Question

After a client has a positive Chlamydia trachomatis culture, the client and partner return for counseling. It is MOST important for the nurse to ask which of the following questions?

1) Do you have contacts to identify?
2) What is your understanding regarding how chlamydia is transmitted?
3) Do you have questions about the culture and its validity?
4) Do you have allergies to the medications?

Answer 1

The most important question for the nurse to ask after a positive Chlamydia trachomatis culture is the client's understanding of transmission.

Step-by-step explanation:

The most important question for the nurse to ask after a client has a positive Chlamydia trachomatis culture and returns for counseling is:

What is your understanding regarding how chlamydia is transmitted?

This question is important because it assesses the client's knowledge about chlamydia transmission, which is crucial for preventing the spread of the infection. By asking this question, the nurse can identify any misconceptions the client may have and provide accurate information to promote safe practices and reduce the risk of reinfection or transmission to others.

Answer 2

The nurse should prioritize asking about allergies to medications since the treatment of Chlamydia trachomatis involves antibiotics to which the client or partner may be allergic. Chlamydia being asymptomatic warrants the need for effective communication and screening to prevent complications and reinfections.

Step-by-step explanation:

After a client has a positive Chlamydia trachomatis culture, the most important question a nurse should ask is: "Do you have allergies to the medications?" This is crucial because tetracycline and macrolide antibiotics are typically prescribed for treatment, and ensuring the client and partner do not have allergies to these medications is essential for safe and effective treatment. Chlamydia is often asymptomatic, so individuals may not be aware of the infection, making screening programs critical to identify and treat the infection to prevent complications such as pelvic inflammatory disease (PID), ectopic pregnancy, and infertility. As chlamydia is a bacterial STI, affected individuals should be informed about transmission, which occurs through sexual contact, and the necessity of treating sexual partners to prevent reinfection and additional spread.