The nurse is caring for a client who tests positive for gonorrhea. The client reports having had prior sexually transmitted infections (STIs). Which response should the nurse provide?
Urge the client to have regular STI screening every two years.
Answer questions directly and correct any misinformation.
Clarify that all STIs are transmitted through sexual intercourse.
Provide counseling that most contraceptives protect against infection.
The Correct Answer is B
A. Urge the client to have regular STI screening every two years: Screening every two years is insufficient for individuals with recurrent STIs. More frequent testing is recommended to prevent reinfection and detect new infections early.
B. Answer questions directly and correct any misinformation: Providing accurate, evidence-based information helps the client understand STI transmission, prevention, and treatment. Direct responses foster trust, support informed decision-making, and address misconceptions effectively.
C. Clarify that all STIs are transmitted through sexual intercourse: Not all STIs are transmitted solely through intercourse; some, like herpes or HPV, can be transmitted via skin-to-skin contact. This statement could be misleading and does not fully educate the client.
D. Provide counseling that most contraceptives protect against infection: Most contraceptives, such as oral contraceptives or IUDs, do not protect against STIs. Only barrier methods, like condoms, reduce the risk of STI transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["18"]
Explanation
Calculation:
- Convert the client's weight from pounds (lb) to kilograms (kg).
The client's weight is 220 lb.
Client weight (kg) = 220lb/2.2lb/kg
= 100kg.
- Calculate the total heparin dose to be administered per hour (units/hr).
The ordered rate is 18 units/kg/hour.
Total dose rate (units/hr) = 18units/kg/hour×100kg
= 1800units/hr.
- Determine the concentration of the available solution (units/mL).
Available solution is 25,000units in 250mL.
Concentration (units/mL) = 25,000units/250mL
= 100units/mL.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Totaldoserate(units/hr)/Concentration(units/mL)
= 1800units/hr/100units/mL
= 18mL/hr.
Correct Answer is B
Explanation
A. Tell the client that the medication's side effects will most likely dissipate over time: While side effects may lessen with continued use, this response does not address the client’s intent to stop the medication safely.
B. Inform the client that gradual tapering must be used to discontinue the medication: Abrupt discontinuation of antidepressants can lead to withdrawal symptoms and risk of relapse. Educating the client about the need for a gradual taper ensures safe discontinuation and continuity of care.
C. Remind the client that feeling better is the therapeutic effect of the medication: Acknowledging the therapeutic benefit is important but does not provide guidance on safely stopping the medication or addressing the client’s concerns.
D. Tell the client to discuss the medication side effects with the healthcare provider (HCP): Encouraging communication with the HCP is appropriate, but the immediate priority is to inform the client that discontinuation must be gradual to prevent adverse effects.
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