Maternal-Newborn Ch 28 Infections

After teaching a community group about sexually transmitted infections, the nurse determines that the teaching was successful when the group identifies which statement as true? STIs can affect anyone if exposed to the infectious organism. STIs have been addressed more on a global scale. Individuals readily view the diagnosis of STI openly. Most individuals with STIs are over the age of 30.

STIs can affect anyone if exposed to the infectious organism.

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? acyclovir benzathine penicillin chloroquine mefloquine

acyclovir

Which medication is used to suppress viral load of the HSV-2 infection? acyclovir penicillin metronidiazole clindamycin

acyclovir

Which medication is used to suppress viral load of the HSV-2 infection? acyclovir penicillin metronidiazole clindamycin

acyclovir

A client has been diagnosed with condylomata acuminata and requires treatment for the condition. What would be the treatment of choice? cryotherapy antibiotics topically applied antifungal cream avoidance of sexual contact

cryotherapy

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

educating on how to promote sexual health

When obtaining the health history from an adolescent client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)? hive-like rash for the past 2 days five different sexual partners weight gain of 5 lbs (2.3 kg) in one year clear vaginal discharge

five different sexual partners

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? genital herpes syphilis gonorrhea chlamydia

genital herpes

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 most likely prescribe? metronidazole acyclovir clotrimazole penicillin G

metronidazole

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect which finding once the microorganism disseminates throughout the body? painful joints sore throat intermenstrual bleeding painful urination

painful joints

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

use of corticosteroids

A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis? cottage cheese-like discharge intense itching of the vulva warts in the vulva and labia vaginal odor smelling of fish

vaginal odor smelling of fish

A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition? trichomoniasis bacterial vaginosis vulvovaginal candidiasis chlamydia

vulvovaginal candidiasis

A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply. "The virus remains quiet until a stressful event occurs to reactivate it." "Your baby is protected from this infection by the placenta." "Many recognize they have the infection and seek treatment immediately." "Infections may be transmitted by individuals unaware that they have it." "Transmission is through contact of infected mucous membranes."

"The virus remains quiet until a stressful event occurs to reactivate it." "Infections may be transmitted by individuals unaware that they have it." "Transmission is through contact of infected mucous membranes."

A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching? "If I use this drug, I will be cured of the infection." "This drug will help reduce my risk for a recurrence after discontinuing it." "The severity of future attacks will be much less after using this drug." "This drug will help to suppress any symptoms of the infection."

"This drug will help to suppress any symptoms of the infection."

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

Discuss the necessity of completing the antibiotic therapy.

How can pelvic inflammatory disease (PID) affect fertility? It causes anovulation because of interference with secretion of pituitary hormones. It causes changes in cervical mucus that make it less receptive to penetration by sperm. It causes sperm-agglutinating antibodies to be produced in the vagina. It interferes with the transport of ova because of tubal scarring.

It interferes with the transport of ova because of tubal scarring.

A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective? "I will wear loose cotton underwear." "I will apply a water-based lubricant to my lesions." "I should rub rather than scratch in response to itching." "I can pour hydrogen peroxide and water over my lesions."

"I will wear loose cotton underwear."

The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use? "Put the condom on just before orgasm." "Latex condoms provide the best protection against STIs." "Putting the condom on just before insertion defeats the purpose." "Don't store condoms in your wallet."

"Put the condom on just before orgasm."

The nurse is preparing a class on infectious disorders of the reproductive tract. It will be presented to an eighth-grade health class. When teaching about pelvic inflammatory disease, what would be the primary factor in preventing this infection? Abstinence Use latex condoms Use a diaphragm Use birth control pills

Abstinence

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which nursing intervention may help foster the client's self-esteem? Explain the cause of the sexually transmitted infection (STI). Provide the client with a telephone number for obtaining accurate information. Affirm the client's good judgment in seeking treatment. Schedule an appointment for follow-up care.

Affirm the client's good judgment in seeking treatment.

A female client is prescribed metronidazole for the treatment of trichomoniasis. Which instruction should the nurse give the client undergoing treatment? Avoid extremes of temperature to the genital area. Use condoms during sex. Increase fluid intake. Avoid alcohol.

Avoid alcohol.

A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment? Fluconazole Tetracycline Clindamycin Acyclovir

Fluconazole

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? It causes anovulation due to interference with secretion of pituitary hormones. It causes changes in cervical mucus that make it less receptive to penetration by sperm. It causes sperm-agglutinating antibodies to be produced in the vagina. It interferes with the transport of ova due to tubal scarring.

It interferes with the transport of ova due to tubal scarring.

Which stage of syphilis occurs when the infected person has no signs or symptoms of syphilis? primary latency secondary tertiary

Latency

At a health education class for teenagers, the nurse discusses the sexually transmitted infection chlamydia trachomatis. Which information would the nurse most likely include? This infection is the most common infectious cause of infertility. This infection is lifelong as it cannot be treated with medication. Antiviral drug regimes will cure this infection. The new recombinant human papillomavirus vaccine will prevent the infection.

This infection is the most common infectious cause of infertility.

