Your 26-year-old female patient reports a history of herpes simplex type II infection. On physical examination, you note red blisters over the vulva region
When questioned about sexual activity, she explains that her partner uses a condom whenever her infectious blisters are present. The clinician should recognize:
A. The herpes virus can be transmitted during the patient's asymptomatic periods
B. If the lesions are herpes simplex type I, then the virus is not contagious
C. Only herpes simplex type II infects the genital region, and it is always contagious
D. When the blisters rupture, viral particles are transmitted to a sexual partner
ANS: A
Herpes I or II can infect the pelvic region and they cause the same syndrome. Approximately 10% to 15% of persons who carry the herpes virus are asymptomatic, but they can still shed the virus—thus, referred to as "asymptomatic shedders." This, among other things, contributes to the spread of the herpes virus.
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To assess the Babinski's reflex of a 12-month-old infant, you stroke the plantar surface of the foot with the tip of your thumbnail from the lateral heel upward. A normal response is
a. all toes curling down. b. toes curling down and dorsiflexion of the great toe. c. toes fanning outward with dorsiflexion of the great toe. d. toes fanning outward with plantar flexion of the great toe.
The nurse cautions that long-term alcohol abuse leads to alteration in the immune system by:
a. altering the effectiveness of antibodies. b. stimulating autoimmune activity. c. impairing the ability of B lymphocytes to produce antibodies. d. shortening the life of circulating antibo-dies.
After you ask a patient about her family history, she says, "Tell me about your family now.". Which response is generally most appropriate?
a. Ignore the patient's comment and contin-ue with the interview. b. Give a brief, undetailed answer. c. Ask the patient why she needs to know. d. Tell the patient that you do not discuss your family with patients.
Which of the following statements about restorative nursing is not true?
a. The patient is in charge of his health care. b. The patient is at the center of the health team. c. The patient is encouraged to return to her lifestyle. d. The patient is to be as dependent as possible.