47. During an initial interview, a client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. A nurse understands that the most likely source of the lesion is:
47. During an initial interview, a client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. A nurse understands that the most likely source of the lesion is:
Test-Taking Tip
The only sexually transmitted infection that has a painful lesion is herpes.
Content Area: Adult Health, Genitourinary; Integrated Process: Nursing Process, Analysis; Cognitive Level: Comprehension; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
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Answer 1 is incorrect because syphilis infections have a chancre, a painless ulceration formed during the primary stage of syphilis. Answer 2 is incorrect because condylomata are genital warts, not lesions. Answer 3 is incorrect because, with gonorrhea infections, the initial symptoms in women include a painful or burning sensation when urinating or a yellowish vaginal discharge, not a lesion. Answer 4 is correct because a small blister on the vulva that is painful to touch is consistent with herpes.
