Question:

Assessment of a 36-year-old woman who has malaise and dysuriareveals a temperature of 100°F (37.4°C) and painful blisters on the outside of her vagina. The client tells the nurse she had intercourse with a new partner 5 days ago. The nurse should: 

1. Advise the client to ask her partner to use a condom. 

2. Encourage the client to increase fluid to 3,000 mL/day. 

3. Tell the client to use a lubricant jelly on the blisters. 

4. Refer the client to a health care provider.

The client is likely exhibiting symptoms of herpes genitalis, which include painful blisters or vesicles that appear 2 to 20 days after transmission of the disease. The client was most likely exposed from her new partner. The client should be referred to a health care provider for treatment. Having her partner wear a condom, increasing fluids, or using lubricant jelly will not treat the infection. 

CN: Management of care; CL: Synthesize

Answer:4

翻译

问题：

对一位患有不适和排尿困难的36岁女性的评估显示，她的体温为100°F（37.4°C），阴道外侧有疼痛的水泡。病人告诉护士她5天前和一个新伴侣发生了性关系。护士应：

1.建议病人要求她的伴侣使用避孕套。

2.鼓励病人增加液体至3000毫升/天。

3.告诉病人在水泡上使用润滑剂凝胶。

4.把病人介绍给医疗保健提供者。

答案：4

病人可能表现出生殖器疱疹的症状，包括在疾病传播后2至20天出现的疼痛水泡或水泡。病人很可能是从她的新搭档那里暴露出来的。病人应转介给医疗保健提供者进行治疗。让她的伴侣戴上避孕套、增加液体或使用润滑剂凝胶都不能治疗感染。

CN:护理管理；CL:综合

小编寄语：May you be your own sun and not have to rely on anyone else's light.愿你成为你自己的太阳，不需要依靠别人的光。