ch 55 no glove no love

Which of the following will the nurse teach a patient about treatment for gonorrhea?

"Ceftriaxone in a single injection is a preferred treatment."

The nurse assesses a patient and finds a foul odor coming from the vaginal area when assisting with perineal care. What is the best statement for the nurse to make?

"Do you have any other symptoms?"

Which of the following assessment questions is most likely to address the causation of a woman's new case of candidiasis?

"Have you been on antibiotics recently?"

A client comes to the clinic and is diagnosed with genital herpes. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective?

"I will take the acyclovir (Zovirax) every 8 hours for the next week."

A patient states to the nurse "How could I be sick! I feel fine!" The patient has a sexually transmitted infection. Which of the following is the nurse's best response?

"Often, sexually transmitted infections are asymptomatic."

In teaching a patient about genital warts, which of the following statements is correct for the nurse to say?

"The incubation period is 6 weeks to 3 months."

A patient asks "How could I have chlamydia? I feel fine!" Which of the following is the nurse's best response?

"Women with this condition are often asymptomatic."

A patient asks the nurse how he will know if he has syphilis after sexual contact? Which of the following is the nurse's best response?

"You will develop a sore on your penis or scrotum."

After inoculation with HPV, genital warts may begin to grow. They usually manifest as soft, raised fleshy lesions on the external genitalia of either male or female. What is the incubation period for HPV-induced genital warts?

6 weeks to 8 months Explanation: The incubation period for HPV-induced genital warts ranges from 6 weeks to 8 months, with a mean of 2 to 3 months.

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 Explanation: All sex partners within 60 days prior to discovery of the infection should be contacted, tested, and treated.

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. Which of the following is the nurse's best response to the client?

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

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.

Which of the following patients is at highest risk of developing trichomoniasis?

A patient who is sexually active

There is no known cure for genital herpes, and methods of treatment are often symptomatic. Pharmacologic management of genital herpes includes which drugs?

Acyclovir

A nurse notes that the incidence of sexually transmitted infections (STIs) are increasing. To which of the following does the nurse attribute this?

Advanced technology to screen for infections

In assessing a patient, the nurse notes a grayish discharge from the vaginal area accompanied by a foul odor. Which of the following is the nurse's best action?

Asking about other symptoms

A nurse is attempting to culture a lesion to determine if a patient has genital herpes. Which of the following is the nurse's best action?

Attempt to culture a lesion as soon as it develops

The nurse provides prophylactic treatment for a neonate to prevent conjunctival gonorrhea. The nurse is aware that the intervention will reduce the risk of:

Blindness

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 of the following organisms?

Candida albicans

A female client is infected with human papillomaviruses (HPV) following unprotected sexual intercourse. The nurse prepares to teach the client about the risk of developing which of the following cancers?

Cervical

A 20-year-old female comes to the clinic for an annual exam. She reports having unprotected sexual intercourse with several men over the last year. Blood tests reveal that she is positive for human papillomavirus. The nurse teaches the patient about which of the following complications that may occur because of the infection?

Cervical cancer

The nurse is reviewing the uses and side effects of Azithromycin. What infection is Azithromycin the antibiotic of choice for the treatment?

Chlamydial

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?

Fallopian tube damage

In men, urethral pain and a creamy yellow, bloody discharge from the penis is characteristic of which sexually transmitted infection?

Gonorrhea

Which statement is true about gonorrhea?

Gonorrhea is a reportable STI

Bacterial vaginosis is the most common vaginal infection seen by health care providers. What is the predominant symptom of bacterial vaginosis?

Grayish white discharge with a fishy odor

Tertiary syphilis is a delayed response of untreated primary syphilis and can occur as long as 20 years after the primary disease. When tertiary syphilis progresses to a symptomatic stage, it can produce localized necrotic lesions. What are these lesions called?

Gummas

A patient was diagnosed with human immunodeficiency virus (HIV), which causes acquired immunodeficiency syndrome (AIDS). The nurse realizes that the patient needs further teaching about the disease process based on which of the following statements made by the patient?

