What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?
a. "Continued use of acyclovir (Zovirax) will prevent reinfection by the virus."
b. "Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present."
c. "Acyclovir ointment should be applied to the lesions to increase comfort and speed healing."
d. "Recurrent genital herpes is promoted by any sexual stimulation."
ANS: B
Sexual transmission of HSV (genital herpes, a virus) has been documented even in the absence of clinical lesions, and the use of condoms should be encouraged. Acyclovir does not cure the disease but makes the attacks less virulent.
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Ten hours after admission to the ICU following an auto accident, a client begins to exhibit mild tachycardia, irritability, and tremors. Three hours later the client has a grand mal seizure. The staff suspect that the client has:
1. Wernicke's encephalopathy. 2. Korsakoff's syndrome. 3. Undetected internal bleeding. 4. Alcohol withdrawal syndrome.
Which of the following is an indication for fetal diagnostic procedures?
a. Maternal diabetes b. Maternal age older than 30 c. Previous infant more than 3000 g at birth d. Weight gain of 25 lb
Mr. Donaldson is a 64-year-old patient with complaints of headaches. As the examiner, you are palpating his head during your physical examination. Which of the following would be your first step?
a. Palpate the patient's hair, noting texture, color, and distribution. b. Palpate the temporomandibular joint. c. Palpate the skull from front to back. d. Palpate the temporal artery.
Nursing assistants can attend:
a. The nursing process b. Care conferences c. Resident assessment protocols (RAPs) d. The comprehensive care plan