Section 9 - chpts 46, 49, 50, 51
The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? a. 3 to 7 days b. 14 to 21 days c. 3 to 6 weeks d. 6 to 12 weeks
d. 6 to 12 weeks
Which of the following should be considered in a patient presenting with erectile dysfunction? a. Diabetes mellitus b. Hypertension c. Atherosclerosis d. All of the above
d. All of the above (DM, HTN, athersclerosis)
T/F: Hepatitis A is considered a sexually transmitted infection by the Centers for Disease Control and Prevention.
True - hep A is a STI by the CDC
T/F: Patients treated for Neisseria gonorrhoeae also should be treated for Chlamydia trachomatis.
True - patients who get treatment for gonorrhea should also be treated for chlamydia
Which of the following data is indicative of testicular torsion? a. Absent cremasteric reflex b. Pain relieved on testicular elevation c. Testicle very low in the scrotum d. Swollen scrotum with "red dot sign"
a. Absent cremasteric reflex
A patient asks for the best way to prevent contracting a sexually transmitted infection (STI). What response should the nurse make to this patients question? a. Abstinence b. Oral contraceptives c. Condom with spermicide d. Prophylactic oral antibiotics
a. Abstinence
The nurse notes that a patient is diagnosed with vulvovaginitis. What should the nurse expect when assessing this patient? (Select all that apply.) a. Vaginal edema b. Vaginal discharge c. Areas of ecchymosis d. Dark brown vaginal bleeding e. Complaints of vaginal itching and burning
a. Vaginal edema b. Vaginal discharge e. Complaints of vaginal itching and burning
Human papillomavirus (HPV) produces verrucous growths. What term should the nurse use to describe these lesions to the patient? a. Warts b. Rashes c. Blisters d. Papules
a. Warts
The nurse is assessing a client diagnosed with balanitis and posthitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Penile discharge 2. Hematuria 3. Pain 4. Erythema 5. Flank pain 6. Edema
1. Penile discharge 3. Pain 4. Erythema 6. Edema
The nurse is providing care for a newborn. Which intervention should the nurse make to prevent development of ophthalmia neonatorum? a. Interferon injection b. Antibiotic eyedrops c. Vitamin K injection d. Hepatitis B virus (HBV)-immune globulin
b. Antibiotic eyedrops
A male client is diagnosed with orchitis. The nurse should assess the client for which of the following? 1. Recent infection with mumps 2. Recent diagnosis of prostatitis 3. History of type 2 diabetes mellitus 4. Diagnosis of renal insufficiency
1. Recent infection with mumps
The nurse is reviewing the physiological sexual response pattern within males and females and realizes that which of the following occur in both genders? (Select all that apply.) 1. Resolution 2. Orgasm 3. Erection 4. Lubrication 5. Plateau 6. Excitement
1. Resolution 2. Orgasm 5. Plateau 6. Excitement
A client is experiencing priapism. Which of the following should the nurse do first to help the client? 1. Apply ice packs to the perineum. 2. Prepare for emergency surgery. 3. Prepare for an aspiration of blood from the penis. 4. Apply heat to the perineum.
