EAQ ch 74

The nurse is assessing a male patient who has been diagnosed with Chlamydia trachomatis. What clinical manifestation does the nurse expect to see? -Dysuria -Testicular edema -Pustules on the glans of the penis -Painless maculopapular rash in the perineal area

Dysuria

A nursing student is observing in an inner-city clinic that offers free sexually transmitted infection (STI) testing. Which situation demonstrates appropriate patient confidentiality and privacy? -Exchanging a multiple sign-in log with individual sign-in forms -Saying to a friend, 'He was tested in our clinic; don't go out with him.' -Counseling a patient in a shared professional office where no other patients are present -Leaving a message about negative test results on a home answering machine

Exchanging a multiple sign-in log with individual sign-in forms

The nurse completes education on chlamydia infections with a patient who has started treatment. Which statements of the patient indicate a reduced risk for reinfection? Select all that apply. -'I should come for rescreening after 3 months.' -'I can spread the disease if I share my food with others.' -'I can have sexual intercourse once I start taking the medication.' -'I should complete the course of medication even if I start feeling better.' -'I should use a barrier method, such as a condom, even if I don't have symptoms.'

-'I should come for rescreening after 3 months.' -'I should complete the course of medication even if I start feeling better.' -'I should use a barrier method, such as a condom, even if I don't have symptoms.'

The nurse is instructing a patient with genital herpes (GH) about the use of condoms. What statement made by the patient indicates the need for further instruction? -'I should use natural-membrane condoms.' -'I should keep condoms in a cool, dry place.' -'I should use a water-based lubricant with condoms.' -'I should use a condom during all sexual exposures.'

-'I should use natural-membrane condoms.'

The nurse is teaching a group of young women about screening for chlamydia. Which patient statement shows a correct understanding of these practices? -'At age 30, I still need yearly testing, even if I am monogamous.' '-As a sexually active 19-year-old, I should be screened every 2 years.' -'Self-collected urine specimen testing is not a reliable method for screening.' -'If I am a 40-year-old woman with a 'new' partner, I should be screened again.'

-'If I am a 40-year-old woman with a 'new' partner, I should be screened again.'

Which nursing student statement regarding safer sex practices set forth in the Healthy People 2020 campaign against sexually transmitted infections (STIs) indicates a need for further education? -'Practice mutual monogamy.' -'Increase the number of sexual partners.' -'Wear gloves for contact between the hands and the vagina or rectum.' -'Use a latex or polyurethane condom for any genital or anal intercourse.'

-'Increase the number of sexual partners.'

The nurse is teaching a female patient about managing her sexually transmitted infection (STI) with antibiotics. Which patient statement indicates that teaching has been effective? -'This antibiotic must be taken with food.' -'I will need to take an antacid 2 hours after taking the antibiotic.' -'I can resume having sex 24 hours after my first dose of antibiotics.' -'My oral contraceptive may not be effective while I take antibiotics.'

-'My oral contraceptive may not be effective while I take antibiotics.'

The nurse is caring for a patient with pelvic inflammatory disease (PID) who is being treated with oral antibiotics. What does the nurse teach the patient about antibiotic therapy? Select all that apply. -'Drink at least 5 to 6 glasses of fluid every day.' -'Take antacids containing aluminum if required.' -'Take the oral antibiotics until they are completed.' -'You make take antacids if the antibiotics upset your stomach.' -'Do not have sex until after you complete your antibiotic therapy.' -'Return to your health care provider after completing your antibiotic treatment.'

-'Take the oral antibiotics until they are completed.' -'Do not have sex until after you complete your antibiotic therapy.' -'Return to your health care provider after completing your antibiotic treatment.'

The nurse is teaching a 19-year-old female with genital warts about her condition. Which patient statement requires further education from the nurse? -'There is no known treatment that will cure genital warts.' -'The warts may actually disappear or resolve without any treatment at all.' -'Genital warts may reappear at the same site.' -'Wart remover treatment from the drugstore will help me get rid of them.'

-'Wart remover treatment from the drugstore will help me get rid of them.'

The nurse is teaching a patient with gonorrhea. What does the nurse tell the patient about the disease? -'You are only infectious while the lesions are draining.' -'You are contagious even if you have no outward symptoms.' -'Close follow-up is required because treatment failure is common.' -'Do not engage in sexual activity until your blood tests are negative.'

