A teenager presents to the clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)
Penicillin
Perineal care of genital lesions
Use of barrier protection
Gardasil injection
Hand washing
Correct Answer : B,C,E
A. Penicillin
Penicillin is an antibiotic used for bacterial infections, not viral infections like HSV-2. Herpes simplex virus requires antiviral medications such as acyclovir, valacyclovir, or famciclovir for symptom management.
B. Perineal care of genital lesions
Proper perineal care helps prevent secondary infections and promotes healing. The client should be advised to keep the area clean and dry, avoid irritating soaps, and wear loose-fitting clothing.
C. Use of barrier protection
Consistent use of barrier protection (e.g., condoms) reduces the risk of transmitting HSV-2 to sexual partners. The client should be educated that HSV-2 can be transmitted even when lesions are not visible due to asymptomatic viral shedding.
D. Gardasil injection
Gardasil is a vaccine that protects against certain strains of Human Papillomavirus (HPV), not HSV-2. While both HSV-2 and HPV are sexually transmitted infections, they are caused by different viruses and require different preventive measures.
E. Hand washing
Proper hand hygiene prevents the spread of HSV-2 from touching lesions and transferring the virus to other body areas or individuals. Clients should be advised to wash hands thoroughly after touching affected areas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}
Explanation
Step 1: Identify the Prescribed Volume
The provider prescribed 15 mL of codeine with acetaminophen oral elixir to be taken by mouth once.
Correct choice: 15 mL
Step 2: Calculate the Codeine Dose
The formulary concentration states:
- 2.4 mg/mL of codeine
15mL×2.4mg/mL=36 mg of codeine
Correct choice: 36 mg of codeine
Step 3: Calculate the Acetaminophen Dose
The formulary concentration states:
- 24 mg/mL of acetaminophen
15mL×24mg/mL=360mg of acetaminophen
Correct choice: 360 mg of acetaminophen
Correct Answer is A
Explanation
A. Fetal movement felt by provider
This is correct because fetal movement confirmed by a healthcare provider is a positive sign of pregnancy, as it directly confirms fetal presence.
B. Positive pregnancy test
This is incorrect because a positive pregnancy test is a probable sign, not a positive sign. It detects hCG, which can also be produced in conditions like gestational trophoblastic disease (molar pregnancy).
C. Hegar’s sign
This is incorrect because Hegar’s sign (softening of the lower uterus) is a probable sign, not a positive sign, as it can occur due to other physiological changes.
D. Breast tenderness and nausea
This is incorrect because breast tenderness and nausea are presumptive signs of pregnancy, meaning they are subjective symptoms that could be caused by other conditions (e.g., PMS, stress, illness).
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