Community health clinic on a team that has an LPN, RN, and nurse practitioner

 

Scenario #1

Question #1:

The first priority for this client should be to address the painful rash and the possibility of a herpes infection. Given the client’s symptoms, vital signs, and the information about her boyfriend having herpes, it is crucial to provide immediate care to manage the rash and alleviate her pain. The client may require antiviral medication to control the outbreak and prevent further complications. Additionally, counseling and education about safe sex practices, including the use of condoms, should be initiated to prevent the spread of the infection. Referral to a specialist for further evaluation and testing may also be necessary to confirm the diagnosis and provide appropriate treatment.

Question #2:

As the LPN, when reinforcing teaching about how herpes is spread between flare-ups, it is essential to provide accurate information to the client. The nurse should explain that herpes can be transmitted even when the partner does not have visible symptoms or during asymptomatic shedding. Emphasize that herpes can be contagious through skin-to-skin contact in the genital area, including contact with sores or blisters, as well as through oral-genital contact. It is crucial for the client to understand that using barrier methods such as condoms can help reduce the risk of transmission but may not provide complete protection against herpes.

Scenario #2

Question #3:

The nurse can explain to the client that naming all sexual partners is essential for effective treatment and prevention of further transmission of syphilis. By notifying and treating all sexual partners promptly, the client can help break the chain of infection and prevent the spread of the disease within the community. It is crucial for all sexual partners to receive appropriate treatment to avoid reinfection and complications of untreated syphilis. Encouraging open communication and partner notification can also promote trust and cooperation in managing sexually transmitted infections.

Question #4:

To address the client’s question about why he needs an injection of Benzathine Penicillin G instead of oral medication, it is important to explain that syphilis treatment guidelines recommend intramuscular administration of penicillin to ensure effective treatment. Benzathine Penicillin G is the preferred treatment for syphilis because it provides sustained therapeutic levels in the body, which are necessary to eradicate the infection completely. Oral antibiotics may not achieve the same level of concentration in the blood and tissues required to treat syphilis effectively. Therefore, receiving a single dose of Benzathine Penicillin G via injection is the most appropriate and reliable method for treating syphilis infection.

Scenario #3

Question #5:

In the data collection for this client, several factors indicate that she is at high risk for HIV. The client’s occupation as a sex worker puts her at an increased risk of exposure to HIV due to potential unprotected sexual encounters with multiple partners. The presence of symptoms such as chills, fevers, and sore throats, along with a history of these symptoms persisting for several weeks, raises concerns about possible acute HIV infection. Additionally, requesting a rapid HIV test suggests a need for immediate evaluation and testing for HIV infection based on the client’s symptoms and risk factors. Given the client’s occupation, symptoms, and potential exposure to HIV, prompt testing and appropriate follow-up care are essential to address her health needs effectively.