A pregnant client has been diagnosed as having a urinary tract infection (UTI). Which of the following instructions regarding control of the infection should the nurse provide the client? Abstain from sexual intercourse Wear cotton underwear Clean from back to front after urination Restrict the intake of salt in the diet

Wear cotton underwear

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? an azole antifungal agent a penicillin antibiotic a quinolone antibiotic an antiviral agent

an azole antifungal agent

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: miconazole. azithromycin metronidazole. doxycycline.

azithromycin

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? foul-smelling discharge vaginal bleeding vesicles on the labia chancres at the vaginal site

chancres at the vaginal site

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

characteristic "stale fish" odor

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? chlamydia syphilis gonorrhea candidiasis

chlamydia

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

doxycycline

The client is single, admits to not using condoms during sexual intercourse, and has had multiple partners over the past year. Which symptoms would alert the nurse to a possible gonorrheal infection? Select all that apply. dysuria abnormal uterine bleeding mild sore throat abnormal vaginal discharge nonpalpable lymph nodes

dysuria abnormal uterine bleeding mild sore throat abnormal vaginal discharge

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

ectopic pregnancy

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: ectopic pregnancy. genital herpes simplex. endometriosis. secondary urinary tract infection.

ectopic pregnancy.

Which finding would the nurse expect in a client with bacterial vaginosis? vaginal pH of 3 fish-like odor of discharge yellowish-green discharge cervical bleeding on contact

fish-like odor of discharge

A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis? gonorrhea anemic disorder liver disease central nervous system disorder

gonorrhea

The nurse is developing a plan of care for a client who is receiving antiretroviral therapy (ART) for treatment of HIV. What would the nurse identify as the goal of this therapy? promote the progression of disease intervene in late-stage AIDS improve morbidity and mortality rates conduct additional drug research

improve morbidity and mortality rates

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? azithromycin valacyclovir penicillin metronidazole

metronidazole

Which medication is the most effective treatment for trichomoniasis? metronidazole penicillin G benzathine doxycycline azithromycin

metronidazole

Which medications are appropriate to treat vaginal candidiasis? Select all that apply. miconazole fluconazole azithromycin gentamicin penicillin G benzathine

miconazole fluconazole

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? outlining safer sexual behavior recommending screening for symptomatic individuals promoting the use of barrier contraceptives offering education about STI transmission

recommending screening for symptomatic individuals

A nurse is working as part of a team to address the prevention of sexually transmitted infections in the community. Based on the nurse's understanding of the groups at highest risk, the team would most likely focus their efforts on which population? those under age 25 young adults between ages 28 and 35 adults in their 30s middle-aged adults over age 45

those under age 25

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

urinary frequency yellow/green discharge

A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection? viral culture of vesicular fluid Papinicolaou smear IgG/IgM antibody testing treponemal testing

viral culture of vesicular fluid

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? 1,000 cells/mm3 700 cells/mm3 450 cells/mm3 200 cells/mm3

200 cells/mm3

Which instruction should be given to a woman newly diagnosed with genital herpes? Obtain a Papanicolaou test every 3 years. Have your partner use a condom when lesions are present. Use a water-soluble lubricant for relief of pruritus. Limit stress and emotional upset as much as possible.

Limit stress and emotional upset as much as possible.

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

a painless genital ulcer that appeared about 3 weeks after unprotected sex

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea? burning on urination dry, hacking cough diffuse skin rash painless chancre

burning on urination

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: trichomoniasis. bacterial vaginosis. candidiasis. genital herpes simplex.

candidiasis.

The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include? gonorrhea chlamydia syphilis genital herpes

chlamydia

An female adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would also receive treatment for: chlamydia. syphilis. genital herpes. trichomoniasis.

chlamydia.

A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which type would the nurse recommend? oral contraceptives withdrawal condom intrauterine device

condom

During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which diagnosis? genital herpes gonorrhea condylomata acuminata candidiasis

condylomata acuminata

When developing a teaching plan for a community group about HIV infection, which group would the nurse identify being most vulnerable for HIV infection? Native American/First Nations people heterosexual women new health care workers Asian immigrants

heterosexual women

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? herpes virus human papillomavirus Treponema pallidum Haemophilus ducreyi bacillus

human papillomavirus

Which instruction should the nurse give to a client with genital herpes to help control the infection? Avoid sexual contact until sores heal. Apply antibacterial medication. Avoid people with upper respiratory infections. Apply imiquimod cream.

Avoid sexual contact until sores heal.

A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply Avoid using deodorant tampons. Clean the perineal area from back to front. Avoid the use of colored toilet tissue. Wear only cotton panties and ventilated pantyhose. Take a bubble bath once a week.

Avoid using deodorant tampons. Avoid the use of colored toilet tissue. Wear only cotton panties and ventilated pantyhose.

A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client? Taking the drug on an empty stomach Using a sunscreen when outside Avoiding alcohol consumption Reporting signs of an oral yeast infection

Avoiding alcohol consumption

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis? green vaginal discharge urinary incontinence flu-like symptoms lesions on the vulva

green vaginal discharge