After a vaginal examination, the nurse suspects the client has a ...

[CORALGRILL2014]

After a vaginal examination, the nurse suspects the client has a gonorrheal infection. Based on this suspicion, which is the priority action by the nurse?
 
  1. Counsel regarding safe sex practices.
  2. Obtain history of sexual contacts.
  3. Obtain a culture.
  4. Document the findings.

Question 2

The nurse is examining an adult female and notes thick, coarse pubic hair covering the pubis and extending to the thighs. Which action by the nurse is the most appropriate based on this data?
 
  1. Ask the client if she has started menstruation.
  2. Report the findings to the healthcare provider.
  3. Document the findings as normal.
  4. Ask the client if she is sexually active.

[aham8f]

Answer to Question 1

Correct Answer: 3
The priority for the nurse in this situation is to obtain a culture of any discharge present so a definitive diagnosis can be made. The interaction between the nurse and client will include a discussion about safe sex practices. The discussion, however, of safe sexual practices is not a priority as the client has presented with a potential sexually transmitted infection. A listing of sexual contacts may be indicated in the event the disease is positively identified. At this time this step is premature pending the outcome of the diagnostic tests. The nurse will need to document the findings. It is most important to obtain the culture.

Answer to Question 2

Correct Answer: 3
According to Tanner's Maturation Stages in the female, the findings in this situation are appropriate for the adult female client. No further subjective information is required by the nurse. The nurse should document the findings. The client's physical appearance indicates the correct level of maturation. Information concerning menstruation is not needed. In the presence of normal findings the healthcare provider does not need notification. Information concerning the client's level of sexual activity is not relevant to the client in this scenario.

[CORALGRILL2014]

Excellent

[gcook]

TYSM