Chapter 28: Infection

A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication? 1 metronidazole 2 penicillin G 3 miconazole 4 fluconazole

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A woman in week 40 of her pregnancy has developed a urinary tract infection (UTI). The nurse anticipates that medication would be safe and appropriate to use with this client? Select all that apply. 1 Amoxicillin 2 Ampicillin 3 Cephalosporins 4 Sulfonamides 5 Tetracyclines 6 Heparin

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A woman comes to the clinic reporting vaginal discharge. The nurse suspects trichomoniasis based on which symptoms? Select all that apply. 1 urinary frequency 2 yellow/green discharge 3 joint pain 4 blister-like lesions 5 muscle aches

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A woman with a history of genital lesions caused by herpes simplex virus (HSV) has been admitted to the labor unit at 39 weeks' gestation. She said she was given medicine prophylaxically a few weeks ago to prevent lesions at the time of birth. Which medication is safe to give to a pregnant women with HSV? 1 acyclovir 2 benzathine penicillin 3 chloroquine 4 mefloquine

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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? 1 an azole antifungal agent 2 a penicillin antibiotic 3 a quinolone antibiotic 4 an antiviral agent

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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? 1 metronidazole 2 acyclovir 3 clotrimazole 4 penicillin G

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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? 1 chlamydia 2 syphilis 3 gonorrhea 4 candidiasis

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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? 1 sharing contaminated needles 2 kissing 3 giving vaginal birth 4 sexual contact

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Working at the local health clinic, the nurse recognizes that STIs can often result in PID. When a client with a history of repeat STIs presents to the clinic reporting severe abdominal cramping and bleeding, the immediate concern is to ensure the client does not have: 1 ectopic pregnancy. 2 genital herpes simplex. 3 endometriosis. 4 secondary urinary tract infection.

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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? 1 herpes virus 2 human papillomavirus 3 Treponema pallidum 4 Haemophilus ducreyi bacillus

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The nursing instructor is teaching about Bartholin cysts and informs the students that Bartholin cysts are the most common cystic growth in the vulva. She describes this type of cyst as being: 1 a benign proliferation composed of smooth muscle and fibrous connective tissue in the uterus. 2 a swollen, fluid-filled, sac-like structure. 3 a small growth that is benign. 4 an abnormal opening between a genital tract organ and and another organ.

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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? 1 candidiasis 2 syphilis 3 gonorrhea 4 chlamydia

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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? 1 characteristic "stale fish" odor 2 heavy yellow discharge 3 dysfunctional uterine bleeding 4 erythema in the vulvovaginal area

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A pregnant woman tests positive for HBV. What would the nurse expect to administer? 1 HBV immune globulin 2 HBV vaccine 3 acylcovir 4 valacyclovir

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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? 1 genital herpes 2 syphilis 3 gonorrhea 4 chlamydia

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Clients who have had PID are prone to which complication? 1 ectopic pregnancy 2 multiple gestation 3 ovarian cancer 4 inguinal lymphadenopathy

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During a routine physical examination, the client is noted to have a Bartholin's cyst abcess. The nurse recognizes the need to obtain testing to rule out: 1 STI. 2 cancer. 3 fungal infection. 4 UTI.

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A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? 1 a painless genital ulcer that appeared about 3 weeks after unprotected sex 2 copper-colored macules on the palms and soles that appeared after a brief fever 3 patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas 4 one or more flat, wartlike papules in the genital area that are sensitive to touch

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A nurse at a local community clinic is developing a program to address STI prevention. What would the nurse least likely include in the program? 1 recommending screening for symptomatic individuals 2 offering education about STI transmission 3 outlining safer sexual behavior 4 promoting the use of barrier contraceptives

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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? 1 Practice monogamy. 2 Use oral contraceptives. 3 Avoid smoking. 4 Undergo colposcopy tests frequently.

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Which finding would alert the nurse to suspect that a client has a yeast infection? 1 changes in skin color 2 vulvar burning and itching 3 lymphadenopathy 4 acidic vaginal secretions

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The nurse is assessing a 15-year-old female who reports extreme itching in the genital area, dysuria, and foul-smelling, yellow, foamy, vaginal discharge. What would most likely be responsible for these symptoms? 1 trichomoniasis 2 herpes simplex II 3 human papillomavirus 4 syphilis

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What is the gold standard for HSV diagnosis? 1 culture 2 shave biopsy 3 excisional biopsy 4 punch biopsy

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Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? 1 erectile dysfunction 2 dysuria 3 painful ejaculation 4 hematuria

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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? 1 Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy. 2 Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. 3 Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection. 4 Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism.

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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? 1 Provide the client with brochures on sexually transmitted disease prevention. 2 Arrange for follow-up visits to her health care provider. 3 Discuss the necessity of completing the antibiotic therapy. 4 Refer the client to the women's sexual health clinic.

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When developing a program for STI prevention, which action would need to be done first? 1 getting individuals to change their behaviors 2 increasing the availability of resources 3 educating on how to promote sexual health 4 interfering with the mode of transmission

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Which factor in a client's history indicates she is at risk for candidiasis? 1 nulliparity 2 menopause 3 use of corticosteroids 4 use of spermicidal jelly

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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? 1 an antiviral agent 2 a penicillin antibiotic 3 a quinolone antibiotic 4 an azole antifungal agent

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A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent? 1 acyclovir 2 ceftriaxone 3 podophyllum resin 4 doxycycline

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A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor? 1 It causes anovulation due to interference with secretion of pituitary hormones. 2 It causes changes in cervical mucus that make it less receptive to penetration by sperm. 3 It causes sperm-agglutinating antibodies to be produced in the vagina. 4 it interferes with the transport of ova due to tubal scarring.

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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? 1 azithromycin 2 valacyclovir 3 penicillin 4 metronidazole

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The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS? 1 1,000 cells/mm3 2 700 cells/mm3 3 450 cells/mm3 4 200 cells/mm3

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