A client has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the client, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions?
1. Clients can infect their sexual partners.
2. The nurse is required by law to ask the questions.
3. Clients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.
4. The laboratory needs a full client history in order to know for which organisms and antibiotic sensitivities it should test.
3
Explanation: 3. The change in normal flora increases the woman's susceptibility to other organisms, making the client more vulnerable to sexually transmitted diseases, including HIV.
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You are caring for a patient with a subclavian catheter who is receiving parenteral nutrition (PN). In preparing a care plan for this patient, what nursing diagnosis will you give highest priority to?
A) Risk for activity intolerance related to the presence of a subclavian catheter B) Risk for infection related to the presence of a subclavian catheter C) Risk for loneliness related to need for isolation related to the presence of a subclavian catheter D) Risk for caregiver role strain related to the care of a subclavian catheter
Which of the following would the nurse assess as a safety hazard for the infant?
1. Alcohol consumption 2. Drowning 3. Pedestrian accidents 4. Suffocation in the crib
The nurse is caring for a newborn who was born to a narcotic addicted mother. At the age of 24 hours, which expected assessment findings should the nurse consider when planning care for this newborn?
A. Lethargy B. Decreased muscle tone C. Exaggerated reflexes D. Decreased oral secretions
The nurse teaches a patient with tuberculosis (TB) about drug therapy. Which of the following statements by the patient indicate that the teaching has been effective?
a. "I will have to take the antibiotics for 10 days." b. "I will get a prescription for 2 weeks of antibiotics." c. "I will probably need to be on antibiotic therapy for 6 months to 2 years." d. "I will have to take antibiotics for the rest of my life."