Final answer:
A nurse should advise a client with gonorrhea to refer sexual partners from the past 60 days for evaluation and treatment to prevent reinfection and reduce the spread of the infection.
Step-by-step explanation:
The nurse should instruct the client with a positive gonorrhea culture that sexual partners from the past 60 days should be referred for evaluation and treatment of gonorrhea. This recommendation for partner notification and treatment is based on guidelines from the Centers for Disease Control and Prevention (CDC) to prevent the spread of the infection and reduce the risk of reinfection. Gonorrhea is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae, which is frequently asymptomatic, particularly in females, hence routine screening is essential for diagnosis.
Successful treatment for gonorrhea often involves a combination of antibiotics, such as ceftriaxone and azithromycin due to antibiotic resistance issues. It's crucial because gonorrhea can lead to significant health complications if left untreated, such as pelvic inflammatory disease (PID) and infertility. Moreover, because of the high prevalence of co-infection with Chlamydia trachomatis, concurrent treatment for chlamydia is also recommended.