A nurse is teaching a client who has a history of genital herpes and is at 32 weeks of gestation. Which of the following statements should the nurse include in the teaching?
"A caesarean birth is the only way to prevent transmission."
"If you notice genital tingling be sure to notify your provider."
"Hydrotherapy during labor can help reduce transmission."
"The provider will perform weekly visual inspections for lesions."
The Correct Answer is B
A. "A cesarean birth is the only way to prevent transmission." Cesarean delivery is considered if active lesions or prodromal symptoms are present at the time of labor. However, it is not automatically required for all clients with a history of herpes.
B. "If you notice genital tingling be sure to notify your provider." Genital tingling or burning can be a prodromal sign of an impending herpes outbreak. Early reporting allows for appropriate evaluation and potential antiviral treatment to reduce the risk of transmission to the newborn.
C. "Hydrotherapy during labor can help reduce transmission." Hydrotherapy has no effect on herpes virus transmission and is not used for this purpose. Preventing neonatal herpes depends on careful monitoring and antiviral management.
D. "The provider will perform weekly visual inspections for lesions." Routine weekly inspections are not standard unless symptoms suggest an outbreak. Clients are generally monitored and evaluated for lesions closer to labor or if symptoms arise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Administer this medication as needed for symptom control." Fluticasone is an inhaled corticosteroid used for long-term control, not for acute symptom relief. It should be administered on a regular schedule, not as needed.
B. "Rinse mouth and gargle with water after each use." Rinsing the mouth helps prevent oral thrush (candidiasis), a common side effect of inhaled corticosteroids like fluticasone. It reduces residual medication in the mouth and supports good oral hygiene.
C. “Administer this medication before any other inhaled medications.” Fluticasone should be given after bronchodilators, such as albuterol, if both are prescribed. Administering a bronchodilator first opens the airways and allows the corticosteroid to work more effectively.
D. "Growth may be accelerated while using this medication?” Inhaled corticosteroids may cause slowed growth in some children with long-term use, though the effect is generally small and outweighed by the benefits of asthma control.
Correct Answer is A
Explanation
A. Complete activities for one client before moving to the next client. Focusing on completing tasks for one client at a time helps ensure safe, uninterrupted care, reduces errors, and promotes efficiency in task completion.
B. Document assessment findings and interventions after providing care for a group of clients. Delaying documentation increases the risk of forgetting important details and may lead to inaccuracies. Documentation should be done promptly after care is provided.
C. Gather supplies for a client's dressing change after removing the old dressing. Supplies should be gathered before beginning a procedure to prevent delays, reduce exposure time, and avoid leaving the client unattended.
D. Delay cleaning personal work area until the end of the shift. Maintaining a clean and organized workspace throughout the shift improves efficiency, infection control, and safety, especially in shared environments.
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