A nurse is caring for a client in a community health clinic who has a new diagnosis of herpes simplex virus type 2 (HSV-2). Which of the following information should the nurse include when teaching the client about the infection?
Having no vesicles prevents the spread of transmission.
Antibiotics are the primary treatment for this infection.
It is a latent infection that may reactivate periodically.
It is recommended any partners receive a vaccine to prevent this infection.
The Correct Answer is C
Rationale:
A. Having no vesicles prevents the spread of transmission: HSV-2 can be transmitted even when no visible lesions are present through asymptomatic viral shedding. The client should use barrier protection, such as condoms, during all sexual activity to reduce transmission.
B. Antibiotics are the primary treatment for this infection: HSV-2 is a viral infection, and antibiotics are ineffective against viruses. The mainstay of treatment involves antiviral medications such as acyclovir, valacyclovir, or famciclovir.
C. It is a latent infection that may reactivate periodically: HSV-2 remains dormant in nerve ganglia after the initial infection and can reactivate intermittently, leading to recurrent outbreaks triggered by stress, illness, or immunosuppression.
D. It is recommended any partners receive a vaccine to prevent this infection: There is currently no vaccine available to prevent HSV-2 infection. Prevention relies on consistent condom use, abstaining during outbreaks, and open communication with sexual partners about infection status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Pain: Persistent or severe pain in a client at the end of life indicates the need for a palliative care consultation. Palliative care focuses on symptom relief, comfort, and quality of life through interdisciplinary management, particularly when standard treatments fail to control pain effectively.
B. Dysphagia: While it requires assessment and dietary modification, it does not independently warrant a palliative consultation unless associated with uncontrolled distress or nutritional compromise.
C. Fatigue: Fatigue is a frequent symptom at the end of life, typically managed through rest, activity pacing, and supportive care. Although it contributes to discomfort, it is not the primary trigger for initiating palliative care unless it severely affects the client’s comfort.
D. Mottling: Mottling is a physical sign of imminent death resulting from decreased circulation. At this stage, palliative or hospice care is often already in place, and new consultation would not alter the course of care.
Correct Answer is D
Explanation
Rationale:
A. Stagger care to avoid taking more than one specimen at a time: While staggering procedures can reduce cumulative stress, it is not a primary strategy for obtaining cooperation from a preschooler for a single blood draw.
B. Apply vapocoolant spray immediately prior to collecting the specimen: Vapocoolant sprays can help numb the skin, but their use in preschoolers requires caution, as sudden cold sensations may startle or frighten the child. Additional preparation and explanation are necessary for acceptance.
C. Ask the parents to leave the room prior to collecting the blood specimen: Preschoolers often feel more secure and cooperative when a parent is present. Removing the parent may increase anxiety and resistance to the procedure, so parental support is usually encouraged.
D. Demonstrate the use of the equipment for the child: Preschoolers benefit from simple, age-appropriate explanations and demonstrations of medical equipment. Showing how the equipment works helps reduce fear, build trust, and increase cooperation during the blood draw.
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