1. Apply ice packs to the perineum.
A client is diagnosed with epididymitis. The nurse should instruct the client on which of the following as treatment for the disorder? (Select all that apply.) 1. Broad spectrum antibiotics 2. NSAIDs 3. Bed rest 4. Elevate the scrotum 5. Apply cold packs 6. Apply heat
1. Broad spectrum antibiotics 2. NSAIDs 3. Bed rest 4. Elevate the scrotum 5. Apply cold packs
A female client is concerned that she has not had sexual intercourse with her husband for over 2 months. Which of the following can the nurse respond as causes for an alteration in sexual functioning? (Select all that apply.) 1. Chronic illnesses 2. Physical disabilities 3. Negative body image 4. Medications 5. Surgical procedures 6. Employment status
1. Chronic illnesses 2. Physical disabilities 3. Negative body image 4. Medications 5. Surgical procedures
The nurse is assessing a client who is experiencing erectile dysfunction. For which of the following should the nurse assess the client? (Select all that apply.) 1. Diagnosis of diabetes mellitus 2. Thyroid disease 3. Chronic renal failure 4. Multiple sclerosis 5. Parkinsons disease 6. Gastroesophageal reflux disease
1. Diagnosis of diabetes mellitus 2. Thyroid disease 3. Chronic renal failure 4. Multiple sclerosis 5. Parkinsons disease
The nurse is preparing to discuss the male reproductive system with a group of adolescent school students. Which of the following would the nurse not include as a primary function of the male reproductive system? 1. Frequent erectile functioning and increased libido 2. Production of sperm 3. Secretion of testosterone 4. Transportation and depositing of sperm
1. Frequent erectile functioning and increased libido
The nurse is concerned that a female client might be experiencing intimate partner violence. Which of the following assessment questions can be used to gain more information from the client? (Select all that apply.) 1. In the last year have you been hit, slapped, or physically hurt by someone? 2. Are you currently sexually active? 3. Within the last year has someone made you do something sexual that you did not want to do? 4. Is sex satisfying to you? 5. Are you afraid of your partner or anyone else? 6. Do you have discomfort with intercourse?
1. In the last year have you been hit, slapped, or physically hurt by someone? 3. Within the last year has someone made you do something sexual that you did not want to do? 5. Are you afraid of your partner or anyone else?
A client is diagnosed with testicular torsion. Which of the following might be indicated for this client? (Select all that apply.) 1. Manually untwist the testicle 2. Orchiopexy 3. Testicle removal 4. Pain management 5. Application of ice and a scrotal support 6. Prescribe medication
1. Manually untwist the testicle 2. Orchiopexy 3. Testicle removal 4. Pain management 5. Application of ice and a scrotal support
The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs) in the United States. Which STI should the nurse highlight as being the most commonly diagnosed? a. Gonorrhea b. Chlamydia c. Trichomoniasis d. Human papillomavirus
b. Chlamydia
A female client has an infection of the paraurethral glands. When asked by the client what these glands do, the nurse should respond: (Select all that apply.) 1. These glands function like the prostate gland in the male. 2. These glands secrete mucus near the vaginal opening. 3. These glands secrete mucus. 4. These glands are similar to the Cowpers glands in the male. 5. These glands are located inside the urethra. 6. These glands serve no real function.
1. These glands function like the prostate gland in the male. 3. These glands secrete mucus. 5. These glands are located inside the urethra.
The nurse is instructing a postmenopausal client in the importance of having serum lipid levels analyzed because after menopause, which of the following changes can occur? (Select all that apply.) 1. Total cholesterol increases 2. Low-density lipoprotein increases 3. Triglycerides increase 4. High-density lipoprotein decreases 5. Low-density lipoprotein decreases 6. High-density lipoprotein increases
1. Total cholesterol increases 2. Low-density lipoprotein increases 3. Triglycerides increase 4. High-density lipoprotein decreases
Which of the following should the nurse instruct a client who is recovering from a vasectomy? (Select all that apply.) 1. Use ice packs to control postoperative bleeding. 2. Wear cotton jockey type briefs for scrotal support. 3. Use warm sitz baths to aid in comfort. 4. Recognize the signs and symptoms of postoperative infection. 5. A vasectomy protects the client from sexually transmitted illnesses. 6. Ejaculate will be reduced after the procedure.
1. Use ice packs to control postoperative bleeding. 2. Wear cotton jockey type briefs for scrotal support. 3. Use warm sitz baths to aid in comfort. 4. Recognize the signs and symptoms of postoperative infection.
A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes that this client will most likely be scheduled for a(n): 1. bone scan 2. CT scan 3. testicular biopsy 4. duplex ultrasonography
1. bone scan
During a gynecological exam, it is noted that a clients os is in the shape of a slit. The nurse realizes that this shape means that the client has: 1. borne children. 2. not started menses. 3. not borne any children. 4. gone through menopause
1. borne children.
