38 which patient statement requires immediate nursing

38. Which patient statement requires immediate nursing intervention?
A. “I’m becoming comfortable with my sexuality.”
B. “My girlfriend hits me when she is mad.”
C. “I’m thinking about gender reassignment surgery.”
D. “My counselor and I are talking about my gender identity.”
ANS: B
The nurse will follow up with a statement or further assessment
questions on all patient statements; however, immediate nursing
intervention is required when the nurse learns that the patient may be a
victim of abuse.
39. Which education regarding hormone therapy will the nurse provide to
a female transitioning to male (FtM) patient?
40. What does the nurse identify as the expected outcome when planning
care for a patient being treated with antiviral drugs for genital herpes?

41. The nurse is assessing a female patient who reports small, flesh-
colored growths in her groin that come and go. What condition does the
nurse anticipate?
42. A 20-year-old sexually active male reports symptoms of a low-grade
fever, headache, malaise, muscular aches, sore throat, and a rash on his
hands and feet. What condition does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
ANS: C
Symptoms of secondary syphilis usually develop 6 weeks to 6 months
after the onset of primary syphilis. During this stage, syphilis is a systemic
disease because the spirochetes circulate throughout the bloodstream.
Common signs and symptoms include malaise, low-grade fever, headache,
muscular aches and pains, sore throat, and generalized rash (usually on
the hands and feet).