A nurse is reinforcing education with a client who is sexually active about sexually transmitted infections (STIs). Which of the following statements by the client indicates an understanding of the instruction?
"I can't get an STI, because I only have one partner."
"Sharing sex toys does not increase my risk of getting an STI,"
"I can't get an STI when engaging in oral sex."
"My risk of getting an STI is lower because I always use condoms.”
The Correct Answer is D
Sexually transmitted infections (STIs) are infections transmitted primarily through sexual contact, including vaginal, oral, and anal intercourse. Prevention education focuses on reducing risk through safe sexual practices such as consistent condom use, limiting number of partners, and regular screening. While no method except abstinence is 100% protective, barrier methods significantly reduce transmission risk. Client understanding is demonstrated when statements reflect accurate knowledge of risk reduction rather than absolute prevention myths.
Rationale:
A. “I can’t get an STI because I only have one partner.” This reflects a misunderstanding because STI transmission is not eliminated by having a single partner. Risk depends on the partner’s sexual history and infection status, which may be unknown or undisclosed. This statement demonstrates false reassurance and lack of understanding of STI transmission dynamics.
B. “Sharing sex toys does not increase my risk of getting an STI.” This is incorrect because STI pathogens can be transmitted through contaminated bodily fluids on shared sexual devices. Without proper cleaning or use of barriers such as condoms on toys, infections like gonorrhea, chlamydia, or HPV can be spread. This statement shows a lack of awareness of indirect transmission routes.
C. “I can’t get an STI when engaging in oral sex.” This is incorrect because oral sex can transmit infections such as herpes simplex virus, gonorrhea, syphilis, and HPV. Mucous membrane contact allows pathogen transmission even without penetrative intercourse. This statement indicates misunderstanding of STI transmission routes and associated risks.
D. “My risk of getting an STI is lower because I always use condoms.” This demonstrates correct understanding of risk reduction. Consistent and correct use of condoms significantly decreases transmission of many STIs by providing a physical barrier against infectious secretions. While not completely eliminating risk, condoms are evidence-based preventive measure in sexual health education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Delegation in nursing involves assigning tasks to assistive personnel (AP) that are within their scope of practice and do not require clinical judgment or sterile skill. IV therapy management requires critical thinking, assessment, and technical skill, which are responsibilities of the registered nurse. However, APs can assist by observing and reporting changes or concerns related to patient care. Safe delegation ensures patient safety while maintaining appropriate use of healthcare team resources.
Rationale:
A. Changing the IV solution bag is not appropriate for assistive personnel because it requires technical knowledge and sterile technique to maintain IV therapy safety. This task involves direct manipulation of IV fluids and potential infection control risks, which fall under nursing responsibility.
B. Calculating IV intake requires interpretation of fluid balance data and clinical judgment to evaluate hydration status. This is a nursing responsibility because it directly affects assessment of fluid status and decision-making in IV therapy management.
C. Regulating the IV flow rate requires assessment skills and knowledge of ordered infusion rates, making it a nursing responsibility. Incorrect adjustment can lead to fluid overload or inadequate therapy, which may compromise patient safety.
D. Reporting any IV infusion alarms is appropriate for assistive personnel because it involves observation and communication of a problem without requiring clinical judgment or intervention. The AP should alert the nurse so that appropriate assessment and corrective action can be taken.
Correct Answer is ["0.25"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 0.25 mg
Available Concentration: 1 mg/mL
- Calculate the volume to administer
Volume (mL) = Ordered Dose ÷ Concentration
Volume = 0.25 ÷ 1
= 0.25 mL
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