A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching? (Select all that apply)
You should avoid sexual contact until therapy is complete.
Notify anyone with whom you have had sexual contact over the past 2 months.
You will need to take an antiviral medication for 30 days.
Once you complete treatment, you will have an acquired immunity against chlamydia.
You might experience painful urination until the infection has resolved.
Correct Answer : A,B,E
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Alerting the family members of coworkers about possible exposure to anthrax is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The family members of coworkers are not at risk of infection, and alerting them may cause unnecessary panic and stigma.
Choice B reason: Placing the employee under quarantine for 14 days is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The employee does not need to be isolated from others, and quarantine may interfere with their access to medical care and social support.
Choice C reason: Referring coworkers who might have been exposed to a provider for prophylactic antibiotics is an action that the nurse should take. Anthrax is a serious bacterial infection that can be fatal if left untreated. The coworkers who might have been exposed to the same source of anthrax as the employee should receive prophylactic antibiotics as soon as possible to prevent the infection from developing.
Choice D reason: Instructing the employee to wear a mask at work is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The employee does not need to wear a mask at work, and doing so may cause unnecessary discomfort and discrimination.
Correct Answer is D
Explanation
Choice A reason: You will not be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment. Disulfiram is a medication that causes unpleasant reactions, such as nausea, vomiting, and headache, when alcohol is consumed. It is used to deter relapse, not to treat withdrawal symptoms. It is also taken daily, not weekly.
Choice B reason: Remaining physically active will not help to minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity may worsen dehydration, electrolyte imbalance, and blood pressure changes that occur during alcohol withdrawal. It may also increase the risk of seizures and delirium tremens. The nurse should monitor the client's vital signs, fluid and electrolyte status, and mental status, and administer medications as prescribed to manage withdrawal symptoms.
Choice C reason: Attending Al-Anon meetings will not help you identify a role model to assist you with making needed changes. Al-Anon is a support group for family members and friends of people with alcohol use disorder. It helps them cope with the effects of living with or caring for someone with alcohol problems. It does not provide role models or guidance for people with alcohol use disorder. The nurse should encourage the client to attend Alcoholics Anonymous (AA) meetings, which are peer support groups for people who want to stop drinking.
Choice D reason: You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment. This is an appropriate statement for the nurse to include in the discussion, as it reflects one of the goals of treatment for alcohol use disorder. The nurse should help the client identify and modify the cognitive, emotional, and behavioral factors that contribute to alcohol use. The nurse should also teach the client coping skills, stress management techniques, and relapse prevention strategies.
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