-'You are contagious even if you have no outward symptoms.'

The nurse is teaching a group of young men about sexually transmitted infections (STIs). What does the nurse tell them to look for in the primary stage of syphilis? -Scrotal swelling -A painless chancre -A rash in their genital area -Weeping discharge from the urethra

-A painless chancre

The nurse at the public health clinic is assessing a female patient with possible gonorrhea. Which patient symptom is of greatest concern to the nurse? -Anal itching -Painful urination -Abdominal tenderness -Foul-smelling vaginal discharge

-Abdominal tenderness

Which treatment regimen is preferred in patients with severe genital herpes simplex virus (HSV) infection? -Acyclovir oral (PO) administration with hospitalization -Acyclovir oral (PO) administration without hospitalization -Acyclovir intravenous (IV) administration with hospitalization -Acyclovir intramuscular (IM) administration with hospitalization

-Acyclovir intravenous (IV) administration with hospitalization

The nurse is planning care for a patient who has a sexually transmitted infection (STI). Which interventions address the patient's psychosocial needs? Select all that apply. -Allowing the patient to express fears and anxieties -Reporting the STI to the public health department -Approaching the patient with a nonjudgmental attitude -Referring the patient to the appropriate support groups -Sharing experiences about working with patients with STIs -Ensuring that the patient's sexual partner is aware of the diagnosis

-Allowing the patient to express fears and anxieties -Approaching the patient with a nonjudgmental attitude -Referring the patient to the appropriate support groups

A male patient is given 1000 mg of oral azithromycin to treat his chlamydia infection. Two weeks later, he returns to the clinic and says to the nurse, 'My symptoms have returned.' What does the nurse do first? -Asks him whether his partner was also treated for chlamydia -Teaches him about the use of doxycycline to treat chlamydia -Reminds him to abstain from sexual activity during his treatment -Discusses possible complications of untreated sexually transmitted infections

-Asks him whether his partner was also treated for chlamydia

What is the reason that late diagnosis of genital herpes occurs in many people? -Symptomatic with viral shedding -Asymptomatic with viral shedding -Symptomatic with no viral shedding -Asymptomatic with no viral shedding

-Asymptomatic with viral shedding

What would be the reason for a false-negative result when an antibody serology test is performed in a patient with herpes simplex virus infection? -Inactive state of the virus -Patient is receiving antibacterial therapy -Blood sample taken immediately after an initial outbreak -Blood sample obtained within 48 hours of initial outbreak

-Blood sample taken immediately after an initial outbreak

What is the most important nursing intervention during an interview with a patient suspected of having gonorrhea? -Asking about sexual partners -Building a trusting relationship -Providing privacy while interviewing -Keep all the forms ready to record the data

-Building a trusting relationship

Which medication is the drug of choice for treating gonorrhea? -Penicillin -Ceftriaxone -Ciprofloxacin -Tetracycline

-Ceftriaxone

Which condition is suspected in patients diagnosed with condylomata acuminata? -Lung cancer -Cervical cancer -Stomach cancer -Hodgkin's disease

-Cervical cancer

Which sexually transmitted infection must be reported to the health department? -Chlamydia -Genital warts -Genital herpes -Pelvic inflammatory disease

-Chlamydia

A female patient reports pain when urinating, discharge from the vagina, and pelvic pain. Which microorganism could be responsible for an infection with these symptoms? -Treponema pallidum -Chlamydia trachomatis -Neisseria gonorrhoeae -Human immunodeficiency virus

-Chlamydia trachomatis

The nurse is evaluating a patient's response to antibiotic treatment for pelvic inflammatory disease (PID). Which finding indicates that the treatment is effective? -Increased libido -Increased appetite -Decreased pelvic tenderness -Decreased vaginal discharge

-Decreased pelvic tenderness

What manifestations does the nurse expect to find on assessment in a patient with gonorrhea? Select all that apply. -Dysuria -Rectal bleeding -Dry, chapped lips -Blisters in the throat -Green vaginal discharge

-Dysuria -Rectal bleeding -Blisters in the throat -Green vaginal discharge

Which is considered a primary tool in the prevention of sexually transmitted infections (STIs) in the Healthy People 2020 initiative? -Education -Motivation -Abstinence -Sexual orientation

-Education

Gonorrhea can potentially progress without warning and can commonly lead to which disorder in women? -Arthritis -Hepatitis -Meningitis -Endometritis

