A patient has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the patient, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions?
1. Patients can infect their sexual partners.
2. The nurse is required by law to ask the questions.
3. Patients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.
4. The laboratory needs a full patient history in order to know for which organisms and antibiotic sensitivities it should test.
3
Rationale 1: Transmission of bacterial vaginosis to partners is rare.
Rationale 2: There is no law that requires the nurse to ask these questions.
Rationale 3: The change in normal flora increases the woman's susceptibility to other organisms, making the patient more vulnerable to sexually transmitted diseases, including HIV.
Rationale 4: There is no need to provide the laboratory with ths information.
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