The nurse is conducting an assessment on a client and identifies a lesion that appears as a smooth indurated area. Which is the highest priority action on the part of the nurse?
a. Question the client further regarding sex-ual practices.
b. Ask the client about any associated symptoms.
c. Document the findings and obtain a spe-cimen of fluid from the lesion.
d. Don gloves before continuing to assess the lesion any further.
D
The lesion could be a chancre, which is highly contagious. The nurse should be wearing gloves. The nurse should finish assessment of the lesion before continuing to interview the client and documenting findings. The nurse does need to collect fluid for a culture, but the nurse's safety is the priority.
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Fill in the blank(s) with the appropriate word(s).
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