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 B

Explanation

Encouraging a warm sleeping environment might exacerbate itching for some individuals.

Keeping fingernails trimmed short prevents skin damage from scratching and reduces the risk of infection.

Using skin lubricants can often alleviate pruritus by moisturizing the skin.

Tub baths with certain additives can exacerbate itching, but not all types of tub baths need to be avoided.

A. Fresh cherries. B. Vanilla wafers. C. Cheddar cheese. D. Hard-boiled egg.

Correct Answer is C

Explanation

A. Fresh cherries are not typically high in tyramine and are usually considered safe for individuals trying to reduce tyramine intake.
B. Vanilla wafers generally do not contain significant amounts of tyramine and are often considered safe for those aiming to reduce tyramine intake.
C. Cheddar cheese is high in tyramine and should be avoided by individuals attempting to decrease their intake of tyramine-containing foods to manage migraines.
D. Hard-boiled eggs are not high in tyramine and are typically safe for consumption in individuals trying to reduce tyramine intake.

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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

Which intervention should the practical nurse (PN) reinforce for a client with pruritus?

Correct Answer is B

Explanation

A female client who has migraine headaches wants to decrease her intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which snack choice should the practical nurse recommend that she eliminate from her diet?

Correct Answer is C

Explanation

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The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?

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?