HIV only infects B cells."

Trichomoniasis is an STI that can occur in either sex. Men carry the protozoan in the urethra and prostate and remain asymptomatic. This anaerobic protozoan can cause a number of complications. What is it a risk factor for in both men and women?

HIV transmission

A patient is diagnosed with granuloma inguinale. Which of the following questions should the nurse ask the patient?

Have you traveled outside the country recently?

A 22-year-old client has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:

Human papillomavirus (HPV)

Select the treatment of choice for syphilis.

I personally think this answer is wrong but prepU says its right Long-acting penicillin in a single injection The treatment of choice for syphilis is penicillin. Because of the spirochetes' long generation time, effective tissue levels of penicillin must be maintained for several weeks. Long-acting injectable forms of penicillin are used

The physiological reasoning behind giving acyclovir, an antiviral medication, to a client diagnosed with genital herpes would include the fact that these drugs:

Interfere with viral DNA replication, which can decrease the frequency of recurrences

A male client presents at the clinic with flulike symptoms and reports a weight loss of 10 pounds without trying. On physical examination, the client is found to have splenomegaly and large, tender, fluctuant inguinal lymph nodes. While taking the nursing history, it is discovered that the client prefers male sexual partners, and that 2 weeks ago the client had small, painless papules. What disease would the nurse suspect the client has?

Lymphogranuloma venereum

Select the correct statement regarding Herpes simplex virus.

Only two strains of the virus are considered sexually transmittable.

A client asks the nurse there is anything that would greatly increase her risk of acquiring human papillomavirus (HPV). The best response by the nurse would be:

Oral-genital sex

A 33-year-old patient who is a long-term intravenous user of heroin has been recently diagnosed with hepatitis C. Which of the following portals of entry most likely led to the patient's infection?

Penetration

Gonorrhea is caused by Neisseria gonorrhoeae, a gram-negative diplococcus. Which is a characteristic of gonorrhea?

Purulent exudates

A patient presents with gonorrhea. Which of the following is a primary nursing action?

Reporting the case to the Centers for Disease Control and Prevention

A 23-year-old diagnosed with syphilis presents with palmar rash, sore throat, fever, and a red-brown lesion on the genital area. The symptoms have been present for 3 weeks. Select the stage of syphilis this client is currently in.

Secondary

Which of the following assessment findings helps the nurse confirm that the patient has genital warts?

Soft, raised lesions on external genitalia

For a woman, what is the most serious long term outcome of an infection resulting from exposure to the N. gonorrhea bacteria?

Sterility

A patient presents with a rash on the palms of his hands, mucous membranes, and stomach. He is complaining of a sore throat and nausea. Which of the following conditions is the nurse concerned about?

Syphillis

A young woman is almost ready to deliver, and she has an outbreak of genital herpes. Which of the following is the nurse's best action?

Tell the woman about a cesarean section.

Candidiasis is a leading cause of vaginal infections. Which antifungal agent is not available without prescription to treat candidiasis?

Terconazole

A patient has been diagnosed with candidiasis. Which of the following symptoms was present to diagnose this condition?

Thick white secretions

A nurse is interviewing a patient about issues with infertility. Which condition contributes to the risk of infertility in both men and women?

Trichomoniasis

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. Which of the following is the nurse's best response to the client?

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

A client presents to the out-client clinic complaining of gray discharge that has a fishy odor. The health care provider sees "clue cells" on wet-mount microscopic exam. This would most likely lead to the diagnosis of:

bacterial vaginosis

A patient develops Reiter's syndrome. Which of the following symptoms will the nurse assess? Select all that apply.

• Conjunctivitis • Pain in the joints

Which of the following assessment findings does the nurse expect in the patient with trichomoniasis? Select all that apply.

• Erythema of the vaginal area • Identifying the parasite through microscopic study Correct Explanation: Patients with trichomoniasis have redness in the vaginal area. A wet-mount slide preparation is used to identify the parasite through microscopic study. Blood and urine cultures are not used to diagnose this condition.