ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 56 Questions
Question 1 of 5
The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?
Correct Answer: B
Rationale: The nurse's first question focuses on the treatment needed, which is the dose of penicillin. The other questions are valid questions, which can be asked later.
Question 2 of 5
During a sexual history, the client states that having had multiple sex partners. Which statement by the nurse is appropriate?
Correct Answer: D
Rationale: The nurse must obtain the client's feedback in a nonjudgmental way to open communication. When communication is open, the nurse has the best potential to provide nursing instruction and emphasize key points. Being judgmental or introducing the nurse's opinion does not promote therapeutic communication.
Question 3 of 5
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?
Correct Answer: B
Rationale: Genital warts when treated chemically will most likely be eradicated after three to six cycles of treatment. Eradication does not mean the condition is cured; the person is temporarily noncontagious once the warts are destroyed. All sexual contacts of the client need to be examined and treated.
Question 4 of 5
The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?
Correct Answer: C
Rationale: The nurse is most correct to instruct the sexually active client on the proper use of a latex condom. A latex condom with nonoxynol-9 is best to be used when having oral, vaginal, or anal intercourse. Having one sexual partner does not mean that the partner does not have a sexually transmitted infection. The client states being sexually active, thus, abstinence is not an option. Urinating after intercourse reduces the risk of an STI, however, providing a barrier between the partners is a better option.
Question 5 of 5
The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?
Correct Answer: C
Rationale: The client in the tertiary stage of a syphilis infection is expected to have central nervous system complications including dementia. In the primary stage, a chancre appears on the genitals. In the secondary stage, a fever, malaise, rash, headache, and sore throat are anticipated. There are no musculoskeletal symptoms associated with syphilis.