The nurse is providing information to a patient who has recently been diagnosed with genital herpes. Which statements indicate the need for further instruction? (select all that apply.)
a. "I am only contagious when I have open sores."
b. "The infection is limited to only my ge-nital region."
c. "There is no permanent cure for this con-dition."
d. "I will need to contact my physician for antibiotic cream for the open lesions whenever I have an outbreak."
e. "I should wash my hands carefully to prevent introduction of bacteria to the area."
A, B, D
The disease may be spread during outbreaks. It is possible to spread the infection with viral shedding between outbreaks. Herpes is a lifelong condition. There is no cure. The condition's treatment can include the administration of antiviral medication. Antibiotics are not typically in-dicated unless a secondary bacterial infection develops. Proper hand hygiene is important to prevent both further spreading of the virus and introduction of bacteria to the affected area.
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The nurse realizes that which of the following conditions would prevent a client from being able to have an arterial puncture performed?
a. Client has been vomiting. b. Client is receiving oxygen therapy. c. Client has a respiratory condition. d. Client is on anticoagulant therapy.
The client tells the nurse that "blowing into this tube thing (incentive spirometer) is a ridiculous waste of time." The nurse explains that the specific purpose of the therapy is to:
1. Directly remove excess secretions from the lungs 2. Increase pulmonary circulation 3. Promote lung expansion 4. Stimulate the cough reflex
The nurse is hanging a secondary bag with an antibiotic for a client. Which action should the nurse take when performing this skill?
1. Lower the secondary bag 2. Clamp the primary bag tubing 3. Regulate the flow with the primary bag 4. Regulate the flow with the secondary bag