The nurse manages a clinic in an area with a high rate of sexually transmitted diseases (STDs). Which strategy best helps decrease the rate of infection?
a. Start an expedited partner treatment pro-gram.
b. Use a single-dose drug given in the clinic.
c. Provide referrals to a low-cost pharmacy.
d. Plan occasional community educational programs.
B
Although all options could decrease the occurrence rate of STDs, administering the medications needed to control two common STDs (gonorrhea and Chlamydia) right in the clinic improves compliance and will help decrease rates of infection in the fastest way. The manager would need to investigate the legal issues surrounding expedited partner treatment before starting a program.
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The student nurse is to perform Leopold's maneuver on a laboring client. Which assessment requires intervention by the staff nurse?
1. Client is assisted into supine position, and the position of the fetus is assessed. 2. The upper portion of the uterus is palpated, then the middle section. 3. After determining where the back is located, the cervix is assessed. 4. Following voiding, the client's abdomen is palpated from top to bottom.
All of the following patients have been admitted to the acute care setting. On admission, which patient should receive a focused assessment?
a. 53-year-old admitted with a perforated ulcer b. 5-year-old admitted for the implant of grommets in the middle ear c. 76-year-old admitted for a knee replacement d. 40-year-old admitted for possible bowel obstruction
After being provided with smoking cessation information the client responds, "I'm not interested. I enjoy smoking and don't want to quit."
According to Prochaska and DiClemente, in which stage of change is this client? 1. Preparation 2. Precontemplation 3. Action 4. Contemplation
Which of the following third-trimester women would you suspect may be having difficulty with psychological adjustments to her pregnancy?
A. A woman who says, "Either a boy or a girl will be fine with me." B. A woman who puts her feet up and listens to some music for 15 minutes when she is feeling too stressed C. A woman who was a smoker, but who has quit at least for the duration of her pregnancy. D. A woman who has not investigated the kind of clothing or feeding methods the baby will need.