411 Chapter 5
During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which diagnosis?
condylomata acuminata
A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent?
doxycycline
A nurse is caring for clients who have a history of genital herpes infection. The client most at risk for an outbreak of genital herpes is the client who reports:
genital pruritus and paresthesia
Safety of antiviral therapy during pregnancy __________________
has not been established
A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which symptoms would the nurse expect the client to exhibit?
heart disease and inflammation of the aorta, eyes, brain, CNS, and skin
The nurse in the sexual health clinic is obtaining a health history of a client who is addicted to heroin, reporting chronic flu-like symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect?
hep A
The nurse in a sexual health clinic is reviewing the history of a 30-year-old homosexual client who is an IV drug addict and diagnosed with a sexually transmitted infection. Which therapy would the nurse expect to include in his care?
hep A and hep B recombinant vaccine
the vaccine for HPV is administered by the _____________ route
intramuscular
The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis?
irritation of vaginal walls
Which instruction should be given to a woman newly diagnosed with genital herpes?
limit stress and emotional upset as much as possible
Hep B virus can result in serious, permanent damage to the _____________
liver
Which groups of clients are at a higher risk for developing gonorrhea
low socioeconomic status, live in an urban area, are single, practice inconsistent use of barrier contraceptives, and have multiple sex partners
A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?
metronidazole
A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider mostlikely prescribe?
metronidazole
Which medications are appropriate to treat vaginal candidiasis? Select all that apply.
miconazole fluconazole
Genital warts risk factors
multiple sex partners, age (15 to 25), sex with a male who has had multiple sex partners, and first intercourse at 16 or younger
A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect which finding once the microorganism disseminates throughout the body?
painful joints
what is the medication of choice for early syphilis
penicillin G benzathine
A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which instruction should the nurse give the client to prevent recurrence of bacterial vaginosis?
practice monogamy
A female client comes to the clinic for an evaluation. Assessment reveals flu-like symptoms and a maculopapular rash on her trunk, and the palms of her hands and the soles of her feet. The client also reports hair loss and fatigue. She states, "I had a small ulcer near my vagina about 6 weeks ago that went away." Based on these findings, the nurse suspects that the client has syphilis at which stage?
secondary
pelvic infection is most commonly caused by
sexual transmission
A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission?
sharing contaminated needles
A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis?
sore throat and flu-like symptoms
An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition?
use high protein supplements
Which factor in a client's history indicates she is at risk for candidiasis?
use of corticosteroids
which of the following information should the nurse give the client regarding Hep B vaccination for a newborn
vaccine consists of a series of 3 injections given within 6 months
When teaching a woman diagnosed with genital herpes lesions, the nurse would include which measure?
washing hands with soap and water after touching lesions
A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding?
yeast infections
T or F the most effective treatment for syphilis is erythromycin
F
T or F Vulvovaginal candidiasis is considered a STI
False
A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata?
HPV
A nurse in the sexual health clinic assesses a female client and notes wart-like lesions on the genital area and rectum. Which diagnosis best correlates with these findings?
HPV
A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client?
avoiding alcohol consumption
A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?
discuss the necessity of completing the antibiotic therapy
A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition?
genital warts
When preparing a teaching plan for a female adolescent with a sexually transmitted infection (STI), the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer. Which STI would the adolescent most likely have?
genital warts
treatment of pelvic inflammatory disease includes education to prevent __________
recurrence
HIV
retrovirus causes breakdown in immune function leading to AIDS
____________is a common vaginal infection characterized by a heavy yellow, green, or gray frothy discharge
trichomoniasis
T or F Genital warts are caused by the human papillomavirus
true
A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis?
vaginal odor smelling of fish
gonorrhea
very severe bacterial infection in the columnar epithelium of the endocervix
A community health nurse is conducting a class on sexually transmitted infections (STIs). She states that "STIs are discriminatory." What would the nurse most likely use to support this statement?
"Certain infections can be transmitted to the newborn." "After only a single exposure, women are twice as likely as men to acquire STIs." "Women are diagnosed with two thirds of the new cases of STIs annually."
A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem?
"Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."
A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct?
"Human papillomavirus is the cause of essentially all cases of cervical cancer."
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?
"I'm temporarily not contagious once the warts are destroyed."
The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?
25
In women with trichomoniasis, the vaginal pH is usually greater than_________
4.5
for women with HIV infection, viral load becomes undetectable when it is less than ___________
400
A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia?
70%
A woman is to receive penicillin G 3,000,000 units IM q6h as syphilis treatment. The medication is available as 1,500,000 units/ml. How many milliliters will be administered in 24 hours? Record your answer using a whole number.
