The nurse is caring for a client at the clinic who tests positive for the sexually transmitted infection (STI) trichomoniasis. The client reports having sex with multiple partners. Which response should the nurse provide?

Confirm that sexual activity may resume after initial treatment.

Notify that persons with STIs are reported to local health departments.

Provide counseling that most contraceptives protect against infection.

Remain non-judgmental and assure the client of confidentiality.

Answer and Explanation

The Correct Answer is D

Choice A rationale: Sexual activity should be avoided until the client and all sexual partners have completed treatment and are symptom-free. This is to prevent reinfection and transmission of the STI.

Choice B rationale: Persons with STIs are not reported to local health departments unless they have a reportable disease such as syphilis, gonorrhea, chlamydia or HIV. Trichomoniasis is not a reportable disease in most jurisdictions.

Choice C rationale: Most contraceptives do not protect against infection. The only contraceptive method that provides some protection against STIs is the male or female condom.

Choice D rationale: The nurse should remain non-judgmental and assure the client of confidentiality. This is because the nurse has a professional and ethical obligation to respect the client's autonomy, privacy and dignity.

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Correct Answer is D

Explanation

Choice A rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.

Choice B rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.

Choice C rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.

Choice D rationale: This could indicate impaired circulation or nerve compression, which could lead to permanent damage or loss of limb if not treated promptly.

A. Combined partial and full-thickness burns on the anterior chest three days ago. O2 saturation is 92%. B. Nephrotic syndrome diagnosed 2 days ago, decreased serum protein level and mild edema. C. Subtotal thyroidectomy performed one hour ago, receiving a unit of packed red blood cells. D. Renal transplant yesterday, complaining of flank pain and who states, "It's hot in here."

Correct Answer is B

Explanation

Choice A rationale: A client with combined partial and full-thickness burns on the anterior chest with a decreased O2 saturation is likely in need of critical care and should not be transferred to a general unit.

Choice B rationale: A client with nephrotic syndrome and mild edema is the most stable and has the least risk of complications among the four options.

Choice C rationale: The client with thyroidectomy has a risk of bleeding and needs frequent assessment of vital signs and dressing.

Choice D rationale: The client with renal transplant has a risk of rejection and infection and needs strict isolation and immunosuppressive therapy.

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The nurse is caring for a client at the clinic who tests positive for the sexually transmitted infection (STI) trichomoniasis. The client reports having sex with multiple partners. Which response should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The receptionist working in an outpatient clinic provides the nurse with a list of clients who need a return call from the nurse. The nurse should call the client with which description first?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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