Hesi lpn exit proctored exam
A male client who had sexual intercourse with a causal partner three days ago tells the practical nurse (PN) that he is experiencing painful urination, urinary frequency, and discharge from the penis. Which action should the PN implement?
Explanation & Rationale
A. Obtain a specimen of urethral drainage for culture: Symptoms suggest possible gonorrhea or chlamydia; culture needed for diagnosis and treatment guidance. B. Identify all sexual partners in the last four days: Partner notification is important but follows confirmed diagnosis. C. Observe the perineal area for a chancroid-like lesion: Chancroid presents differently; symptoms point to urethritis. D. Assess for perineal itching, erythema, and excoriation: These are signs of fungal infection or dermatitis, not primary concern here.
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