A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
"I should apply antibiotic ointment to the lesions."
"I should use natural skin condoms during sexual intercourse."
"I should expect my lesions to resolve in 6 weeks."
"I should expect to take my medication for 3 weeks."
The Correct Answer is D
Choice A reason: Applying antibiotic ointment to the lesions is not recommended for the treatment of genital herpes, which is caused by a virus, not bacteria. Antiviral medications are the appropriate treatment for managing herpes outbreaks.
Choice B reason: Natural skin condoms are not effective in preventing the transmission of genital herpes because the virus can pass through the natural membrane. The use of latex or polyurethane condoms is recommended as they are more effective in reducing the risk of transmission.
Choice C reason: Expecting lesions to resolve in 6 weeks may not be accurate as the duration of a herpes outbreak can vary. Most herpes lesions tend to resolve within 2 to 4 weeks. However, the virus remains in the body and can cause recurrent outbreaks.
Choice D reason: The duration of medication for genital herpes depends on whether the treatment is for an initial outbreak, chronic suppression, or episodic therapy. For an initial outbreak, antiviral medication is typically taken for 7 to 10 days. For chronic suppression, medication might be taken daily for an extended period to prevent or reduce the frequency of outbreaks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hypotension, or low blood pressure, is not typically associated with thyroid storm. Thyroid storm is a life-threatening condition that often presents with hypertensive crisis due to the excessive amount of thyroid hormones accelerating the body's metabolism.
Choice B reason: Increased temperature is a hallmark sign of thyroid storm. Patients experiencing a thyroid storm can have a high fever, with temperatures ranging from 104°F to 106°F. This is due to the hypermetabolic state induced by excessive thyroid hormones, which increases the body's heat production.
Choice C reason: Lethargy is not a common symptom of thyroid storm. Instead, patients may experience agitation, irritability, and anxiety due to the overstimulation of the nervous system by excessive thyroid hormones. Lethargy might be observed in hypothyroidism, which is the opposite condition.
Choice D reason: A decreased heart rate is not characteristic of thyroid storm. On the contrary, tachycardia, or a rapid heart rate, is a common symptom. The heart rate can exceed 140 beats per minute as the body's demand for oxygen increases due to the hypermetabolic state.
Correct Answer is A
Explanation
Choice A reason: Administering prednisone before the test may be part of a premedication protocol for clients with a history of allergic reactions to contrast media. However, this is typically done for iodinated contrast used in CT scans, not for gadolinium-based contrast agents used in MRA.
Choice B reason: Consulting with the provider to change to a CT scan would not be appropriate if the client is allergic to iodinated contrast dye, as CT scans commonly use iodinated contrast. MRA typically uses gadolinium-based contrast agents, which may be safer for clients with iodine allergies.
Choice C reason: Assessing the alkaline phosphatase level is not directly related to preparing a client with a contrast dye allergy for an MRA. Alkaline phosphatase is an enzyme measured in blood tests and is not specific to contrast media allergies.
Choice D reason: Obtaining the client's allergy history to seafood is not necessary for MRA preparation. While there is a common misconception that seafood allergies are related to iodinated contrast allergies, the evidence does not support this association.
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