A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?

"The medication will decrease manifestations but not cure the infection."

"I need to take all the antibiotics, as prescribed, to treat the infection."

"If I don't have any lesions, I can't transmit the infection to my partner."

"Once I finish the medication, my partner is not at risk for getting the infection."

Answer and Explanation

The Correct Answer is A

Choice A reason:
This statement is correct. Medications for genital herpes, such as antiviral drugs, can help decrease the severity and frequency of symptoms but do not cure the infection. The herpes simplex virus remains in the body and can cause recurrent outbreaks.

Choice B reason:
This statement is incorrect and indicates a misunderstanding. Genital herpes is caused by the herpes simplex virus and cannot be treated with antibiotics, which are effective only against bacterial infections. Antiviral medications are used to treat viral infections like genital herpes.

Choice C reason:
This statement is incorrect. Genital herpes can be transmitted to a partner even when lesions are not present. The virus can be shed from the skin even without visible symptoms, a process known as asymptomatic viral shedding.

Choice D reason:
This statement is incorrect. Even after finishing a course of medication, the risk of transmitting genital herpes to a partner remains because the virus persists in the body. Safe sex practices, including the use of condoms, can help reduce the risk of transmission.

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Correct Answer is D

Explanation

Choice A reason:

Measuring the circumference of the thigh can be part of the assessment for swelling or edema, which may indicate compartment syndrome or other issues. However, it is not a direct measure of neurovascular status, which focuses on blood flow and nerve function.

Choice B reason:

Palpating the femoral pulse is important for assessing blood flow to the leg, but for a midshaft femur fracture, more distal pulses such as the popliteal, dorsalis pedis, or posterior tibial pulses would be more indicative of the neurovascular status of the affected limb.

Choice C reason:

Monitoring the client's calf for edema is a useful technique for identifying signs of swelling that could suggest complications like deep vein thrombosis or compartment syndrome. However, it does not provide a complete picture of neurovascular integrity, which also includes sensory and motor function assessment.

Choice D reason:

Instructing the client to wiggle his toes is a direct assessment of motor function, which is a key component of neurovascular status. This action, along with checking for sensation and capillary refill, helps to determine if there is any impairment in nerve function or blood supply to the affected area.

A. Bradycardia B. Diarrhea C. Fatigue D. Hypertension

Correct Answer is C

Explanation

Choice A reason:
Bradycardia, or a heart rate that is slower than normal, is not a common finding in anemia. Anemia typically results in a compensatory increase in heart rate, known as tachycardia, to maintain adequate oxygen delivery to tissues.

Choice B reason:
Diarrhea is not a direct symptom of anemia. While it can be a postoperative complication due to various reasons, such as medication side effects or infections, it is not a symptom associated with anemia resulting from excess blood loss.

Choice C reason:
Fatigue is a hallmark symptom of anemia, regardless of the cause. When anemia is due to excess blood loss, the body's oxygen-carrying capacity is diminished due to the reduced number of red blood cells. This leads to fatigue, as tissues and organs receive less oxygen than is needed for optimal function.

Choice D reason:
Hypertension is not typically associated with anemia. In fact, anemia can sometimes lead to hypotension, or low blood pressure, because of the reduced volume of red blood cells in the circulatory system.

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A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

Correct Answer is D

Explanation

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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