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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Remind the client to keep his appointments to have his cholesterol level checked: Ezetimibe works by reducing absorption of cholesterol in the intestines, which lowers serum lipid levels. The most direct way to evaluate effectiveness is through laboratory testing of cholesterol levels at scheduled follow-up appointments.

B. Assess the elasticity of the client's skin at the next scheduled clinic appointment: Skin elasticity is not affected by cholesterol-lowering therapy and does not provide meaningful information about the effectiveness of ezetimibe.

C. Teach the client to weigh himself weekly and keep a log of the measurements: Weight monitoring is more relevant for managing conditions like heart failure or obesity. Ezetimibe’s primary effect is on lipid levels, not weight change.

D. Encourage the client to keep a diary of his food intake until his next visit to the clinic: While dietary tracking supports lifestyle management, it does not directly measure the pharmacologic effectiveness of ezetimibe. Laboratory results remain the standard for evaluation.

A. Abdominal cramping. B. Bloody emesis. C. Low grade fever. D. Bruising of the skin.

Correct Answer is B

Explanation

A. Abdominal cramping: Mild to moderate abdominal cramping is a common symptom of acute gastritis and may not indicate a complication. While it should be monitored, it is not typically an emergency sign.

B. Bloody emesis: Vomiting blood may indicate gastrointestinal bleeding, a serious complication of acute gastritis. Immediate reporting is essential to prevent significant blood loss and allow prompt medical intervention.

C. Low grade fever: A mild fever can accompany gastritis due to inflammation or infection but is not usually life-threatening. It should be monitored but does not require urgent reporting unless it worsens.

D. Bruising of the skin: Easy bruising is not a typical manifestation of gastritis and is not directly related to acute gastrointestinal complications. It may suggest another underlying condition but is not the priority concern for this client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Correct Answer is A

Explanation

The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem?

Correct Answer is B

Explanation

The nurse notes that a client with depression has been more withdrawn and noncommunicative during the past two weeks. Which intervention is most important to include in the updated plan of care for this client?

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