A 24-year-old female client diagnosed with a human papillomavirus infection (HPV) is angry at her ex-boyfriend and says she is not going to tell him that he is infected. What response is best for the nurse to provide?
A. promotion of comfort
B. information about transmission
C. prevention of pregnancy
D. instruction in condom use
Answer: A. promotion of comfort
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The nurse knows the most appropriate goal for a patient with a stage III pressure ulcer who has a nursing diagnosis of Impaired skin integrity is:
a. the wound will be completely healed in 72 hours. b. the wound will show signs of healing within 2 weeks. c. the patient will develop no new pressure ulcers. d. the patient will ambulate twice a day.
An older client is being screened for tuberculosis. The client questions why PPD testing is done twice. Which of the following is the most appropriate response by the nurse?
A) "The treatment for TB is 6 months of medication, and we want to make sure the first PPD was done correctly prior to starting the medication." B) "Different medication is used in the second PPD." C) "The first PPD was not interpreted in the correct time frame of 48 to 72 hours." D) "The second PPD provides a more accurate reading because the older person's immune system may be sluggish and not adequately react to the first exposure."
A nurse is obtaining an arterial blood specimen from a patient to assess acid-base status. Which of the following is a normal value?
A) pH: 6.35 to 6.45 B) PaCO2: 45 to 55 mm Hg C) HCO3 : 22 to 26 mEq/L D) SaO2: Oxygen saturation greater than75%
When working in the client's home, you should not
A) prepare meals or shop for groceries. B) maintain a safe environment. C) take sides in family disputes. D) interact with family members.