-Endometritis

Which drug does the nurse expect to be prescribed by the primary health care provider for a patient diagnosed with genital herpes simplex virus type 1 (HSV-1) -Podofilox -Famciclovir -Doxycycline -Sinecatechins

-Famciclovir

A patient who has received an antibiotic injection for diagnosed syphilis is told that he may experience Jarisch-Herxheimer reaction. What does the nurse teach the patient to expect with this reaction? Select all that apply. -Fever -Itching -Vasodilation -Generalized achiness -Pain at the injection site -Decreased blood pressure -Onset 4 hours after injection

-Fever -Vasodilation -Generalized achiness -Pain at the injection site -Decreased blood pressure

Which statements are true about the vaccine Gardasil? Select all that apply. -The use of Gardasil is approved only for male adults. -Gardasil is preferred in immunocompromised patients. -Gardasil is encouraged for males who have sex with males. -Gardasil is recommended soon after the onset of sexual activity. -Gardasil provides immunity against human papilloma virus (HPV) types 6 and 11

-Gardasil is preferred in immunocompromised patients. -Gardasil is encouraged for males who have sex with males. -Gardasil provides immunity against human papilloma virus (HPV) types 6 and 11

Which tests are most sensitive in detecting chlamydia infection? Select all that apply. -Urinalysis -Leukocyte count -Gene amplification test -Nucleic acid amplification test -Erythrocyte sedimentation rate

-Gene amplification test -Nucleic acid amplification test

A patient complains of an itching sensation and a few lesions on the vagina. What condition does the nurse suspect from the patient's description? -Chlamydia -Gonorrhea -Genital herpes -Pelvic inflammatory disease

-Genital herpes

A clinic nurse is providing expedited partner treatment (EPT) to a patient who is newly diagnosed with chlamydia. What does the nurse do first? -Makes an appointment at the clinic for the partner -Provides condoms for the patient and partner to use -Gives the drug and directions to the patient for the partner -Confirms the diagnosis of the partner through appropriate testing

-Gives the drug and directions to the patient for the partner

The nurse is caring for a patient who is diagnosed with a sexually transmitted infection (STI). The nurse assesses the patient for discharge from the urethra, cervix, and rectum and also examines the mouth for a reddened throat, ulcerated lips, and tender gingivae. The assessments that the nurse performed relate to which STI? -Syphilis -Gonorrhea -Chlamydia -Genital warts

-Gonorrhea

Which information should be provided by the nurse to the patient who is diagnosed with human papilloma viral (HPV) infection? -The treatment includes antiviral therapy. -HPV infection increases the risk of cervical cancer. -HPV infection cannot be transmitted during oral sex. -Transmission is prevented by using condoms for every sexual contact.

-HPV infection increases the risk of cervical cancer.

Which type of human papilloma virus (HPV) is associated with a low risk for developing genital cancer? -HPV type 11 -HPV type 16 -HPV type 18 -HPV type 31

-HPV type 11

The nurse is caring for a patient with genital herpes. What does the nurse tell the patient about sexual activity with this disease? Select all that apply. -Handle condoms with care. -Keep condoms in a cool, dry place. -Use oil-based lubricants with condoms. -Use condoms during all sexual exposures. -Abstain from sexual activity when lesions are present.

-Handle condoms with care. -Keep condoms in a cool, dry place. -Use condoms during all sexual exposures. -Abstain from sexual activity when lesions are present.

According to the Centers for Disease Control and Prevention (CDC) which factor has led most to health disparities between young African American women and other ethnic groups? -Gonorrhea rate -Language barriers -Health care access -Socioeconomic status

-Health care access

What would be a possible complication in a patient with genital herpes who has had recurrent outbreaks for 1 year? -Cervical cancer -Bacterial vaginosis -Pelvic inflammatory disease -Human immunodeficiency virus (HIV) infection

-Human immunodeficiency virus (HIV) infection

What is the causative organism of condylomata acuminata? -Herpes simplex virus -Human papilloma virus -Trichomonas vaginalis -Chlamydia trachomatis

-Human papilloma virus

Which organism is a primary risk factor for cervical cancer? -Hepatits B virus -Herpes simplex virus -Human papilloma virus (HPV) -Human immunodeficiency virus (HIV)

-Human papilloma virus (HPV)

