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 D
Explanation
Choice A reason: Bringing foods from home may encourage eating but does not address the underlying issue of visual perception.
Choice B reason: Reassuring about weight loss recovery is not helpful in the immediate context of improving meal intake.
Choice C reason: Encouraging the family to feed the client may help but does not promote independence.
Choice D reason:
The correct answer is d) because teaching visual scanning techniques can help the client compensate for visual perception difficulties and increase food intake.
Correct Answer is D
Explanation
Choice A reason: Decreased weeping is not the primary expected therapeutic response of urea cream.
Choice B reason: Reduced pain is beneficial but not the primary expected response.
Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response.
Choice D reason:
The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for eczema management.
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