8 mL in 24 hours
A nurse is caring for a client with vaginitis. What teaching(s) should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply.
Avoid douching. Avoid using deodorant tampons. Wear only cotton panties and ventilated pantyhose.
a person is said to be in the last stage of AIDS when the __________ T-cell count is less than or equal to 200
CD4
most common viral infection
HPV
A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective?
I will wear loose cotton underwear
A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response?
It is recommended to formula-feed your newborn as it is transmitted through your breast milk."
The nurse is developing a teaching plan for a client diagnosed with genital herpes simplex (HSV). Which would the nurse include? Select all that apply.
The management of genital herpes includes antiviral therapy. The need to use good hand washing technique to prevent spread. Educate the client to abstain from sexual activity until HSV lesions resolve. The goal is for recurrences to be less frequent over time.
T or F the number of women with HIV infection and AIDS has been increasing steadily worldwide
True
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?
a painless genital ulcer that appeared about 3 weeks after unprotected sex
genital herpes
a recurrent, lifelong viral infection
A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. How should the nurse respond?
a vaccine has been approved to prevent the HPV
The nurse is caring for clients who have STIs. Which client is most at risk for becoming infertile due to the infection?
a woman diagnosed with chlamydia
hepatitis
acute, systemic viral infection that can be sexually transmitted
A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?
adolescents and young adults are the largest age group diagnosed with an STI
genital herpes simplex clinical manifestations
blister like lesions. additional symptoms may include dysuria, headache, fever, and muscle aches
What is AIDS
breakdown in the immune function caused by HIV, a retrovirus
HPV
cause of essentially all cases of cervical cancer
A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?
ceftriaxone
A client with a family history of cervical cancer is to undergo a Papanicolau test. During the client education, what group should the nurse include as at risk for cervical cancer?
clients who have genital warts
A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply.
"The virus remains quiet until a stressful event occurs to reactivate it." "Transmission is through contact of infected mucous membranes." "Infections may be transmitted by individuals unaware that they have it."
Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection?
dysuria
A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) discovers that there is a very high incidence of hepatitis B in the community. Which measure should the nurse take to ensure the prevention of the disease?
instruct people to get vaccinated for hep B
The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include?
chlamydia
a pregnant client is diagnosed with AIDS. which of the following interventions should the nurse undertake to minimize the risk of transmission of AIDS to the infant
administer antiretroviral syrup to the infant within 12 hours after birth
causes of vaginitis
fungi or bacterium
A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition?
gonorrhea
A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States?
chlamydia
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
syphilis
A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings?
the possibility of a chlamydia infection
A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?
this drug will help to suppress any symptoms of the infection
When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?
it is not unusual for clients to have concurrent infections with more than one sexually transmitted infection
A client diagnosed with human papillomavirus (HPV) asks the nurse if she will be at risk for developing cervical cancer. The nurse best responds by making which statement?
"Certain strains of the human papillomavirus (HPV) have been associated with causing cervical cancer."
which of the following should the nurse include in the teaching plan for a patient on HAART therapy
1. unpleasant side effects such as nausea and diarrhea are common 2. provide written materials describing diet, exercise and medications 3. ensure that the client understands the dosing regimen and schedule
After teaching a group of college-aged students about condom use, the nurse determines that additional teaching is needed when the students make which statement?
"It's okay to use petroleum jelly with a latex condom."
a client complaining of genital ulcers has been diagnosed with syphilis. Which of the following nursing interventions should the nurse implement when caring for the client
1. have the client urinate in water if urination is painful 2. instruct the client to wash her hands with soap and water after touching lesions 3. instruct the client to wear non constricting comfortable clothes
A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment?
fluconazole
A client is diagnosed with pediculosis infection. When teaching the client about measures to treat and minimize the transmission, which measures would the nurse include? Select all that apply.
following the manufacturer's instructions for the medication not sharing any personal items with others removing any nits with a fine toothed comb
Which medication is the most effective treatment for trichomoniasis?
metronidazole
__________is an intense pruritic dermatitis caused by a mite
scabies
___________is a complex, curable bacterial infection caused by the spirochete Treponema pallidum
syphilis
the _________stage of syphilis is characterized by diseases affecting the heart, eyes, brain, CNS, and/or skin
tertiary
A client at 32 weeks' gestation has recently been diagnosed with acute herpes type 2. The client asks what can happen to the baby as a result of this infection. How should the nurse bestrespond?