What would be the initial diagnosis in a patient with symptoms of excessive vaginal discharge and clusters of flesh-colored lesions on the mucosal surface of the vagina? -Pelvic inflammatory disease (PID) -Herpes simplex virus infection (HSV) -Human papilloma virus infection (HPV) -Human immunodeficiency virus infection (HIV)

-Human papilloma virus infection (HPV)

Which type of sexually transmitted infection has the risk of cervical cancer? -Syphilis -Gonorrhea -Herpes simplex virus infection (HSV) -Human papilloma virus infection (HPV)

-Human papilloma virus infection (HPV)

Which statements are true of sexually transmitted infections (STIs)? Select all that apply. -STIs are spread through sexual contact only. -Only one STI is present in a person at any given time. -Illicit drug usage is one of the risk factors for STIs. -Condoms may not be effective as a preventive measure. -Expedited partner therapy should be performed for the patient's sexual partners.

-Illicit drug usage is one of the risk factors for STIs. -Expedited partner therapy should be performed for the patient's sexual partners.

What are the eligibility criteria of vaccination with Cervarix for human papilloma virus infection (HPV)? Select all that apply. -A male having sex with male -Immunocompromised females -Before the onset of sexual activity -Young women below 26 years of age -Patients diagnosed with HPV types 16 and 18

-Immunocompromised females -Before the onset of sexual activity -Young women below 26 years of age

What external factors contribute to the prevalence of sexually transmitted infections (STIs)? Select all that apply. -Increase in population -Political and economic policies -International travel and migration -Increasing age at which first intercourse occurs -Decrease in sexual abuse and sexual trafficking

-Increase in population -Political and economic policies -International travel and migration

A patient with chlamydia infection is prescribed a single dose of azithromycin 1 g orally. What is the most important advantage of this therapy compared to doxycycline 100 mg orally twice daily for 7 days? -Increased compliance -Decreased side effects -Increased therapeutic effect -Decreased risk of other infections

-Increased compliance

The nurse is establishing a plan of care for a patient with newly diagnosed pelvic inflammatory disease (PID). Which problem does the nurse place as the patient's highest priority? -Infection -Infertility -Reduced sexual drive -Reduced self-esteem

-Infection

Which is the most effective route of administration for benzathine penicillin G to a patient with early latent syphilis? -Oral -Intravenous -Intramuscular -Subcutaneous

-Intramuscular

Which symptom in a patient would suggest primary genital herpes? -Itching of the genitals -Dark and foul smelling urine -The presence of painless sores -Purulent discharge from the penis

-Itching of the genitals

What information should the nurse provide to a patient who underwent cryotherapy for genital warts? Select all that apply. -Keep the treated area clean and dry. -There will be no pain after the therapy. -Seek care immediately if bleeding occurs. -Expect no discharge from the treated wart. -Continue prescribed treatment until the warts are healed.

-Keep the treated area clean and dry. -Seek care immediately if bleeding occurs. -Continue prescribed treatment until the warts are healed.

Which action does the RN delegate to an unlicensed assistive personnel (UAP) who is helping with care for a patient with pelvic inflammatory disease? -Asking the patient if she has concerns about infertility -Assessing the patient for signs of guilt or depression -Checking the abdomen for signs of rebound tenderness -Keeping the head of the bed elevated at least to 30 degrees

-Keeping the head of the bed elevated at least to 30 degrees

Postmenopausal women are especially at risk of becoming infected with sexually transmitted infections (STIs) because of which factors? Select all that apply. -Belief that they are not vulnerable to disease -Very vascular mucosal membranes of the vagina -Lack of barrier protection use during sexual intercourse -Predisposition to mucosal tears due to vaginal atrophy -Belief that nonbarrier contraceptive methods protect against STIs -Consumption of large amounts of alcohol, which leads to risky behavior

-Lack of barrier protection use during sexual intercourse -Predisposition to mucosal tears due to vaginal atrophy

A patient diagnosed with genital warts asks the nurse how it can be treated. What does the nurse suggest? -Oral antibiotics -Liquid nitrogen -Topical antiviral cream -Human papilloma virus (HPV) vaccine

-Liquid nitrogen

For which manifestations does the nurse assess a male patient with chlamydia infection? -Anuria -Nocturia -Epididymitis -Mucoid discharge

-Mucoid discharge

The nurse is educating a patient who is receiving treatment for syphilis. What action must the nurse instruct the patient to take during the treatment period? -Keep follow-up evaluations every month. -Receive benzathine penicillin G twice a week. -Notify partners about infection and treatment. -Ensure adequate protection during sexual activity.

