The nurse is educating a client just diagnosed with human immunodeficiency virus (HIV) about the use of condoms to prevent sexual transmission. Which statement made by the client indicates that the education provided is understood?
"A condom needs to be used for intercourse but is not necessary for oral contact."
"If I use condoms consistently, they are very effective in preventing transmission."
"Lambskin condoms are the most effective in preventing transmission?
"Condoms are not effective during anal intercourse.
The Correct Answer is B
A. "A condom needs to be used for intercourse but is not necessary for oral contact." — HIV can be transmitted through oral sex, although the risk is lower. Condoms or other barriers (like dental dams) are recommended for all forms of sexual contact.
B. "If I use condoms consistently, they are very effective in preventing transmission." —Consistent and correct use of condoms significantly reduces the risk of HIV transmission during all types of sexual activity.
C. "Lambskin condoms are the most effective in preventing transmission?" — Lambskin condoms can prevent pregnancy but do not effectively block viruses like HIV due to their porous nature. Latex or synthetic condoms are recommended.
D. "Condoms are not effective during anal intercourse." — Condoms are effective during anal intercourse when used correctly, and they are strongly recommended because anal sex carries a higher risk for HIV transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While education on fluid restriction and daily weights is important for long-term management, it does not address the acute respiratory distress the patient is experiencing.
B. Synchronized cardioversion may be considered later for atrial fibrillation, but the immediate concern is respiratory compromise due to fluid overload, not arrhythmia alone.
C. Administering IV furosemide (a loop diuretic) is the priority intervention. The patient is showing signs of acute decompensated heart failure with pulmonary congestion (bibasilar crackles, dyspnea, oxygen saturation of 89%, weight gain). IV diuretics reduce preload and help relieve fluid overload, improving breathing and oxygenation.
D. Notifying the physician is appropriate, but not the first action. The nurse should act on existing orders (e.g., IV diuretics) to stabilize the patient’s condition before escalating.
Correct Answer is C
Explanation
A. Whole grain breads provide some iron, but not in amounts sufficient to correct iron-deficiency anemia, and the iron is non-heme, which is less easily absorbed.
B. Fresh fruits are important for overall nutrition and vitamin C, which enhances iron absorption, but they are not primary sources of iron.
C. Red meat and organ meat are rich in heme iron, which is more readily absorbed by the body and effective in treating iron-deficiency anemia — making them the most appropriate dietary focus.
D. Milk and cheese are low in iron and contain calcium, which can actually inhibit iron absorption, making them less ideal for clients needing more dietary iron.
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