The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?

Emphasize that using safe sex practices removes the risk of sexually transmitted Infections (STIs)

Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse.

Discuss that partners without similar symptoms may not be infected.

Instruct the client on the importance of notifying sexual partners.

Answer and Explanation

The Correct Answer is D

A. Emphasize that using safe sex practices removes the risk of sexually transmitted infections (STIs):
While safe sex practices significantly reduce the risk of STIs, they do not eliminate it entirely. It is important to communicate that while the risk is reduced, it is not completely absent.

B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse:
This statement is not entirely accurate. While most STIs are transmitted through sexual intercourse, some can also be spread through other means, such as blood contact or from mother to child during childbirth.

C. Discuss that partners without similar symptoms may not be infected:
STIs like gonorrhea can be asymptomatic in many individuals, meaning they can still transmit the infection to others even if they do not show symptoms. This response could be misleading, as it may cause the client to mistakenly believe that partners without symptoms are not at risk.

D. Instruct the client on the importance of notifying sexual partners:
It is crucial for the client to notify all sexual partners about the infection so that they can be tested and treated if necessary. This helps prevent the further spread of the infection and ensures that partners receive appropriate care.

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Correct Answer is B

Explanation

A) Provide dorm teaching sessions about the need to finish prescribed antibiotic doses:
While educating about antibiotic adherence is important, it is not specifically targeted to meningococcal meningitis. This intervention is more relevant to managing infections rather than preventing meningococcal meningitis, which is primarily preventable through vaccination.

B) Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living:
Meningococcal meningitis is a significant risk in college environments due to close living conditions. The meningococcal polysaccharide vaccine is effective in preventing the disease. Encouraging incoming freshmen to receive this vaccine before starting dorm life directly addresses the prevention of meningococcal meningitis and is the most effective measure for reducing incidence in this high-risk population.

C) Require documentation from incoming freshmen that Haemophilus influenza type b (Hib) vaccinations are current:
While Hib vaccinations are important for preventing certain bacterial infections, they are not specifically related to meningococcal meningitis. The Hib vaccine is not a primary prevention method for meningococcal disease, making this measure less relevant for addressing meningococcal meningitis.

D) Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors:
Isoniazid is used for tuberculosis prophylaxis, not for preventing meningococcal meningitis. Developing a protocol for isoniazid would not impact the incidence of meningococcal meningitis and is therefore not relevant to this particular prevention goal.

A. The Senior Citizen Center. B. The Social Security Administration office. C. The Adult Day Care Center. D. The Women, Infant, and Children office.

Correct Answer is A

Explanation

A. The Senior Citizen Center: The Senior Citizen Center is a resource that offers a variety of services to older adults, including social activities, meal programs, and support services. Given the client's recent weight loss and living alone, referring them to the Senior Citizen Center could provide access to resources and support that might help address potential underlying issues such as social isolation or inadequate nutrition.

B. The Social Security Administration office: The Social Security Administration (SSA) office handles matters related to social security benefits, such as retirement, disability, and survivor benefits. While important, it does not provide the kind of immediate support and services related to the client's weight loss and daily needs.

C. The Adult Day Care Center: The Adult Day Care Center provides daytime care and activities for older adults who need supervision or assistance during the day. Since the client drives and lives alone, this may not be the most appropriate referral unless there are additional concerns about daily supervision or care needs.

D. The Women, Infant, and Children (WIC) office: The WIC program provides nutrition assistance to low-income pregnant women, new mothers, and young children. It is not relevant for older adults, so this would not be the appropriate agency for addressing the client’s needs related to weight loss.

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The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?

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Naxlex Comprehensive Predictor Exams

Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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