During the examination of the male testes, the nurse should instruct the client on: 1. the importance of having an annual prostate examination. 2. monthly testicular self-examinations. 3. why a colonoscopy is important every 10 years after the age of 50. 4. how a condom prevents the spread of sexually transmitted infections.
2. monthly testicular self-examinations.
A patient diagnosed with syphilis reminds the HCP of having an allergy to penicillin. Which medications should the nurse expect to be prescribed for this patient? (Select all that apply.) a. Gentamicin b. Amoxicillin c. Tetracycline d. Doxycycline e. Erythromycin
c. Tetracycline d. Doxycycline
A client is diagnosed with a spermatocele. The nurse should instruct the client on which of the following? 1. The use of heat to reduce the size of the inflamed area 2. The potential need for surgery to correct the disorder 3. The use of ice packs to reduce the size of the inflamed area 4. The importance of using antibiotics to treat the disorder
2. The potential need for surgery to correct the disorder
A female clients Pap test revealed atypical results. The nurse realizes that this client will most likely be scheduled for a(n): 1. culdoscopy. 2. colposcopy. 3. loop electrosurgical excision. 4. cold-knife conization
2. colposcopy.
A male client, having difficulty voiding, tells the nurse that he thinks something is wrong with his penis. The nurse reviews the structures of the penis with the client and explains that the structure that surrounds the urethra is the: 1. corpus cavernosa. 2. corpus spongiosum. 3. glans penis. 4. prepuce.
2. corpus spongiosum.
While reviewing a medical record the nurse notes that patient has a strawberry cervix. For which sexually transmitted infection (STI) would the nurse plan care? a. Gonorrhea b. Herpes simplex c. Trichomoniasis d. Human papillomavirus infection
c. Trichomoniasis
A male client asks the nurse about the purpose of the prostate gland. The nurse should respond that it is a structure that: 1. secretes an alkaline substance that neutralizes residual acidic urine in the urethra. 2. provides a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina. 3. secretes a fluid for the health and nutrition of sperm. 4. propels sperm into the ejaculatory duct.
2. provides a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina.
A 50-year-old male client has had a prostate-specific antigen test. The nurse realizes that the normal range for this test would be: 1. 0 to 2 ng/mL. 2. 0 to 3 ng/mL. 3. 0 to 4 ng/mL. 4. 0 to 5 ng/mL.
3. 0 to 4 ng/mL.
A young adult female client is concerned that she does not have enough eggs since she has not yet become pregnant. The nurse should assure her that the number of ova available to produce a pregnancy would be around: 1. 500. 2. 10,000. 3. 300,000. 4. 2,000,000.
3. 300,000.
A client who is 12 hours postoperative after a transurethral resection of the prostate (TURP) is concerned about the blood clots in the catheter and urinary collection bag. How should the nurse respond? 1. I need to call your physician. 2. I will need to stop the bladder irrigation. 3. Blood clots are common during this time frame and will start to decrease in a day. 4. You need to stop moving and irritating the catheter.
3. Blood clots are common during this time frame and will start to decrease in a day.
A newborn male child is diagnosed with cryptorchidism. The nurse should prepare to administer which of the following to this client? 1. Intravenous fluids 2. Antipyretic medication 3. Human chorionic gonadotropin medication 4. Antibiotics
3. Human chorionic gonadotropin medication
A client, recovering from a transurethral resection of the prostate (TURP) with a continuous bladder irrigation system to a three-way indwelling urinary catheter, tells the nurse he has to void. What nursing intervention should the nurse perform? 1. Call the physician. 2. Increase the flow of the irrigant. 3. Irrigate the catheter. 4. Tell the client to void.
3. Irrigate the catheter.
The nurse is instructing a client diagnosed with acute prostatitis. Which of the following instructions would be the least beneficial to the client? 1. Avoid alcohol and caffeine. 2. Sex should be avoided during the acute phase. 3. Sit for as long as you can. 4. Sitz baths may provide comfort.
3. Sit for as long as you can.
The nurse is instructing a client about testicular self-examination (TSE). Which of the following would not be included in these instructions? 1. The testis should feel smooth and egg-shaped. 2. Perform TSE after a bath or shower. 3. TSE should be performed monthly by every male older than age 40. 4. Any lumps and changes in the testicles should be reported.
