During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?
Assess her feelings about therapeutic abortions in the event the infant has been affected.
Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary.
Instruct her to avoid sexual intercourse while active, visible lesions are present.
Determine if the client has taken acyclovir for this outbreak of genital herpes.
The Correct Answer is C
A. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to consider potential outcomes, immediate care involves preventing transmission and managing the current outbreak.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer: B. Rationale:
A. The last time food was consumed may be relevant for some medical procedures but isn't directly related to an MRI.
B. Knowing the presence of a metal implant is crucial before an MRI due to potential interference with the machine.
C. History of the previous myelogram might be relevant but is not as critical for an MRI. Allergy to iodine-based dyes is more pertinent for procedures like a CT scan with contrast, not necessarily an MRI.
Correct Answer is C
Explanation
A. When all wounds are closed, complete recovery has been achieved. - Closure of wounds is an important part of recovery but might not encompass the entirety of rehabilitation goals.
B. Full recovery means performing all activities of daily living independently. - While important, full recovery might not necessarily imply independence in all activities.
C. Recovery attainment is when one's highest level of functioning is achieved. - This statement best reflects the goal of rehabilitation after a burn injury, aiming for the client to achieve the highest level of functional ability possible.
D. Continuous rehabilitation will be required for the rest of a lifetime. - While some individuals might need ongoing support, it's not the primary focus of the rehabilitation goal.
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