A home health nurse is scheduled for a first time visit to a client. Which of the following should the nurse perform first?

Choice A reason: Creating diversionary activities for children is not the priority action for the nurse to take. This is a supportive intervention that can help the children cope with the stress and trauma of the disaster, but it should be done after the nurse has ensured the safety and well-being of the clients.

Choice B reason: Addressing the physical needs of clients is the priority action for the nurse to take. This is based on the principle of Maslow's hierarchy of needs, which states that the nurse should prioritize the most basic and essential needs of the clients, such as food, water, shelter, clothing, and medical care. The nurse should assess the clients for any injuries, illnesses, or chronic conditions, and provide appropriate interventions or referrals.

Choice C reason: Helping clients gather needed supplies is not the priority action for the nurse to take. This is a helpful intervention that can assist the clients to obtain the resources and materials they need to survive and recover from the disaster, but it should be done after the nurse has addressed the physical needs of the clients.

Choice D reason: Exploring feelings the clients are experiencing is not the priority action for the nurse to take. This is a therapeutic intervention that can facilitate the emotional and psychological healing of the clients, but it should be done after the nurse has addressed the physical needs of the clients. The nurse should also respect the clients' readiness and willingness to share their feelings, and avoid forcing or rushing the process.

Choice A reason: You should avoid sexual contact until therapy is complete. This is to prevent the transmission of the infection to others, and to avoid reinfection or complications. The usual treatment for chlamydia is a single dose of an antibiotic, such as azithromycin or doxycycline. You should abstain from sexual activity for at least 7 days after taking the medication.

Choice B reason: Notify anyone with whom you have had sexual contact over the past 2 months. This is to inform them of their possible exposure to the infection, and to encourage them to get tested and treated if necessary. Chlamydia is a sexually transmitted infection that can cause pelvic inflammatory disease, infertility, ectopic pregnancy, and neonatal complications. It can also increase the risk of acquiring or transmitting other STIs, such as HIV.

Choice C reason: You will need to take an antiviral medication for 30 days. This is not a correct information that the nurse should include in the teaching. Chlamydia is a bacterial infection, not a viral infection. Antiviral medications are not effective against chlamydia, and are not indicated for its treatment.

Choice D reason: Once you complete treatment, you will have an acquired immunity against chlamydia. This is not a correct information that the nurse should include in the teaching. Chlamydia does not confer immunity, and you can get infected again if you are exposed to the bacteria. You should get tested for chlamydia at least once a year, or more often if you have multiple or new sexual partners.

Choice E reason: You might experience painful urination until the infection has resolved. This is a correct information that the nurse should include in the teaching. Chlamydia can cause inflammation and irritation of the urethra, which can result in dysuria, or painful or difficult urination. Other symptoms of chlamydia may include abnormal vaginal or penile discharge, lower abdominal pain, bleeding between periods, or pain during sex. However, some people may not have any symptoms, and may not know they are infected. Therefore, it is important to get tested regularly and to use condoms to prevent the spread of the infection.