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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Hematuria is expected after lithotripsy and should be monitored, but it is not the most critical instruction.

Choice B reason: Using an incentive spirometer is important for respiratory care but not specific to lithotripsy.

Choice C reason: Restricting physical activities is not necessary unless advised by the healthcare provider.

Choice D reason:

The correct answer is d) because monitoring the urinary stream for a decrease in output is crucial to detect any complications such as obstruction or infection after lithotripsy.

A. Antibiotics take two weeks to become effective against infections such as athlete's foot. B. Continue using the ointment for a full week, even after the symptoms disappear. C. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration. D. Stop using the ointment and encourage complete drying of feet and wearing clean socks.

Correct Answer is D

Explanation

Choice A reason: Antibiotics are not effective against fungal infections like athlete's foot.

Choice B reason: Continuing the use of antibiotics will not help with a fungal infection.

Choice C reason: Applying a thin layer of ointment is not relevant for treating athlete's foot with antibiotics.

Choice D reason:

The correct answer is d) because athlete's foot is a fungal infection, and proper foot hygiene, including keeping the feet dry and wearing clean socks, is essential for treatment.

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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?

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Naxlex Comprehensive Predictor Exams

A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?

Correct Answer is D

Explanation

The parent of an adolescent tells the clinic nurse, "My child has athlete's foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

Correct Answer is D

Explanation

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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?