A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)

The client is Black.

The client has several sexual partners.

The client is male.

The client has sex with men.

The client is 37 years old.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason:
The statement "The client is Black" does not contribute to the risk of chlamydia based on race alone. Chlamydia infection rates are influenced by a variety of factors, including access to healthcare and socioeconomic status, rather than race itself.

Choice B reason:
Having multiple sexual partners significantly increases the risk of contracting sexually transmitted infections (STIs) like chlamydia because it raises the likelihood of exposure to an infected partner.

Choice C reason:
While being male is not a risk factor in itself, men who have sex with men (MSM) are at a higher risk for STIs like chlamydia due to biological and behavioral factors that facilitate transmission.

Choice D reason:
Engaging in sexual activities with men is a known risk factor for chlamydia among MSM due to the higher prevalence of this STI within this group.

Choice E reason:
The age of 37 does not specifically contribute to the risk of chlamydia. However, chlamydia is more commonly diagnosed in younger individuals, typically those under 25 years old, due to higher rates of new and multiple sexual partnerships.

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Correct Answer is B

Explanation

Choice A reason:
Purulent drainage at the intravenous site access site would indicate a more severe infection, possibly grade 3 or 4 on the Infusion Nurses Society's phlebitis scale. This would be associated with more advanced symptoms such as pus formation, which is not characteristic of grade 1 phlebitis.

Choice B reason:
Redness at the intravenous access site with pain is indicative of grade 1 phlebitis according to the Infusion Nurses Society's phlebitis scale. This grade is characterized by erythema and possible pain at the site of the IV insertion, without more severe symptoms such as swelling or streak formation.

Choice C reason:
Red streaks on the affected extremity suggest a progression of the inflammatory response, potentially indicating a higher grade of phlebitis, such as grade 2 or 3. This symptom suggests that the inflammation is spreading along the vein, which is more serious than grade 1 phlebitis.

Choice D reason:
A palpable venous cord in the affected extremity would also suggest a more severe form of phlebitis, likely grade 3. This occurs when a thrombus forms along with inflammation of the vein, leading to a palpable cord-like structure.

A. Keep artificial nails trimmed. B. Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile. C. Use chlorhexidine to wash hands if the client is immunosuppressed. D. Use alcohol-based hand rubs before administering eye drops for a client.

Correct Answer is C

Explanation

Choice A reason:
Keeping artificial nails trimmed is a recommended practice in healthcare settings to maintain effective hand hygiene. Long nails can harbor bacteria and make it difficult to clean hands thoroughly. However, the CDC does not provide specific guidelines on the length of artificial nails for healthcare workers.

Choice B reason:
When caring for a client with Clostridium difficile, it is recommended to wash hands with soap and water rather than using alcohol-based hand rubs. Alcohol-based hand rubs are not effective against C. difficile spores. Therefore, thorough handwashing with soap and water is necessary to remove spores.

Choice C reason:
Chlorhexidine is an antiseptic agent that provides broad-spectrum antimicrobial activity and is recommended for hand hygiene in certain situations, such as before invasive procedures or for clients who are immunosuppressed. It is effective against a wide range of bacteria, viruses, and fungi, making it a suitable choice for immunocompromised patients to reduce the risk of infection.

Choice D reason:
The use of alcohol-based hand rubs before administering eye drops is not specifically recommended. While hand hygiene is essential before any contact with a patient, there is no particular preference for alcohol-based hand rubs in this context. The primary concern is to ensure that hands are clean to prevent contamination of the eye drops or the patient's eyes.

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A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A charge nurse is teaching a group of healthcare workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?

Correct Answer is C

Explanation

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