-Notify partners about infection and treatment.

A patient reports her sexual partner was recently diagnosed with syphilis. For what does the nurse observe in assessing the patient? -Small white or flesh-colored papillary growths -Generalized rash, fever, malaise, and muscle pains -Painless, indurated (hard), smooth, weeping lesions -Benign lesions (gummas) of the skin and mucous membranes

-Painless, indurated (hard), smooth, weeping lesions

Which initial treatment does the nurse expect to be prescribed by the primary health care provider for a patient who is diagnosed with genital warts? -Cryotherapy -Podofilox gel -Podophyllin resin -Trichloroacetic acid

-Podofilox gel

The nurse is developing a plan of care for a patient with genital herpes (GH). What does the nurse teach the patient about managing the infection? Select all that apply. -Use a sitz bath once a day. -Pour water over the genitalia while voiding. -Wash hands thoroughly after applying ointments. -Apply ice packs or warm compresses to the lesions. -Abstain from sexual activity when lesions are present. -Increase intake of fluids to replace fluids lost through lesions.

-Pour water over the genitalia while voiding. -Wash hands thoroughly after applying ointments. -Apply ice packs or warm compresses to the lesions. -Abstain from sexual activity when lesions are present. -Increase intake of fluids to replace fluids lost through lesions.

Which groups of people are at greater risk for sexually transmitted infections (STIs)? Select all that apply. -Lesbian women -Pregnant women -Postmenopausal women -Adolescent boys and girls -Men who have sex with men (MSM)

-Pregnant women -Postmenopausal women -Adolescent boys and girls -Men who have sex with men (MSM)

What manifestations does the nurse observe upon assessment in a patient with condylomata acuminata, or genital warts? -Generalized rash -Benign lesions of the skin -Squamous papules and pustules -Presence of cauliflower-like masses

-Presence of cauliflower-like masses

Which guidance would the nurse provide to a pregnant patient with a history of genital herpes? -There is a little risk for infection to the neonate. -A vaginal delivery reduces the transmission of infection to the neonate. -Presence of lesions during the third trimester may indicate a need for a caesarean delivery. -There is no need to abstain from sexual contact if the lesions are healed.

-Presence of lesions during the third trimester may indicate a need for a caesarean delivery.

Which finding indicates a need for additional testing for sexually transmitted infections (STIs)? -Overweight -Presence of warts -Dark colored urine -Purulent discharge from the penis

-Presence of warts

The public health nurse manager is working on a policy designed to decrease the number of recurrences of gonorrhea and chlamydia. Which approach is most effective? -Provide patients with oral antibiotic treatment for their partners. -Advise patients to return to the clinic if symptoms persist or return. -Give patients written information about treatment of these infections. -Administer a one-dose intramuscular antibiotic therapy whenever possible.

-Provide patients with oral antibiotic treatment for their partners.

Which objective listed by a nursing student about sexually transmitted infections (STIs) from the Healthy People 2020 initiative indicates a need for further teaching? -Reduce gonorrhea rates by 10%. -Reduce the proportion of adolescents and young adults with -Chlamydia trachomatis infection by 10%. -Reduce sustained domestic transmission of primary and secondary syphilis by 10%. Reduce the proportion of females aged 25 to 54 years who have ever required treatment for pelvic inflammatory disease by 10%.

-Reduce sustained domestic transmission of primary and secondary syphilis by 10%. Reduce the proportion of females aged 25 to 54 years who have ever required treatment for pelvic inflammatory disease by 10%.

Which objective listed by a nursing student about sexually transmitted infections (STIs) from the Healthy People 2020 initiative indicates a need for further teaching? -Reduce gonorrhea rates by 10%. -Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infection by 10%. -Reduce sustained domestic transmission of primary and secondary syphilis by 10%. -Reduce the proportion of females aged 25 to 54 years who have ever required treatment for pelvic inflammatory disease by 10%.

-Reduce the proportion of females aged 25 to 54 years who have ever required treatment for pelvic inflammatory disease by 10%.

