A client comes to an outpatient clinic for evaluation. What in the client's blood sample reveals that administration of the hepatitis B vaccine has been effective?

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Question 1 of 5

A client comes to an outpatient clinic for evaluation. What in the client's blood sample reveals that administration of the hepatitis B vaccine has been effective?

Correct Answer: B

Rationale: The correct answer is B: anti-HBs. This antibody indicates successful immunity after hepatitis B vaccination. It is produced in response to the vaccine and signifies protection against the virus. Choice A, HBsAg, is present in acute infection. Choices C and D, anti-HBc IgM and anti-HBc, indicate acute or chronic infection, not vaccine response.

Question 2 of 5

Which best describes the signs and symptoms of trichomoniasis in women?

Correct Answer: B

Rationale: Rationale: Trichomoniasis is characterized by malodorous, frothy yellow-green vaginal discharge due to the presence of Trichomonas vaginalis parasite. This discharge is a hallmark sign of the infection. Other choices are incorrect because: A: Foul, fishy odor and thick clumpy white discharge are more indicative of bacterial vaginosis or yeast infection. C: Dysuria and thin milky-white discharge are more suggestive of a urinary tract infection. D: Trichomoniasis can manifest with symptoms in women such as vaginal discharge, itching, and discomfort.

Question 3 of 5

A client with a history of herpes simplex virus (HSV-2) infection asks the nurse about future sexual activity. Which response is most appropriate?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Informing all potential sexual partners about the HSV-2 infection, even if inactive, is crucial to ensure transparency and promote informed decision-making. 2. HSV-2 can be transmitted even when symptoms are not present, so partners need to be aware of the risk. 3. This approach demonstrates respect for the partners' autonomy and enables them to make choices regarding their own health. Summary: A: Incorrect. Using a condom is important even when the infection is inactive to prevent transmission. B: Incorrect. Refraining from all sexual activity may not be necessary if proper precautions are taken. C: Incorrect. Using a condom only when the infection is active does not fully address the risk of transmission during asymptomatic periods.

Question 4 of 5

A client has an HSV-2 infection. The nurse recognizes that which of the following should be included in teaching the patient?

Correct Answer: B

Rationale: The correct answer is B because HSV-2 is a sexually transmitted infection that causes genital herpes. Treatment focuses on managing symptoms like antiviral medications, not curing the virus. Explanation of other choices: A is incorrect because HSV-2 causes genital sores, not cold sores on the lips. C is incorrect because antibiotics do not cure viral infections. D is incorrect because HSV-2 can be transmitted even when there are no visible lesions through asymptomatic shedding.

Question 5 of 5

A male client is being seen by a physician at a community clinic regarding a painless ulcer on his penis. The provider will be communicating his diagnosis of syphilis and prescribing treatment. In the primary stage of syphilis, what is the time between infection and development of symptoms?

Correct Answer: C

Rationale: The correct answer is C: 21 days. The primary stage of syphilis typically occurs around 21 days after infection when a painless ulcer, known as a chancre, appears at the site of infection. This is due to the multiplication of the bacterium Treponema pallidum. Choice A (7 days) is too short for the development of symptoms. Choice B (10 days) is also too short. Choice D (35 days) is too long for the primary stage of syphilis.

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