A client tells the clinic nurse about experiencing burning on urination, and assessment reveals that the client had sexual intercourse four days ago with a person who was a casual acquaintance. Which action should the nurse implement?
Obtain a specimen of urethral drainage for culture.
Observe the perineal area for a chancre-like lesion.
Identify all sexual partners in the last four days.
Assess for perineal itching, erythema, and excoriation.
The Correct Answer is A
Choice A reason:
The correct answer is a) because obtaining a specimen for culture is essential to diagnose a potential sexually transmitted infection and guide appropriate treatment.
Choice B reason: Observing for a chancre-like lesion may be part of the assessment but is not the first step.
Choice C reason: Identifying sexual partners is important for contact tracing but is secondary to obtaining a diagnostic specimen.
Choice D reason: Assessing for itching and erythema is important but not the immediate priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
The correct answer is a) because checking the skin condition of the lower extremities helps identify complications like diabetic ulcers.
Choice B reason:
The correct answer is b) because assessing sensation in feet and legs helps detect neuropathy, a common complication of diabetes.
Choice C reason:
The correct answer is c) because visual acuity checks help identify diabetic retinopathy.
Choice D reason: Signs of respiratory tract infection are important but not specific to long-term complications of diabetes.
Choice E reason:
The correct answer is e) because serum creatinine and BUN levels help assess kidney function and identify nephropathy.
Correct Answer is B
Explanation
Choice A reason: Deep partial-thickness burns are characterized by blisters and significant pain.
Choice B reason:
The correct answer is b) because full-thickness burns involve all layers of the skin and can extend into underlying tissues. They often appear brown or yellow and are usually painless due to nerve damage.
Choice C reason: Superficial partial-thickness burns affect the epidermis and part of the dermis, causing pain and redness.
Choice D reason: Deep full-thickness burns are also a possible answer, but full-thickness better describes the extent and characteristics given.
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