Which of the following instructions would a nurse give a client undergoing treatment for an HSV-2 infection?

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Question 1 of 5

Which of the following instructions would a nurse give a client undergoing treatment for an HSV-2 infection?

Correct Answer: A

Rationale: The correct answer is option A: Have an annual Papanicolaou smear to detect cervical cancer. This is the correct instruction for a client undergoing treatment for an HSV-2 infection because HSV-2 is a sexually transmitted infection that can lead to an increased risk of cervical cancer due to the presence of HPV (human papillomavirus) co-infection. Regular Pap smears are essential for early detection of any abnormal changes in the cervix, allowing for timely intervention and treatment. Option B, having an annual mammogram to detect breast cancer, is incorrect in this context because HSV-2 infection does not directly increase the risk of breast cancer. Option C, increasing the frequency of breast self-examination, is also incorrect as it is not relevant to the management of HSV-2 infection. Option D, undergoing an HIV detection test every six months, is unrelated to the treatment of HSV-2 infection. In an educational context, it is crucial for healthcare providers to understand the specific screening and monitoring recommendations for different health conditions to provide accurate and effective care to their clients. By selecting the correct option, nurses can ensure that clients receive appropriate guidance tailored to their individual health needs, promoting early detection and management of potential complications.

Question 2 of 5

Three days after having a pelvic exenteration procedure, a client suddenly complains of a 'giving' sensation along her abdominal incision. You check under the dressing and find that the wound edges are open and loops of intestine are protruding. Which action should you take first?

Correct Answer: B

Rationale: In this scenario, the correct action is to cover the wound with saline-soaked dressings (Option B) first. This is because covering the wound helps to protect the exposed intestine from further contamination and dehydration, reducing the risk of infection and promoting healing. It also helps to keep the organs moist and minimizes heat loss. Calling the client's surgeon (Option A) is important but should be done after providing immediate care by covering the wound. Donning sterile gloves and attempting to replace the intestine (Option C) can be dangerous as it may cause further damage or infection if not done correctly. Checking the client's vitals (Option D) is also important, but addressing the wound evisceration takes precedence in this situation. Educationally, understanding the priority actions in a postoperative complication like wound evisceration is crucial for nurses and healthcare professionals caring for surgical patients. Proper wound care and timely interventions can significantly impact patient outcomes and prevent complications. This scenario highlights the importance of quick assessment and appropriate interventions in managing surgical complications.

Question 3 of 5

A client has been advised to use a pessary to provide support to the uterus. The nurse educates the client about pessary management and the precautions related to its use. In which of the following situations should the client report to the physician?

Correct Answer: C

Rationale: In this scenario, option C, "When a white or yellow discharge from the vagina develops," is the correct answer that the client should report to the physician. This is because the development of abnormal vaginal discharge could indicate an infection or irritation related to the pessary use. It is crucial for the client to seek medical attention to prevent any potential complications. Option A, "Regarding a Pap test of the client," is not the correct answer because the need for a Pap test is a routine gynecological screening procedure and is not directly related to pessary management. Option B, "Regarding the maintenance of a pessary," is not the correct answer as routine maintenance of the pessary, such as cleaning and repositioning, does not require immediate physician notification unless there are specific concerns or complications. Option D, "Regarding a culture and sensitivity test of the vagina," is not the correct answer as this test is typically done to identify specific pathogens in case of suspected infection, but the development of abnormal discharge is a more urgent concern that warrants immediate reporting. Educationally, it is important for clients using pessaries to be aware of potential complications and when to seek medical attention. Understanding the signs and symptoms of complications can help clients manage their condition effectively and prevent further health issues. Regular follow-up appointments with healthcare providers are also essential to monitor the effectiveness and safety of pessary use.

Question 4 of 5

A nurse is working with a client who has undergone chemotherapy for breast cancer. The client is experiencing body image disturbances. Which of the following symptoms would contribute to this psychosocial issue?

Correct Answer: C

Rationale: In the context of a client undergoing chemotherapy for breast cancer, the correct answer is C) Hair loss. Hair loss is a common side effect of chemotherapy, and it can have a significant impact on a person's self-image and emotional well-being. Losing hair can be emotionally distressing for many individuals, as it is a visible sign of illness and can affect how they see themselves and how others perceive them. Option A) Fatigue is a common side effect of chemotherapy but is not directly related to body image disturbances. While fatigue can impact a person's quality of life, it does not specifically contribute to body image issues. Option B) Vomiting and Option D) Nausea are also common side effects of chemotherapy, but they do not directly affect body image disturbances. These symptoms are more related to the physical discomfort and side effects of treatment rather than the psychosocial impact on body image. Educationally, understanding the psychosocial impact of chemotherapy side effects like hair loss is crucial for healthcare providers working with cancer patients. By recognizing the emotional challenges that patients may face, nurses and other healthcare professionals can provide more holistic care and support to address not only the physical but also the emotional well-being of their patients. Supporting patients through body image disturbances can improve their overall quality of life during cancer treatment.

Question 5 of 5

Which of the following reasons would make a client who was treated successfully for a chlamydia infection at a greater risk for acquiring AIDS?

Correct Answer: B

Rationale: The correct answer is B) The immune system is already compromised. This is because when a person is successfully treated for a chlamydia infection, it does not directly increase their risk of acquiring AIDS. However, having a compromised immune system, which is a common consequence of untreated or poorly managed chlamydia infections, can make an individual more susceptible to acquiring other infections, including HIV which can lead to AIDS. Option A is incorrect because tissue irritation being permanent does not directly relate to an increased risk of acquiring AIDS. Option C is also incorrect as Chlamydia trachomatis does not cause AIDS; it is caused by the human immunodeficiency virus (HIV). Option D is incorrect because while chlamydia can persist in the body if not properly treated, it does not directly cause AIDS. Educationally, understanding the link between untreated STIs, compromised immune systems, and increased susceptibility to other infections like HIV is crucial for individuals to prioritize safe sexual practices, regular STI testing, and prompt treatment to prevent serious health consequences.

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