The nurse is discussing concerns with an 18-year-old female patient who reports feeling two nonpainful ulcerations on her labia. The patient asks if they might be herpes simplex. What response by the nurse is indicated?
1. "Those spots do sound consistent with herpes simplex."
2. "Have you been having sex with new partners?"
3. "Herpes lesions are usually painful."
4. "The lesions you describe are most consistent with genital warts."
Correct Answer: 3
The patient's description is not consistent with herpes simplex. Herpes simplex lesions are typically painful. Nonpainful ulcerations are suggestive of syphilis. It will be important to assess the patient's sexual activity, but this line of questioning does not address the patient's most immediate questions and concerns. Genital warts present as fleshy, nonpainful growths.
You might also like to view...
The nurse is caring for a breastfeeding client who has developed a breast abscess. When instructing on the cause of abscess formation, which organism is the most common cause?
A) Staphylococcus aureus B) Escherichia coli C) Pseudomonas aeruginosa D) Enterococcus faecalis
You are unhappy with your supervisor. You call in sick because of a headache. Which defense mechanism are you using?
a. Denial b. Substitution c. Reaction formation d. Conversion
The nurse is teaching a parenting class to prospective fathers. The nurse correctly teaches that couvade refers to the:
1. Expectant father's fear of hurting the unborn baby during intercourse 2. Expectant father's transition from nonparent to parent 3. Development of the physical symptoms of pregnancy in the father of the baby 4. Development of attachment and bonding behaviors in the father of the baby
Practitioners from many disciplines use the medical record to document data. The most important purpose of the medical record is to:
A. invoice the patient or insurance company for reimbursement. B. protect the clinician in case of a malpractice suit. C. ensure everyone is working toward a common goal of providing safe care. D. contribute to a databank for medical and nursing research.