The nurse is caring for a client with the sexually transmitted infection (STI) syphilis. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?

Discuss that partners without similar symptoms may not be infected.

Answer questions directly and correct any misinformation.

Provide counseling that most contraceptives protect against infection.

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

Answer and Explanation

The Correct Answer is B

A)   Incorrect - While discussing the potential for asymptomatic partners is important, addressing the client's concerns and providing accurate information is more immediate.
B)   Correct- Syphilis and other STIs are important public health concerns. The nurse should provide accurate information, answer questions, and correct any misconceptions the client might have. This approach supports the client's knowledge and understanding of their health condition and prevents the spread of misinformation.
C)   Incorrect - While discussing contraceptives is relevant to sexual health education, it may not directly address the client's concerns about their prior infections.
D)   Incorrect - Notifying local health departments is important for reporting communicable diseases, but it doesn't directly address the client's current situation and concerns.

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Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale: Ice application induces vasoconstriction, which reduces swelling but does not evert inverted nipples. This action does not address the primary issue of nipple inversion preventing adequate latch.

Choice B rationale: Breast pump use creates negative pressure, drawing out the nipple. This eversion facilitates latching by providing a more prominent nipple for the infant's oral cavity to grasp effectively.

Choice C rationale: Supplemental formula feedings provide nutrition, but do not resolve the latching difficulty caused by inverted nipples. This can interfere with the establishment of the mother's milk supply.

Choice D rationale: Breast shields can aid latching, but they are most effective when used in conjunction with nipple eversion techniques. They do not directly address the underlying problem of inverted nipples.

A. Determine when the client last had pain medication. B. Offer to assist the client to the restroom to void. C. Review postoperative instructions with the client. D. Confirm that the client has been NPO since midnight.

Correct Answer is D

Explanation

NPO status is crucial before a surgical procedure, especially when anesthesia will be administered. It helps prevent complications related to aspiration of gastric contents during the procedure. Failure to adhere to the NPO status can lead to serious respiratory problems, such as aspiration pneumonia.

It is important for the nurse to confirm the NPO status with the client to ensure that they have followed the appropriate fasting guidelines. This should be done to ensure the client's safety during the surgery.

While determining when the client last had pain medication, offering assistance to the restroom, and reviewing postoperative instructions are important aspects of preoperative care, confirming NPO status is the most critical nursing action in this particular scenario.

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The nurse is caring for a client with the sexually transmitted infection (STI) syphilis. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is one day postpartum tells the nurse that her baby cannot latch onto the breast. The nurse determines that the client's nipples are inverted. Which action should the nurse implement?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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