Practice Question
A client arrives in the clinic and states that their sexual partner told them to come and get checked for chlamydia. Place the nurse’s action in the order they should be completed, from first priority to last. Click an option, hold and drag it to the desired position. or click on option to Highlight it and move it up or down in the order using the arrows to the left.
Answer Choices:
Rationale:
1️⃣ A. Obtain vital signs (First Priority)
🔹 Vital signs provide immediate baseline health status, which is crucial in identifying systemic infection or complications such as pelvic inflammatory disease (PID) secondary to chlamydia.
🔹 Fever, tachycardia, or hypotension could indicate a severe infection needing urgent intervention.
🔹 Establishing baseline vitals ensures safe continuation of assessment and diagnostic procedures.
🔹 This step also helps monitor progress during treatment in follow-up visits.
🔹 Immediate vital sign assessment follows standard nursing protocol for any new clinic admission.
2️⃣ D. Obtain the client’s history (Second Priority)
🔹 A thorough history helps identify risk factors, exposure timeline, and symptoms such as dysuria, vaginal discharge, or pelvic pain.
🔹 History should include sexual practices, contraceptive use, number of partners, prior STIs, and allergies to guide diagnostic and treatment decisions.
🔹 Gathering history before a physical exam ensures focused assessment and determines whether additional STI testing is needed.
🔹 Understanding the client’s sexual history helps identify contact tracing needs to reduce further transmission.
🔹 Comprehensive history supports individualized education and care planning later.
3️⃣ E. Perform a physical assessment (Third Priority)
🔹 Physical examination evaluates visible signs of chlamydia infection, such as cervical discharge, erythema, or pelvic tenderness.
🔹 This step identifies complications such as PID or cervicitis that require immediate treatment.
🔹 Physical assessment also determines the client’s overall health status and readiness for specimen collection.
🔹 Findings from the physical exam confirm and correlate with history to ensure accurate diagnosis.
🔹 Early detection of complications through physical assessment prevents progression to infertility or systemic infection.
4️⃣ C. Prepare the client for a pelvic examination and specimens (Fourth Priority)
🔹 Specimen collection (e.g., nucleic acid amplification test [NAAT]) confirms chlamydia diagnosis.
🔹 Proper preparation includes explaining the procedure, ensuring privacy, and obtaining consent, which reduces anxiety and promotes cooperation.
🔹 The pelvic exam also allows collection of additional gonorrhea or other STI specimens if indicated.
🔹 Early diagnostic confirmation prevents further transmission and allows prompt treatment initiation.
🔹 Preparing the client properly ensures accurate specimen collection and reliable results.
5️⃣ B. Educate the client about safe sex practices (Last Priority)
🔹 Education is performed after assessment and diagnostic procedures to ensure the nurse has all necessary information for tailored teaching.
🔹 Teaching includes consistent condom use, partner treatment, abstinence until completion of therapy, and the need for retesting in 3 months.
🔹 Proper education reduces risk of reinfection and transmission to others.
🔹 Counseling also includes emotional support and community resources, as STIs can be psychologically distressing.
🔹 Providing education last allows the nurse to address all findings from the history, physical exam, and test results comprehensively.
Want to practice more questions like this?
This question is from RN Medical Surgical-Summer 2025 which contains 67 questions.
More Questions from This Exam
The nurse cares for a client with Addison's disease.
Answer Choices:
The nurse educates a client about the administration of Insulin for control of diabetes mellitus type 1. What statements made by the client indicate that the nurse needs to reinforce the education provided? Select all that apply.
Answer Choices:
The nurse educates a client regarding the use of nitrofurantoin for the treatment of pyelonephritis. What statement made by the client indicates further teaching is required?
Answer Choices:
The nurse cares for a client that presents with severe abdominal pain radiating to the back that occurred after drinking alcohol. The client reports vomiting does not relieve the pain. The client's blood pressure is 90/52, heart rate 128, and respiratory rate 36. What is the priority action by the nurse?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 5