A client with pelvic inflammatory disease is seen by the nurse 72 ...

[notis]

A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?
 
  a. Feelings of anger that her partner infected her
  b. Loose stools over the last 2 days
  c. Anorexia and nausea
  d. Chills and a temperature of 101  F

Question 2

The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
 
  a. I can apply warm towels or ice packs to the lesions.
  b. Sitz baths three times a day may help ease the pain.
  c. I understand there are anesthetic sprays and ointments.
  d. I really should try to limit urination due to the pain.

[bulacsom]

Answer to Question 1

ANS: D
Chills and fever could indicate a persistent infection and the immediate need to alter the dose or type of antibiotic. Anger is a normal reaction to a sexually transmitted disease and the pain of pelvic inflammatory disease. Gastrointestinal symptoms are common side effects of antibiotics but not an immediate cause for intervention.

Answer to Question 2

ANS: D
The client should urinate frequently, not limit voiding. Voiding while in the shower or tub should lessen the discomfort. Warm compresses, ice packs, sitz baths, and anesthetic sprays and ointments are all effective comfort measures that can be used with genital herpes.