3. TSE should be performed monthly by every male older than age 40.
A client, diagnosed with benign prostatic hyperplasia (BPH), should be instructed to do which of the following? 1. Do nothing since this disorder does not require any follow-up. 2. Decrease water intake to avoid dribbling. 3. Void every 2 to 3 hours. 4. Wear scrotal support.
3. Void every 2 to 3 hours.
Because Trichomonas is relatively large, unusually shaped, and diagnosed quickly, the nurse is asked to assist the physician obtain which type of specimen? a. Culture b. Blood test c. Wet mount d. Litmus paper
c. Wet mount
The nurse, reviewing the reproductive hormones needed to produce sperm and ova, realizes that which of the following hormones is not involved in the formation of sperm and ova? 1. Follicle-stimulating hormone 2. Gonadotropin-releasing hormone 3. Luteinizing hormone 4. Prolactin
4. Prolactin
A client is being screened for prostate cancer. What tests would be completed at this time? 1. Digital rectal examination and transrectal ultrasonography 2. Biopsy of the prostate and magnetic resonance imagery 3. Complete blood cell count and prostate-specific antigen 4. Prostate-specific antigen (PSA) and digital rectal examination
4. Prostate-specific antigen (PSA) and digital rectal examination
A male client is diagnosed as being infertile. The nurse realizes which of the following structures of the clients reproductive system is affected? 1. Epididymis 2. Rete testes 3. Seminal vesicles 4. Seminiferous tubules
4. Seminiferous tubules
The nurse, preparing to discuss the female reproductive system with a group of adolescent females, would include that which of the following is not a primary function of the female reproductive system? 1. Breastfeeding 2. Hormone secretion 3. Pregnancy 4. Sensory innervation
4. Sensory innervation
The nurse is documenting the health history of a client diagnosed with benign prostatic hyperplasia (BPH). In which of the following areas would the nurse take a careful history? 1. Bowel patterns 2. Eating patterns 3. Sleeping patterns 4. Urinary patterns
4. Urinary patterns
A client is diagnosed with a varicocele. The nurse realizes that this client is likely to develop: 1. hydrocele. 2. prostate cancer. 3. prostatitis. 4. infertility.
4. infertility.
The nurse is identifying ways for a young adult to reduce the risk of contracting a sexually transmitted infection (STI). What should the nurse teach about the relationship between consumption of alcohol and immediate risk of contracting an STI? a. Alcohol may reduce inhibitions. b. Alcohol increases risk for liver disease. c. Alcohol lowers the bodys resistance to infection. d. Alcohol impairs the integrity of the mucous membranes, providing a portal of entry for infection.
a. Alcohol may reduce inhibitions
During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? a. An enlarged rubbery gland b. A hard irregular gland c. A tender gland d. A boggy gland
a. An enlarged rubbery gland
The nurse is teaching a patient about the use of condoms to prevent sexually transmitted infections (STIs). Which information should the nurse include in this teaching? Select all that apply. a. Condoms can decrease the risk of transmitting STDs. b. Latex condoms are less likely to break than other types. c. Inflating the condom prior to use allows for effective inspection. d. Condoms should be used no more than twice and then discarded properly. e. Use of a water-soluble lubricant with a condom increases its effectiveness in preventing the spread of an STD. f. Use of a petroleum-based lubricant with a condom increases its effectiveness in preventing the spread of an STD
a. Condoms can decrease the risk of transmitting STDs. b. Latex condoms are less likely to break than other types. e. Use of a water-soluble lubricant with a condom increases its effectiveness in preventing the spread of an STD.
