To treat clients with STIs with a nonjudgmental attitude within the scope of practice of the LPN

To treat clients with STIs with a nonjudgmental attitude within the scope of practice of the LPN while functioning on a team of professionals.

Competency
Identify nursing interventions for clients with disorders of the reproductive system.

Instructions
Read the case studies below and answer the questions. Make sure you cite any sources using APA format.

Scenario # 1
You are working in a community health clinic on a team that has an LPN, RN, and nurse practitioner. Your first client of the day is a tearful young woman who states that she has had a painful rash to her genital area for the past couple of days. She came to the clinic today because the rash is getting progressively worse. Her vital signs are: 100.5 (PO), 114, 28, 145/88 Pain: 9 on a 1-10 scale. The client shares with you that her boyfriend has herpes. They never have sex when he is having a flare-up, so she is not sure how she could have gotten it from him.

Question # 1: What should be the first priority for this client? Explain your answer. (5-10 sentences)

Question # 2: The RN provides teaching to the client, but the client has some follow-up questions. As the LPN you reinforce the teaching about how herpes is spread. What factual information should the nurse provide about the spread of this disease between flare-ups?

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Sample Answer

 

 

 

Scenario #1: Prioritizing Client Care and Education

Question 1: What should be the first priority for this client? Explain your answer.

The first priority for this client is a comprehensive assessment to identify the cause of her genital rash and potential STI. This should include:

  • Review of symptoms: Gathering detailed information about the rash, including duration, location, appearance, pain level, and associated symptoms like discharge or urination issues.
  • Physical examination: A thorough visual examination of the external genitalia, respecting the client’s privacy and comfort.

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  • Review of sexual history: Assessing risk factors for STIs, including condom use, number of partners, and partner’s STI status.
  • Vital signs assessment: Monitoring for fever or other signs of infection.
  • Potential STI testing: Based on the assessment, performing appropriate tests for herpes and other STIs as indicated (American College of Obstetricians and Gynecologists, 2021).

Prioritizing assessment ensures timely diagnosis and treatment, addressing the client’s concerns about the painful rash and potential STI. Early diagnosis and intervention are crucial for managing STIs, preventing complications, and reducing transmission.

Sources:

Question 2: Reinforcing Teaching About Herpes Transmission

Based on the client’s concern about boyfriend’s herpes and avoiding sex during flare-ups, the factual information you should provide includes:

  • Asymptomatic shedding: Even when symptom-free, people with herpes can shed the virus and transmit it through skin-to-skin contact (Centers for Disease Control and Prevention, 2023).
  • Importance of consistent condom use: Even during symptom-free periods, condoms can significantly reduce the risk of transmission (World Health Organization, 2023).
  • Open communication: Encouraging the client to have open and honest communication with her partner about their STI status and risk reduction strategies.

Emphasize non-judgmental communication and respect for the client’s privacy. Provide resources for further information and support, such as trusted websites or local clinics.

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