During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes.

Which nursing intervention has the highest priority?

Assess her feelings about therapeutic abortions in the event the infant has been affected

Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary.

Instruct her to avoid sexual intercourse while active, visible lesions are present.

Determine if the client has taken acyclovir for this outbreak of genital herpes.

Answer and Explanation

The Correct Answer is C

A.   Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to address concerns, the immediate priority is to manage the current outbreak and prevent transmission.
B.   Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C.   Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D.   Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.

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Correct Answer is D

Explanation

A. The UAPs keep their backs straight and knees bent when moving the client. - This indicates the UAPs are following proper body mechanics for moving the client safely.

B. A turning sheet is used under the client for turning and repositioning. - Using a turning sheet aids in reducing friction and facilitating smooth turning, indicating familiarity with proper
procedures.

C. An abduction pillow is placed between the client's legs when positioned. - This indicates awareness of the need to maintain proper positioning and prevent dislocation after hip surgery.

D. The client is told to keep both legs straight and together while turning. - After a hip arthroplasty, it's crucial to avoid certain movements like keeping both legs straight, as this can stress the hip joint or prosthesis, indicating a need for additional information about proper post-operative positioning.

A. Foam mattress pad. B. Trapeze bar. C. Trochanter rolls. D. Draw sheet.

Correct Answer is C

Explanation

A. Foam mattress pad - Foam mattress pads primarily provide cushioning and pressure relief, not specifically designed to prevent hip rotation.
B. Trapeze bar - Trapeze bars assist with mobility but do not directly prevent hip rotation.
C. Trochanter rolls - These are specifically designed to prevent external rotation of the hips by supporting the thighs, aiding in maintaining proper hip alignment.
D. Draw sheet - While useful for repositioning and transferring patients, a draw sheet doesn't prevent hip rotation when the patient is in a supine position

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During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

Correct Answer is D

Explanation

The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

Correct Answer is C

Explanation

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

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The practical nurse (PN) is caring for a 3-month-old male infant two days after a pylorotomy and notices that the infant is restless, grimacing, and drawing his knees to his chest. What action should the PN implement?

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes.

Which nursing intervention has the highest priority?