What are the desired treatment outcomes of patient diagnosed with herpes simplex virus (HSV) who is prescribed acyclovir? Select all that apply. -Reduces viral shedding -Promotes the healing process -Cures the infection completely -Reduces the severity of painful ulcers -Causes cessation of recurrent outbreaks

-Reduces viral shedding -Promotes the healing process -Reduces the severity of painful ulcers

What would be the best intervention for a patient who is diagnosed with condylomata acuminata? -Removal of wart -Antibiotic therapy -Treatment with acyclovir -Vaccination with Gardasil

-Removal of wart

Syphilis becomes a systemic disease at which stage? -Latent -Tertiary -Primary -Secondary

-Secondary

Which triggering factor would the nurse find in a patient who presents with recurrent genital herpes? -Re-infection -Overweight -Sexual activity -Exposure to toxic pollutants

-Sexual activity

Which statements about sexually transmitted infections (STIs) are accurate? Select all that apply. -The use of latex or polyurethane condoms eliminates all STI transmission. -Sexual partners of patients treated for gonorrhea must be treated to prevent reinfection. -Genital herpes is successfully treated with a 10-day course of oral antibiotics. -Gardisil is a vaccine used to prevent cervical cancer in women over 35 years of age. -Abstinence from sex until the partner and patient with Chlamydia have completed treatment is recommended.

-Sexual partners of patients treated for gonorrhea must be treated to prevent reinfection. -Abstinence from sex until the partner and patient with Chlamydia have completed treatment is recommended.

Which are risk factors for pelvic inflammatory disease (PID)? Select all that apply. -Smoking -Multiple sex partners -Age younger than 30 years -Intrauterine device placed within the past year -History of sexually transmitted infections (STIs)

-Smoking -Multiple sex partners -History of sexually transmitted infections (STIs)

Which treatment regimen is preferred in recurrent outbreaks of genital herpes simplex virus infection? -Cryotherapy -Episodic therapy -Suppressive therapy -Self-care management

-Suppressive therapy

Which sexually transmitted infection is targeted by Healthy People 2020 for complete eradication in the United States? -Syphilis -Chlamydia -Genital herpes -Human papilloma virus

-Syphilis

What does the nurse teach the patient about oral antibiotic therapy for sexually transmitted infections (STIs)? -Take antibiotics on an empty stomach. -Drink at least 5 to 6 glasses of fluids every day. -Take antacids containing magnesium if required. -Take safety precautions during sexual activity during the period of treatment.

-Take antibiotics on an empty stomach

Which statement about genital herpes (GH) is correct? -The infection can be controlled and cured with antiviral drugs. -The infection appears as painless, small, white wart-like growths. -The infection is transmittable even without presenting symptoms. -The infection does not spread if oil-based lubricants with condoms are used.

-The infection is transmittable even without presenting symptoms.

The nurse is discussing the prevention of sexually transmitted infections (STIs) with a group of young adults. What information does the nurse include? -The risk of STIs increases with the number of sexual partners. -Female condoms are not effective in preventing the transmission of STIs. -Spermicidal agents, when used with condoms, will prevent the transmission of STIs. -Using latex condoms always keeps STIs from spreading and infecting others.

-The risk of STIs increases with the number of sexual partners.

What does the nurse infer from a patient whose initial symptoms of genital herpes have subsided? -The virus is in an active state. -The infection has been cured. -The virus is in a dormant state. -There is now a decrease in viral shedding.

-The virus is in a dormant state.

Which statement is true regarding condylomata acuminata? -They are treated with azithromycin. -They are not often seen with other infections. -They are caused by certain types of human papilloma virus (HPV). -Polymerase chain reaction (PCR) assay is used to confirm the diagnosis.

-They are caused by certain types of human papilloma virus (HPV).

What does a patient experience during prodrome in herpes simplex virus type 2 (HSV-2) infection? -Appearance of lesions -Appearance of vesicles -Fluid outflow from blisters -Tingling and itching sensation

-Tingling and itching sensation

What organisms may cause genital ulcerations or warts? Select all that apply. -Candida albicans -Hepatitis C virus -Tryponema pallidum -Herpes simplex virus -Chlamydia trachomatis -Haemophyilus ducreyi

-Tryponema pallidum -Herpes simplex virus -Chlamydia trachomatis -Haemophyilus ducreyi

The nurse is caring for a patient with genital herpes. What does the nurse teach the patient and the caregiver about coping with the infection? -Urinate frequently. -Reduce fluid intake. -Administer a sitz bath once a day. -Wash hands thoroughly after applying ointments.

