A teenaged female patient tells the nurse that she has been sexually active with her boyfriend for 2 months. She has no symptoms of a sexually transmitted infection (STI). Screening for which infection is the nurse's priority?
1. Genital herpes
2. Human papillomavirus (HPV)
3. Condylomata acuminata
4. Chlamydia
4
Rationale 1: If the patient had contracted genital herpes, she would likely be showing symptoms.
Rationale 2: HPV screening would be considered but is not the most likely infection to be present. The incubation period is 2 to 3 months.
Rationale 3: Condylomata acuminata or genital warts are a manifestation of HPV, which is not the most likely infection to be present. The incubation period is 2 to 3 months.
Rationale 4: Chlamydia is the most prevalent STI in the United States and number one in infections of the female population under the age of 25. Screening is strongly recommended for all sexually active females age 25 or younger.
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The nurse is planning care for the client with acute renal failure. The nurse plans the client's care based on the nursing diagnosis of Excess Fluid Volume. Which assessment data supports this nursing diagnosis?
A) Pitting edema in the lower extremities B) Bowel sounds positive in 4 quadrants C) Wheezing in the lungs D) Generalized weakness
A clinic nurse is planning a teaching session for childbearing-age female clients. Which should the nurse include in the teaching session with regard to avoiding exposing a fetus to teratogens?
a. Use only category A medications during pregnancy. b. Immunizations should be updated during the first trimester of pregnancy. c. Use of saunas and hot tubs during pregnancy should be during the winter months only. d. Alcoholic beverages can be consumed in the first and third trimesters of pregnancy.
A client asks the nurse to repeat the physician's explanation of the purpose for an upcoming stool guaiac test. The nurse would respond that the test is used to detect which of the following in the stool?
1. gross blood 2. ova and parasites 3. abnormal amounts of bilirubin 4. hidden blood
When teaching the use of a three-point crutch gait, a nurse instructs a client to:
A. Move both crutches and the affected leg first, then the stronger leg B. Move the right crutch, left foot, left crutch, and right foot in sequence C. Move the left crutch and right foot, then move the right crutch and left foot D. Move both crutches, then lift and swing the legs forward as far as the crutches