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The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?

A.

Emphasize that using safe sex practices removes the risk of STIs.

B.

Clarify that all STIs are transmitted through sexual intercourse.

C.

Discuss that partners without similar symptoms may not be infected.

D.

Teach the importance of medication regimen and follow-up protocol.

Answer and Explanation

The Correct Answer is D

A. While safe sex practices can reduce the risk of STIs, they do not eliminate the risk entirely, especially in cases where partners have multiple sexual partners.  

 

B. Not all STIs are transmitted solely through sexual intercourse; some can be transmitted through other means, making this statement overly simplistic.  

 

C. It's important to note that asymptomatic individuals can still be carriers of STIs, so this statement may give a false sense of security.  

 

D. Teaching the importance of adhering to the medication regimen and ensuring follow-up appointments is critical in managing gonorrhea effectively and preventing complications or reinfection. This approach emphasizes the importance of treatment compliance and ongoing health management.  


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Correct Answer is D

Explanation

A. Administering aspirin is not appropriate at this time, as it may delay treatment for a stroke if that is the underlying cause.

B. Maintaining elevated positioning of the dependent joints is not a priority in this acute situation and does not address the immediate needs of the client showing signs of possible stroke.

C. Verifying laboratory tests like prothrombin time and platelet count is important but is not an immediate intervention that addresses the acute condition.

D. Starting two large bore IV catheters and reviewing criteria for IV fibrinolytic therapy is crucial because the client presents with signs of a potential stroke. Rapid identification and treatment are essential to improving outcomes in acute ischemic stroke cases.

Correct Answer is A

Explanation

A. Monitoring for occult blood in urine and stool is crucial in clients with low platelet counts to detect any potential bleeding early, as they are at increased risk of bleeding due to thrombocytopenia.

B. Using a large gauge catheter may be necessary for some procedures, but it is not the priority intervention regarding the client’s current state and platelet count.

C. Removing cold and frozen foods from dietary trays does not directly address the critical concern of bleeding associated with low platelet levels.

D. While protecting bruised areas is important, it is secondary to monitoring for active bleeding, which is more critical at this stage.

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