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects? a. Erectile dysfunction b. Glaucoma c. Hypotension d. Headache
a. Erectile dysfunction
While providing a bath the nurse suspects that an older female patient has a Trichomonas infection. What type of discharge did the nurse observe to come to this conclusion? (Select all that apply.) a. Frothy discharge b. Foul-smelling discharge c. Yellow-green discharge d. Open sores on the labia majora e. Wart-like growths on the labia minora
a. Frothy discharge b. Foul-smelling discharge c. Yellow-green discharge
The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In addition to drug abuse, which disorder in the patients history is most consistent with a diagnosis of hepatitis? a. Jaundice b. Diabetes mellitus c. Bowel obstruction d. Chronic headaches
a. Jaundice
A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis? a. Peyronie's disease b. Damage to the pudendal artery c. Scarring of the cavernosa d. All of the above
a. Peyronie's disease
A patient is diagnosed with a parasitic infection caused by close contact with another persons genitals. For which infection should the nurse plan care? a. Phthirus pubis b. Treponema pallidum c. Neisseria gonorrhoeae d. Chlamydia trachomatis
a. Phthirus pubis
A patient in labor is diagnosed with mucopurulent cervicitis. For which health problems should the nurse anticipate providing care to the newborn? (Select all that apply.) a. Pneumonia b. Conjunctivitis c. Irregular heart rate d. Flaccid extremities e. Cyanotic extremities
a. Pneumonia b. Conjunctivitis
The nurse is reviewing prescribed laboratory tests for a patient demonstrating manifestations of syphilis. What diagnostic tests should the nurse expect to be prescribed for this patient? (Select all that apply.) a. RPR b. NAT c. VDRL d. ELISA e. Culture f. CD4 counts
a. RPR c. VDRL d. ELISA e. Culture
What is the treatment of choice for a patient diagnosed with testicular cancer? a. Radical orchidectomy b. Lumpectomy c. Radiation implants d. All of the above
a. Radical orchidectomy
The nurse is assisting with teaching a patient who has been exposed to hepatitis B. Which symptoms should the nurse explain may occur before jaundice appears? (Select all that apply.) a. Rash b. Nausea c. Confusion d. Dark-colored urine e. Muscle or joint pain f. Elevated blood glucose
a. Rash b. Nausea e. Muscle or joint pain
A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? a. Refer to a urologist immediately. b. Obtain a computed tomography (CT) scan. c. Instruct the patient to elevate the scrotum. d. Prescribe ibuprofen.
a. Refer to a urologist immediately
It is documented in the medical record that a patient has gummas. For which sexually transmitted infection should the nurse plan care? a. Syphilis b. Gonorrhea c. Chlamydia d. Genital herpes
a. Syphilis
A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is made. Which is the appropriate treatment? a. Terazosin 2 mg PO once a day b. Ice pack to the scrotal area c. Saw palmetto 320 mg per day d. All of the above
a. Terazosin 2 mg PO once a day
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis? a. Testosterone level b. Prostate-specific antigen c. Nocturnal penile tumescence and rigidity d. Prolactin level
a. Testosterone level
A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system? a. The cancer involves the seminal vesicles. b. There is metastatic disease to regional lymph nodes. c. The cancer is confined to the capsule. d. There is metastasis to distant organs.
a. The cancer involves the seminal vesicles.
The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. What would be an important part of the mans history to report to the physician? a. The patient has a history of syphilis. b. The patient was exposed to Chlamydia. c. The patient has a history of hepatitis B. d. The patient has a history of genital warts.
a. The patient has a history of syphilis.
A 24-year-old woman diagnosed with Chlamydia has been prescribed doxycycline. What should be included in the nurses teaching about the drug treatment? (Select all that apply.) a. Take this drug with a meal. b. Do not take with dairy products. c. Avoid unnecessary exposure to sunlight. d. Abstain from alcohol for at least 48 hours after treatment. e. Use birth control methods to ensure you do not become pregnant.
b. Do not take with dairy products. c. Avoid unnecessary exposure to sunlight. e. Use birth control methods to ensure you do not become pregnant.
