Ch 46 patho

Which assessment question is most likely to address the causation of a woman's new case of candidiasis? "Have you recently begun a new sexual relationship?" "Have you been on antibiotics recently?" "Have you noticed any new growths on your vagina in recent months?" "Do you use condoms during sexual activity?"

"Have you been on antibiotics recently?"

A female client is diagnosed with chlamydia during a routine pelvic examination. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective? "My partner will need to take antibiotics at the same time I do." "The infection is not contagious and will resolve on its own in a few days." "I will use condoms during sex until I finish taking all the antibiotics." "I will use antibiotic cream as directed twice a day until the infection is cured."

"My partner will need to take antibiotics at the same time I do."

A male client is diagnosed with gonococcal urethritis. He tells the nurse he had recent sexual contact with a woman but states she did not appear to have any disease. What is the nurse's best response to the client? "Women do not develop gonorrhea infections; but they can become carriers and spread the disease to males." "Women may not know they have gonorrhea because they may not have symptoms." "You may have acquired this infection from another route; it can also be spread in droplet form from coughing or sneezing." "A gonorrhea infection in women only affects the internal organs such as the ovaries; therefore, you would not have seen any signs of an active infection."

"Women may not know they have gonorrhea because they may not have symptoms."

Within how many days it is important to test anyone who has had sex with an individual who tests positive for gonorrhea? 60 90 180 365

60

It is important to test anyone who has had sex with an individual tests positive for gonorrhea within how many days of the diagnosis? 60 days 90 days 180 days 365 days

60 days

Which clients are at highest risk of developing candidiasis? Select all that apply. A client who completed a 10-day course of antibiotic therapy for a urinary tract infection A client who is pregnant A client newly diagnosed with diabetes mellitus type 2 A client who is taking 10 different medications A client who is hospitalized for the flu

A client who completed a 10-day course of antibiotic therapy for a urinary tract infection A client who is pregnant A client newly diagnosed with diabetes mellitus type 2

Which client is at highest risk of developing trichomoniasis? A client who completed a 10-day course of antibiotic therapy for a urinary tract infection A client who is sexually active A client newly diagnosed with diabetes mellitus type 2 A client who is taking 10 different medications

A client who is sexually active

A client has been diagnosed with syphilis after seeking care for a penile lesion. The nurse should anticipate which intervention? Twice-daily irrigation of the lesions Administration of injectable penicillin Placing the client on protective isolation Topical administration of erythromycin

Administration of injectable penicillin

A nurse is caring for a client being treated for chlamydial infection. Which medication would the nurse anticipate being prescribed? Penicillin Azithromycin Ciprofloxacin Piperacillin-tazobactam

Azithromycin

A sexually active female presents to the clinic with white copious vaginal discharge, itch, swelling, and dysuria. The nurse anticipates the client will be treated for the overgrowth of which organism? Escherichia coli Lactobacillus acidophilus Candida albicans Neisseria gonorrhoeae

Candida albicans

During infertility workup, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation? Uterine cancer Fallopian tube damage Amenorrhea Vaginal adhesions

Fallopian tube damage

A female client is found to have genital warts during a routine pelvic examination. Which sexually transmitted infection will the nurse prepare to test for? Chlamydia trachomatis Adenovirus Human papillomavirus Herpes simplex virus

Human papillomavirus

A client with a history of candidiasis is concerned about why the signs and symptoms always occur after she is prescribed an antibiotic. Which statements by the client indicate that further teaching is indicated? Select all that apply. Antibiotics suppress the immune system, which kills the normal bacteria flora and allows candidiasis to thrive. It is important to complete the full course of antibiotics to prevent the outbreak of candidiasis from occurring. Antibiotics cause an increase in vaginal glycogen stores, which promotes candidiasis. The candidiasis outbreaks are not likely associated with the antibiotic therapy but rather the chronic nature of the infection.

It is important to complete the full course of antibiotics to prevent the outbreak of candidiasis from occurring. Antibiotics cause an increase in vaginal glycogen stores, which promotes candidiasis. The candidiasis outbreaks are not likely associated with the antibiotic therapy but rather the chronic nature of the infection.

Select the correct statement regarding herpes simplex virus. Only two strains of the virus are considered sexually transmittable. The virus is not contagious. The virus will not reactivate. Herpes simplex virus cannot be transmitted if lesions are not present.

Only two strains of the virus are considered sexually transmittable.

The nurse is caring for a client with active chancroid lesions. What should the nurse include in the client's plan of care? Select all that apply. Protect the client from contact with lesion exudate. Assess for lymphadenopathy. Apply topical antiviral medication. Use contact precaution isolation. Administer analgesics.

Protect the client from contact with lesion exudate. Assess for lymphadenopathy. Use contact precaution isolation. Administer analgesics.

A male client presents to the clinic with profuse, purulent urethral discharge with painful urination. Which information will be most important for the nurse to obtain? Contraceptive use Sexual orientation Immunization history Recent sexual contacts

Recent sexual contacts

A client presents with gonorrhea. Which of the following is a primary nursing action? Keeping the client hospitalized for treatment Treating all members of the client's family Reporting the case to the Centers for Disease Control and Prevention Inserting a peripherally inserted central catheter

Reporting the case to the Centers for Disease Control and Prevention

For a woman, what is the most serious long-term outcome of an infection resulting from exposure to the N. gonorrhoeae bacteria? Sterility Dysuria Postcoital bleeding Bartholin gland abscesses

Sterility

A female client presents to the clinic with a rash on the palms of her hands, symptoms of hair loss, and the development of elevated, red-brown lesions that have begun to ulcerate and produce a foul discharge. Based on these symptoms, the nurse plans to test the client for which sexually transmitted infection? Syphilis Chlamydia Gonorrhea Genital herpes

Syphilis

The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that: a large percentage (70%) of those infected experience no symptoms of the disease. the lesions (LSILs) occur on the cervix and can only be detected by a Pap test. the lesions take a long time to incubate and the small papules are usually located inside the vagina. the organism spreads upward to the prostate gland in males and fallopian tubes in females.

a large percentage (70%) of those infected experience no symptoms of the disease.