be appropriate if exposure is confirmed, but it is secondary to evaluating the inmates who tested positive. The guards’ risk depends on the inmates’ disease status.
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