A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan? a. Every month b. Every 3 to 4 months c. Every 6 to 12 months d. Every year
b. Every 3 to 4 months
The nurse is caring for a pregnant woman who is fearful that her unborn child will be born blind because of having a sexually transmitted infection (STI). For which STI should the nurse plan care to prevent ophthalmia neonatorum in the newborn? a. Syphilis b. Gonorrhea c. Genital warts d. Genital herpes
b. Gonorrhea
While assisting with care, the nurse counsels the patient diagnosed with a sexually transmitted infection (STI) about notification of sexual partners. Which patient statement indicates the need for further teaching? (Select all that apply.) a. I can contact my sexual partners myself. b. Reporting regulations are the same throughout the country. c. A report form will be completed in my chart that includes a list of my sexual contacts. d. The public health authority can notify a list of sexual contacts without including my identity.
b. Reporting regulations are the same throughout the country.
Treatment for epididymitis includes which of the following? a. Warm sitz baths b. Scrotal elevation c. Masturbation d. All of the above
b. Scrotal elevation
During data collection the nurse notes the presence of a chancre on a male patients penis. For which sexually transmitted infection should the nurse focus additional data collection? a. Herpes b. Syphilis c. Gonorrhea d. Chlamydia
b. Syphilis
A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find? a. The scrotum will be dark. b. The scrotum will appear light pink or yellow. c. The scrotum will appear milky white. d. The internal structures will be clearly visible.
b. The scrotum will appear light pink or yellow.
A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men? a. Urethral polyps b. Urinary tract infection (UTI) c. Anticholinergic medication d. All of the above
b. Urinary tract infection (UTI)
The nurse reviews the ways to prevent condom breakage with a patient. Which patient statement indicates that more teaching is necessary? a. Condoms should never be reused. b. I should use a water-soluble lubricant. c. Before I use a condom, I should inflate it and check it for holes and leaks. d. I should make sure to leave a half inch extra space at the end of the condom
c. Before I use a condom, I should inflate it and check it for holes and leaks.
The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term should the nurse use to describe these lesions to the patient? a. Warts b. Rashes c. Blisters d. Papules
c. Blisters
A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of these is the most common causative organism? a. Escherichia coli b. Staphylococcus aureus c. Chlamydia trachomatis d. Pseudomonas aeruginosa
c. Chlamydia trachomatis
The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI). She says, I dont understand. My boyfriend always wears a condom. Which understanding by the nurse should guide teaching in this situation? a. Condoms are a reliable source of protection against STIs. b. It is a myth that condoms provide any protection against STIs. c. Condoms can decrease the risk of STIs, but they are not foolproof. d. Condoms must be used with a spermicide to guarantee protection against STIs.
c. Condoms can decrease the risk of STIs, but they are not foolproof.
A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse explain as causing genital warts? a. Sarcoptes scabiei b. Hepatitis A and B c. Human papillomavirus d. Chlamydia trachomatis
c. Human papillomavirus
The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which information is the nurse basing this teaching? a. Gonorrhea is not treatable. b. Only men experience symptoms; women are usually asymptomatic. c. Men and women may be asymptomatic and still transmit the infection. d. Treatment is associated with many serious side effects, so compliance is low
c. Men and women may be asymptomatic and still transmit the infection.
A patient diagnosed with Trichomonas asks the nurse how the diagnosis will affect her risk for cervical cancer. Which response by the nurse is best? a. Wet-mount slides should be done yearly to help detect cervical cancer. b. Serological testing will be done to detect tumor proteins and screen for cervical cancer. c. Papanicolaou smears should be done more frequently because results may be altered by Trichomonas. d. Culture and sensitivity testing is done with Papanicolaou (Pap) smears every other year to determine if you have cervical cancer
c. Papanicolaou smears should be done more frequently because results may be altered by Trichomonas.
While assisting a health care provider (HCP) conduct a pelvic examination, the patient complains of severe pain during the bimanual examination. For which health problem should the nurse suspect this patient is going to need care? a. Syphilis b. Gonorrhea c. Pelvic inflammatory disease d. Human papillomavirus infection
c. Pelvic inflammatory disease
The nurse must bathe a patient with herpes. What is the nurses best protection against contracting sexually transmitted infections (STIs) from patients while providing perineal hygiene? a. Wearing gloves at all times b. Washing hands following care c. Practicing standard precautions d. Avoiding touching patients who have STIs
c. Practicing standard precautions
The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, I heard you can get cancer from STIs. Is that true? Which response by the nurse is correct? a. No, you cannot get cancer from STIs. b. Yes, most STIs can lead to cancerous changes if not treated promptly. c. Yes, some STIs have been linked to cancer, so adequate treatment is very important. d. No, that is not true, but a diagnosis of cancer does increase the risk of contracting an STI
c. Yes, some STIs have been linked to cancer, so adequate treatment is very important.
