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?
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.