What's the priority intervention for a patient with persistent STIs and risky behaviors?

Recommend consistent use of latex condoms.

Discuss the purpose of annual infection screening.

Some infections may have no initial symptoms.

Advise that alcohol intake may lead to risky behaviors.

Answer and Explanation

The Correct Answer is A

The priority intervention for a patient with persistent STIs and risky behaviors is to recommend consistent use of latex condoms.

According to the USPSTF, behavioral counseling is recommended for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections (STIs)1.

This includes providing information on common STIs and STI transmission, aiming to increase motivation or commitment to safer sex practices, and providing training in condom use1.

Choice B is not the answer because annual infection screening is important but not the priority intervention.

Choice C is not the answer because while it’s true that some infections may have no initial symptoms, this is not a priority intervention.

Choice D is not the answer because while advising that alcohol intake may lead to risky behaviors is important, it’s not the priority intervention.

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Correct Answer is C

Explanation

When checking the restraints, the most important action for the nurse to take is to assess capillary refill distal to the restraints.

This helps to ensure that the restraints are not too tight and that blood flow to the extremities is not compromised.

Choice A, reinserting the peripheral IV catheter, may be necessary but is not the most important action in this situation.

Choice B, verifying that the restraints can be quickly released, is important for safety but does not directly address the client’s physical well-being.

Choice D, replacing the nasogastric tube, may also be necessary but is not the most important action in this situation.

A. Instruct the unlicensed assistive personnel to frequently offer oral fluids. B. Prepare to implement a pressure redistribution mattress. C. Explain to the client that the wound needs debridement. D. Obtain hemoglobin of the side to check for anemia and sensitivity.

Correct Answer is B

Explanation

Pressure redistribution is an important part of preventing and treating pressure sores1.

Choice A is not the answer because offering oral fluids does not directly address the issue of pressure sores.

Choice C is not the answer because debridement is a surgical procedure that removes dead tissue from a wound and may not be necessary in this case.

Choice D is not the answer because checking for anemia and sensitivity does not directly address the issue of pressure

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What's the priority intervention for a patient with persistent STIs and risky behaviors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a long bed rest, a client with a Foley catheter and wrist restraints has repeatedly removed the antibiotic (G) tube and NG tube. At checking the restraints, which action is most important for the nurse to take?

Correct Answer is C

Explanation

The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores. What actions should the nurse implement?

Correct Answer is B

Explanation

While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively. Which action should the nurse implement?

Which descriptions of stool warrant additional follow-up by the nurse? (Select all that apply.).

An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain. To assess the intensity of the client's pain, which approach should the nurse use?

When using a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

The charge nurse is assisting a nurse in the admission process for a patient with multiple chronic conditions. Which action taken by the nurse demonstrates a breach of confidentiality to the charge nurse?

Which of the following responses would be the most therapeutic when communicating with a client who has recently had a visit from their significant other and is displaying changes in behavior?