-Urinate frequently.

Which information is provided to the patient for the use of condoms that reduce the risk of genital herpes transmission? -Use natural membrane condoms. -Use a new condom for each sexual act. -Avoid using a condom on erect penis. -Use oil-based lubricant with latex condoms.

-Use a new condom for each sexual act.

The nurse is caring for a patient with secondary syphilis. What manifestations does the nurse expect in this patient? -Chancre -Wart-like lesions -Enlarged lymph nodes -Benign lesions (gummas)

-Wart-like lesions

The nurse is counseling a patient and the patient's sexual partner on safe sex practices. Which of the couple's comments indicates a need for clarification? -'We only use condoms once, and then throw them away.' -'Condoms are for vaginal and anal sexual encounters, not for oral sex.' -'If the guy won't wear a condom, the female condom is just as effective.' -'We heard that latex condoms were better than natural membrane condoms.'

-'Condoms are for vaginal and anal sexual encounters, not for oral sex.'

A patient diagnosed with chlamydia asks the nurse why the health care provider prescribed cefixime as well as azithromycin. What is the nurse's best response? -'Candidiasis infections usually accompany chlamydia.' -'Gonorrhea infections usually accompany chlamydia.' -'Mycoplasma infections usually accompany chlamydia.' -'Trichomoniasis infections usually accompany chlamydia.'

-'Gonorrhea infections usually accompany chlamydia.'

Which statement made by the patient with genital herpes requires further teaching about how to prevent recurrent outbreaks? -'I have to reduce fluid intake.' -'I should have adequate rest and good nutrition.' -'I should keep the lesions dry except for when applying medication.' -'I should abstain from sexual activity when there are lesions present.'

-'I have to reduce fluid intake.'

The nurse is caring for a patient with genital warts. What does the nurse tell the patient about cryotherapy? -It involves the use of nitrogen. -It washes off 6 hours after application. -The regimen is repeated in four cycles. -It is used every day until lesions are resolved.

-It involves the use of nitrogen.

What is the most appropriate provider-applied treatment option for the removal of genital warts? -Acyclovir -Podophyllin -Benzathine penicillin G -HPV vaccine Gardasil

-Podophyllin

The nurse is administering benzathine penicillin G intramuscularly to a patient with primary syphilis. The patient has never been treated with this particular form of the drug. What precaution does the nurse implement? -Keeps the patient for 30 minutes to monitor for a possible allergic reaction -Tells the patient to refrain from all sexual activities for a minimum of 72 hours -Applies an ice pack to the injection site to minimize trauma to the patient's skin -Makes certain the patient has a skin test for penicillin allergy prior to the injection

Keeps the patient for 30 minutes to monitor for a possible allergic reaction

A patient with pelvic inflammatory disease (PID) expresses concern about the cost of antibiotics. What nursing intervention is least likely to be employed by the nurse? -Determining if the patient is of limited financial means -Asking the patient if she is uninsured or underinsured -Telling the patient she needs antibiotics no matter what -Identifying and helping locate community resources for free or discounted drugs

Telling the patient she needs antibiotics no matter what

A patient with syphilis is prescribed benzathine penicillin G administered intramuscularly for 3 weeks. Which statement made by the patient indicates an increased risk for progression of the disease? -'I should avoid participating in unprotected sex.' -'I need to visit the health care provider at 12, 16, and 24 months.' -'I will share information about my disease condition with my partner.' -'I should monitor for any reaction for 2 hours after the drug injection.'

-'I need to visit the health care provider at 12, 16, and 24 months.'

What would be the appropriate duration for antibodies to develop in a patient with genital herpes? -6 weeks -8 weeks -10 weeks -12 weeks

-12 weeks

What information should the nurse provide to a patient who has been prescribed podofilox? -Use twice daily for 3 days with no treatment for the next 4 days, and repeat for two cycles. -Use twice daily for 3 days with no treatment for the next 4 days, and repeat for four cycles. -Use thrice daily for 3 days with no treatment for the next 4 days, and repeat for four cycles. -Use twice daily for 3 days with no treatment for the next 4 days, and repeat for three cycles.

Use twice daily for 3 days with no treatment for the next 4 days, and repeat for four cycles.