Which signs/symptoms would the nurse expect to see in a client diagnosed with pubic lice?

Correct Answer: B

Rationale: In a client diagnosed with pubic lice, the nurse would expect to see pruritus (itching) as a prominent sign/symptom. This is because pubic lice infestation commonly leads to intense itching in the affected area due to the inflammatory response caused by the lice's bites and movement. Option A, macular rash on the labia, is incorrect because while pubic lice infestation can cause skin irritation, it typically presents as itching rather than a rash. Option C, hyperthermia, is also incorrect as pubic lice infestation does not cause a rise in body temperature. Option D, foul-smelling discharge, is incorrect as this symptom is not typically associated with pubic lice infestation. Educationally, understanding the signs and symptoms of pubic lice infestation is crucial for nurses working in maternal newborn nursing as they may encounter cases in pregnant women or newborns. Recognizing these symptoms promptly is important for initiating appropriate treatment and preventing further spread of the infestation. Nurses should also educate clients on prevention strategies and proper treatment to manage pubic lice infestations effectively.

Correct Answer: C

Rationale: The correct answer is C) Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women. This is the rationale for the nurse's questions regarding a nonpregnant young woman diagnosed with bacterial vaginosis. Educationally, it is important for nurses to understand the implications of bacterial vaginosis beyond just the immediate symptoms. BV can disrupt the normal vaginal flora, making women more susceptible to other infections, including HIV and other STIs. Therefore, it is crucial for the nurse to assess the client's risk factors and provide appropriate education and interventions to prevent further complications. Option A is incorrect because while clients with BV can potentially infect their sexual partners, this is not the primary concern when assessing a nonpregnant young woman diagnosed with BV. Option B is incorrect as it is not a legal requirement for the nurse to ask questions in this context. Option D is incorrect because while a full client history is important for testing and treatment, the primary concern in this scenario is the increased susceptibility to HIV and other STIs in clients with BV.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Diffuse rash with fever. Toxic shock syndrome (TSS) is a rare but serious condition associated with tampon use. The presence of a diffuse rash, especially on the palms and soles, along with a high fever, is a classic sign of TSS. This combination of symptoms should immediately raise suspicion for TSS in a patient using tampons. Option B) Angina is not typically associated with TSS. Angina is chest pain or discomfort caused by reduced blood flow to the heart muscle, usually due to coronary artery disease. Option C) Hypertension is not a typical finding in TSS. TSS is more commonly associated with hypotension (low blood pressure) due to the systemic inflammatory response it triggers. Option D) Thrombocytopenia with pallor is not a hallmark sign of TSS. Thrombocytopenia refers to a low platelet count and pallor indicates paleness, neither of which are specific to TSS. Educationally, it is crucial for nurses to recognize the signs and symptoms of TSS related to tampon use as early intervention is vital in managing this life-threatening condition. Understanding these specific manifestations can lead to prompt identification and appropriate treatment, ultimately improving patient outcomes.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Trichomoniasis. Trichomoniasis is characterized by a foul-smelling, yellow-green vaginal discharge accompanied by vaginal pain and dyspareunia. This infection is caused by a parasite called Trichomonas vaginalis and is a common sexually transmitted infection (STI) among women. Option A) Syphilis is caused by the bacterium Treponema pallidum and does not typically present with the symptoms described in the question. Syphilis presents with painless sores or ulcers. Option B) Herpes simplex is caused by the herpes simplex virus and presents with painful blisters or sores in the genital area, rather than the specific discharge described. Option D) Condylomata acuminata, also known as genital warts, is caused by the human papillomavirus (HPV) and presents with flesh-colored growths in the genital area, not the specific discharge and symptoms associated with trichomoniasis. Educationally, understanding the characteristic symptoms of common STIs is crucial for nurses working in maternal newborn health. Recognizing the signs and symptoms of various infections allows for prompt diagnosis and treatment, ultimately improving outcomes for both the mother and newborn. Nurses play a vital role in educating patients about safe sex practices, STI prevention, and the importance of seeking medical care if symptoms arise.

Correct Answer: B

Rationale: In a woman diagnosed with primary syphilis, the nurse would expect to see a pain-free lesion, which is the correct answer (B). This lesion, known as a chancre, is typically firm, round, and painless. It is usually located at the site of infection, often on the genitals or mouth. Option A, a cluster of vesicles, is more indicative of conditions like herpes simplex virus, not syphilis. Option C, a macular rash, is more commonly associated with secondary syphilis, not the primary stage. Option D, foul-smelling discharge, is not a typical finding in primary syphilis. Educationally, understanding the physical findings associated with primary syphilis is crucial for nurses to provide appropriate care and education to patients. Recognizing the characteristic painless lesion can prompt timely diagnosis and treatment, preventing the progression of the disease to more severe stages. Nurses play a vital role in educating individuals about sexually transmitted infections, including syphilis, to promote prevention and early intervention.