A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should the nurse discuss with the patient?
1. The infection can be transmitted only when the lesions are present.
2. The infection can be prevented with condom use.
3. Sexual relations must be avoided at the first sign of recurrence.
4. Sexual activity is permissible once the lesions have dried out.
3
Rationale 1: The herpes simplex virus can be transmitted during the prodromal period and for approximately 10 days after the lesions have healed.
Rationale 2: Condom use is beneficial in protecting against the disease, but it is not 100% effective.
Rationale 3: At the first sign of recurrence, the patient must practice sexual abstinence. Prodromal signs include tingling or itching in the affected areas.
Rationale 4: The lesions crust in 4 to 5 days, but complete healing takes approximately 10 days.
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The nurse is answering questions from a client and his family regarding a recent diagnosis of Alzheimer's disease. The client asks how effective medication is in treating the disease. What is the nurse's best response?
a. "There is no cure or treatment for Alzheimer's disease." b. "Medications have shown little improvement in symptoms." c. "Medications for the disease have been found to improve thinking abilities, behavior, and daily functioning in some clients." d. "Alternative therapies, such as co-enzyme Q-10 and ginkgo biloba, are more effective than any of the prescription medications used to treat the symptoms."
Not realizing that its surface was hot, a woman has quickly withdrawn her hand from the surface of a bowl that she was removing from a microwave
Which of the following phenomena has facilitated the rapid movement of her hand in response to the painful stimulus? A) Her midbrain has rapidly responded to the nociceptive stimuli and induced arm flexion. B) The withdrawal reflex of her peripheral nervous system has quickly mediated between afferent and effector neurons. C) The forebrain has mediated a protective spinal cord reflex. D) Her CNS has enacted a protective response received by neurons that innervate her arm muscles.
A patient suddenly develops right lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient's pain?
a. Acute b. Chronic c. Intractable d. Neuropathic
A client has been receiving MOPP (mechlorethamine, vincristine [Oncovin], procarbazine, prednisone) therapy for treatment of Hodgkin's disease
The treatment has changed to a protocol of ABVD (doxorubicin [Adriamycin], bleomycin, vinblastine, and dacarbazine). When the client asks the nurse for clarification about the change in protocol, the nurse's response will include that ABVD a. can frequently produce a remission after only 1 cycle. b. negates the need for radiation therapy. c. prevents hypercalcemia. d. reduces the risk of leukemia.