Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a client who has genital herpes. Which of the following statements by the client indicates an understanding of the teaching?
A. "I can pour warm water over the lesions to decrease painful urination."
Warm water can help soothe the lesions and decrease painful urination, providing relief to the client.
B. "I am not contagious when I don't have lesions."
The client with genital herpes can still shed the virus and potentially transmit it to others even when there are no visible lesions, so this statement is incorrect.
C. "I will finish my antibiotics so that my infection will not return."
Genital herpes is a viral infection, and antibiotics are not effective in treating viral infections. Antiviral medications are used to manage genital herpes outbreaks.
D. "I can soak in a bubble bath to reduce discomfort."
Soaking in a bubble bath can potentially irritate the lesions and worsen discomfort. It is not recommended for individuals with genital herpes.
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Full Explanation
Choice A rationale:
Warm water can help soothe the lesions and decrease painful urination, providing relief to the client.
Choice B rationale:
The client with genital herpes can still shed the virus and potentially transmit it to others even when there are no visible lesions, so this statement is incorrect.
Choice C rationale:
Genital herpes is a viral infection, and antibiotics are not effective in treating viral infections. Antiviral medications are used to manage genital herpes outbreaks.
Choice D rationale:
Soaking in a bubble bath can potentially irritate the lesions and worsen discomfort. It is not recommended for individuals with genital herpes.
Similar Questions
A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?
A. A client who developed influenza after receiving the vaccine last year
Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.
B. A client who has hypertension
Hypertension is not a contraindication for receiving the influenza vaccine.
C. A client who has a history of Guillain-Barré syndrome
Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.
D. A client who has an allergy to dairy products.
Allergies to dairy products are not a contraindication for receiving the influenza vaccine.
Full Explanation
Choice A rationale:
Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.
Choice B rationale:
Hypertension is not a contraindication for receiving the influenza vaccine.
Choice C rationale:
Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.
Choice D rationale:
Allergies to dairy products are not a contraindication for receiving the influenza vaccine.
A nurse is caring for a newborn who was born prematurely at 26 weeks. Which of the following interventions should the nurse take to decrease the newborn's risk of increased intracranial pressure?
A. Elevate the head of the bed 15° to 20°.
Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.
B. Stimulate the newborn every 2 hr.
Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.
C. Place the newborn in a radiant warmer.
Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.
D. Administer hypertonic solution.
Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.
Full Explanation
Choice A rationale:
Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.
Choice B rationale:
Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.
Choice C rationale:
Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.
Choice D rationale:
Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.
A nurse is facilitating a support group for clients who have anorexia nervosa. Which of the following client statements should the nurse investigate further?
A. "The amount of food I eat could affect my menstrual cycle."
Understanding the relationship between food intake and the menstrual cycle is a relevant topic for individuals with anorexia nervosa.
B. "I am gaining about 2 pounds per week."
Rapid weight gain of 2 pounds per week can be concerning and may indicate an unhealthy pattern or behaviors related to the eating disorder.
C. "I realize my body will never be perfect."
Recognizing that the body will never be perfect is a positive and realistic perspective that can contribute to a healthier mindset in individuals with anorexia nervosa.
D. "I took a laxative for constipation yesterday."
Taking a laxative for constipation is not uncommon among individuals with eating disorders, but the statement doesn't necessarily raise immediate concern compared to the rapid weight gain mentioned in choice B.
Full Explanation
Choice A rationale:
Understanding the relationship between food intake and the menstrual cycle is a relevant topic for individuals with anorexia nervosa.
Choice B rationale:
Rapid weight gain of 2 pounds per week can be concerning and may indicate an unhealthy pattern or behaviors related to the eating disorder.
Choice C rationale:
Recognizing that the body will never be perfect is a positive and realistic perspective that can contribute to a healthier mindset in individuals with anorexia nervosa.
Choice D rationale:
Taking a laxative for constipation is not uncommon among individuals with eating disorders, but the statement doesn't necessarily raise immediate concern compared to the rapid weight gain mentioned in choice B.