Chapter 51

the nurse instructs the pt w/ a chlamydial infection that because of the disease, the pt is at a greater risk for

HIV, if exposed to it

a group of students are reviewing class material on STI in prep for a test. the students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

HPV

a pt w/syphilis is seen at the clinic and complains of body aches, pustules, fever, and sore throat. The nurse recognizes that these symptoms of syphilis at which stage?

Secondary

which information would be most appropriate for a nurse to provide to a client who has never used a condom?

a new condom should be used for each sex act

the nurse cautions the patient taking Flagyl for trichomonad that she should

abstain from alcohol while taking the drug

the nurse explains that an antiviral drug commonly used to relieve symptoms of HSV is

acyclovir

K.S. a 26 yr old preschool teacher, is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and upcoming wedding. she is returning for her results and is devastated to learn that she has the STI gonorrhea. what would contribute to her ignorance of her condition?

being asymptomatic

a client being treated for gonorrhea. which agent would the nurse expect the physical to prescribe

ceftriaxone

the nurse should emphasize the importance of annual pap smear to patient w/ genital warts because a association exists between the HPV and the eventual development of

cervical cancer

primary stage syphilis is characterized by

chancre

a couple comes to the ER for the treatment of an STI. the mans presenting symptoms include penile discharge, dysuria. the woman has lower abdominal pain and a vaginal discharge. the nurse recognizes that these symptoms are characteristic of

chlamydial infection

a nurse is caring for a client diagnosed w/ a chlamydial infection. The nurse teaches the client about disease transmission and advices the client to inform his sexual partners of the infection. the client refused stating "this is my business and I'm not telling anyone. besides chlamydia doesn't cause any harm like other STDs" how should nurse proceed?

educate the client about why its important to inform sexual contacts so they can receive treatment

the statement by the nurse that is most likely to overcome noncompliance in the pt w/gonorrhea who is taking a protocol of tetracycline antibiotics is

failing to take the entire medicine amount will make your disease resistant to it

Doxycycline (Vibramycin) has been prescribed for a pt who has gonorrhea. Before beginning the med, the nurse would instruct the pt to

follow-up to determine id the treatment is effective

The nurse, completing a history of illnesses for a young woman who suspects she may have a STI will ask specifically about whether the pt has experienced

genital discharge

a male client reports urethral pain and a whitish or greenish discharge from penis. the nurse associates these characteristics with which following STI

gonorrhea

when the female pt who is newly diagnosed w/gonorrhea screams "Iam going to kill my husband. i mean it" the nurse's best response would be

i can understand your anger. how best can you deal with it

a client w/ a history of HSV2 infection ask the nurse about future sexual activity. which of the following responses would be most appropriate

inform all potential secual partners about the infection, even if its inactive

a 16 yr old pt comes to the free clinic and is diagnosed w/primary syphilis. the pt states that she contracted the disease by holding hands w/someone who has syphilis. what is the most appropriate nursing diagnosis for this pt?

knowledge deficit related to modes of transmission

the nurse giving instructions to a pt w/ STI says "I am supposed to tell you about STI's, but you probably know more about them than i do" this nurse is

making a judgmental statement

a female client w/an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. the nurse would expect to find which of the following once the microorganism disseminates through the body

painful joints

the pt at the outpatient clinic is reluctant to identify her sexual contacts. the nurse explains that the reporting of contacts is essential to

slow transmission and spread of infections

the method use to identify organisms of gonorrhea will be

smears and cultures

a nurse is teaching a client w/ genital herpes. Education for this client should include an explanation of

the importance of informing his partners of the disease

a pt has been diagnosed w/ HSV type 2. The nurse should instruct the pt to

wash towels and personal items daily