An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses? a. Benign prostatic hyperplasia (BPH) b. Parkinson's disease c. Prostate cancer d. All of the above
d. All of the above (BPH, parkinsons, prostate CA)
A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects? a. Risk of osteoporosis b. May have hot flushes c. May have impotence d. All of the above
d. All of the above (risk of osteop, hot flashes, impotence)
A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses? a. Testicular cancer b. Inguinal hernia c. Varicocele d. All of the above
d. All of the above (testicular Ca, inguinal hernia, varicocele)
A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis? a. Psychogenic nocturia b. Urethral polyp c. Irritative posterior urethral lesion d. Benign prostatic hypertrophy
d. Benign prostatic hypertrophy
The nurse is providing care for a patient recently diagnosed with Chlamydia. Which information should the nurse recommend be included in patient teaching? (Select all that apply.) a. Women with Chlamydia may complain of a sore throat. b. Chlamydia is characterized by the development of chancres. c. Ophthalmia neonatorum is seen in infants born to women with Chlamydia. d. Chlamydia can be transmitted sexually and by blood and body fluid contact. e. The risk of ectopic pregnancy is increased in women with a history of Chlamydia. f. The Chlamydia virus can lie dormant in the nervous system tissues and reactivate when an individual is under stress or has a compromised immune system
d. Chlamydia can be transmitted sexually and by blood and body fluid contact. e. The risk of ectopic pregnancy is increased in women with a history of Chlamydia.
A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents. The nurse recognizes that this patient most likely has which condition? a. Syphilis b. Chlamydia c. Hepatitis B d. Genital warts
d. Genital warts
The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? a. Gram-positive cocci b. Gram-negative cocci c. Gram-positive bacillus d. Gram-negative bacillus
d. Gram-negative bacillus
A patient with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which action should the nurse anticipate will be needed for the infant? a. Intravenous antibiotics for 12 hours b. Antiviral eye medication less than 2 hours after birth c. There is no treatment that is safe and effective for infants. d. HBV-immune globulin less than 12 hours after birth and then HBV vaccine series
d. HBV-immune globulin less than 12 hours after birth and then HBV vaccine series
A patient asks why the physician has recommended systemic interferon treatment for genital warts. Which explanation should the nurse provide to the patient? a. Interferon can improve liver function. b. Interferons can increase your red blood cell count. c. Interferon treatment does not have any side effects. d. Interferon therapy can attack warts all over the body at the same time.
d. Interferon therapy can attack warts all over the body at the same time.
Which of the following would be an appropriate treatment for a patient with mild BPH? a. Refer to a urologist for surgery. b. Prescribe a trial of tamsulosin. c. Recommend cranberry supplements. d. Reevaluate symptoms in 1 to 3 months
d. Reevaluate symptoms in 1 to 3 months
The nurse is assisting in the preparation of a teaching seminar for adolescents to prevent the development of a sexually transmitted infection (STI). Which nonsexual activity should the nurse teach that may transmit a sexually transmitted infection (STI)? a. Sharing a cigarette b. Borrowing a hairbrush c. Coughing and sneezing d. Sharing intravenous drug equipment
d. Sharing intravenous drug equipment
The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician? a. Painful urination b. Red conjunctivae c. Vaginal discharge d. Sharp pain at the base of the ribs
d. Sharp pain at the base of the ribs
Which test is used to confirm a diagnosis of epididymitis? a. Urinalysis b. Gram stain of urethral discharge c. Complete blood cell count with differential d. Ultrasound of the scrotum
d. Ultrasound of the scrotum
