A nurse is caring for a client who has an acute ankle sprain.Which of the following actions should the nurse take? (Select all that apply.)

Choice A rationale

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, not a virus, and it is curable with appropriate antibiotic therapy, such as ceftriaxone. Informing the client that it is a virus and incurable provides false and misleading information, which could lead to non-adherence to treatment and continued transmission of the infection to sexual partners.

Choice B rationale

The presence of a chancre, or primary lesion, is the hallmark clinical manifestation of primary syphilis, an infection caused by the spirochete Treponema pallidum. Although both are sexually transmitted infections, gonorrhea typically presents with urethritis, cervicitis, or pharyngeal infection, not a chancre, which makes this assessment finding irrelevant to a diagnosis of gonorrhea.

Choice C rationale

Public health mandates and ethical responsibilities require the nurse to conduct thorough contact tracing for sexually transmitted infections like gonorrhea. Obtaining information about the client's recent sexual partners is vital so that they can be notified, tested, and treated, preventing further disease propagation and potential long-term complications, such as pelvic inflammatory disease.

Choice D rationale

A diaphragm is a barrier method primarily used for contraception and offers minimal protection against sexually transmitted infections like gonorrhea because it does not cover the external genitalia. The nurse should instruct the client on the consistent and correct use of condoms (male or female) as the most effective barrier method for preventing reinfection and transmission. 80mm.5pt.

Choice A rationale

Vitamin D is crucial for calcium absorption in the gut, which is essential for bone mineralization and strength. Osteoporosis is characterized by decreased bone mass, so a decrease in Vitamin D intake would exacerbate the condition by impairing calcium homeostasis and potentially leading to hypocalcemia and increased bone resorption.

Choice B rationale

Weight-bearing exercises, such as walking, stimulate osteoblast activity, promoting bone formation and increasing bone mineral density. A consistent regimen, such as walking five times a week, applies mechanical stress to the bone, which is a known physiological stimulus for bone remodeling and is effective in slowing bone loss associated with osteoporosis.

Choice C rationale

Corticosteroids (e.g., prednisone) are well-known to be a risk factor for osteoporosis. They increase bone resorption, decrease bone formation, and impair calcium absorption, leading to accelerated bone loss. Their use would be contraindicated for managing osteoporosis symptoms, as it worsens the underlying pathology.

Choice D rationale

Applying cool clothes or ice is primarily effective for acute inflammation or muscle strains. While potentially helpful for temporary joint pain, it does not address the underlying systemic pathology of osteoporosis, which is a reduction in bone density and structural integrity, not a primary inflammatory joint process. Management focuses on slowing bone loss and preventing fractures.