there is a chance your baby may have a form of intellectual disability
A 20-year-old female comes to the sexual health clinic for follow up related to a positive test for the human papillomavirus (HPV). The client asks the nurse, "Is there anything I can do to get rid of this?" What is the nurse's best response?
there is currently no medical treatment to cure HPV
A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infectious diseases. What is the nurse's best response?
this STI is characterized by an infection of your cervix
A nurse is teaching a young adult woman about sexually transmitted infections. The nurse determines that the teaching was successful when the woman identifies which infection as being characterized by genital ulcers?
genital herpes simplex
A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess?
characteristic "stale fish" odor
symptoms of Hep A
flulike symptoms with malaise, fatigue, anorexia, nausea, pruritus, fever, and upper right quadrant pain
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?
genital herpes
a female client has been diagnosed with pelvic inflammatory disease due to untreated gonorrhea? which of the following instructions should the nurse offer then caring for this client
1. avoid douching vaginal area 2. complete the antibiotic therapy 3. limit the number of sex partners
A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms?
an azole anti fungal agent
A female client is prescribed metronidazole for the treatment of trichomoniasis. Which instruction should the nurse give the client undergoing treatment?
avoid alcohol
a female client is prescribed metronidazole for the treatment fo trichomoniasis. which of the following instruction should the nurse give the client undergoing treatment
avoid alcohol
Which instruction should the nurse give to a client with genital herpes to help control the infection?
avoid sexual contact until sores heal
The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer:
azithromycin
A nurse is presenting a program for a local women's group about STIs. When describing the information, the nurse would identify which infection as the most common cause of vaginal discharge?
candidiasis
A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely?
chancres at the vaginal site
Cervicitis, acute urethral syndrome, salpingitis, pelvic inflammatory disease, and infertility are conditions associated with ______________ infection
chlamydia
any woman suspected of having gonorrhea should be tested for ___________ also, because coinfection (45%) is extremely common
chlamydia
A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which nursing strategy should be adopted to prevent the spread of STIs in the community?
discuss limiting the number of sex partners
An HIV-positive client who is on antiretroviral therapy complains of anorexia, nausea, and vomiting. which of the following suggestions should the nurse offer the client to cope with this condition
eat dry crackers after meals
___________are a common cause of skin rash and pruritus throughout the world
ectoparasites
Clients who have had PID are prone to which complication?
ectopic pregnancy
When developing a program for STI prevention, which action would need to be done first?
educating on how to promote sexual health
A school health nurse is presenting information on sexually transmitted infections (STIs) to a high school class. The nurse feels confident that learning has taken place when the students report:
female adolescents are more susceptible to STIs due to their anatomy
A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. which of the following symptoms related to this condition should the nurse assess for?
genital vesicular lesions
A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection?
gonorrhea
The community health nurse is teaching sexually transmitted infections to a high school health class. The nurse determines that the teaching was successful when the group identifies what potential cause for intellectual disability in the newborn?
herpes type 2 (genital herpes)
vaginitis
inflammation and infection of the vagina
a pregnant client has been diagnosed with gonorrhea. which of the following nursing interventions should be performed to prevent gonococci ophthalmia neonatorum in the baby
instill a prophylactic agent in the eyes of the newborn
A client presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole. What is the paramount nursing intervention in discharge planning?
instruct the client not to drink alcohol with this treatment
Which stage of syphilis occurs when the infected person has no signs or symptoms of syphilis?
latency
A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?
metronidazole
A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis?
oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease
predisposing factors for the occurrence of vulvovaginal candidiasis
pregnancy; use of oral contraceptives with a high estrogen content; use of broad-spectrum antibiotics; diabetes mellitus; use of steroids and immunosuppressive drugs; HIV infection; wearing tight, restrictive clothing; trauma to vaginal mucosa from chemical irritants or douching
At a health education class for teenagers, the nurse discusses the sexually transmitted infection chlamydia trachomatis. Which information would the nurse most likely include?
this infection is the most common infectious cause of infertility
Vulvovaginal candidiasis, if not treated effectively during pregnancy, can cause the newborn to contract oral infection known as __________ during the birth process
thrush
if vulvovaginal candidiasis is not treated effectively during pregnancy, the newborn can develop and oral infection known as____________
thrush
How is HIV transmitted
transmitted by intimate sexual contact; by sharing needles for intravenous drug use; mother to fetus during pregnancy; or by transfusion of blood or blood products
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?
trichomoniasis
manifestations of chlamydia
vaginal discharge, urethritis, bartholinitis, endometritis, salpingitis, and dysfunctional uterine bleeding.
A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection?
viral culture of vesicular fluid
A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition?
vulvovaginal candidiasis