CH 41 Sexually Transmitted Infections NCLEX

Select the treatment of choice for syphilis.

Long-acting penicillin in a single injection

A 23-year-old diagnosed with syphilis presents with palmar rash, sore throat, fever, and a red-brown lesion on the genital area. And the symptoms have been present for three weeks. Select the stage of syphilis this client is currently in.

Secondary

A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be:

Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans.

The nurse provides prophylactic treatment for a neonate to prevent conjunctival gonorrhea. The nurse is aware that the intervention will reduce the risk of:

Blindness

Laboratory analysis of vaginal discharge identifies hyphae on microscopic exam and pH a 4.2. The client most likely has:

C. albicans

A client has been diagnosed with condylomata acuminata. The nurse recognizes that the most likely treatment will be:

Cryotherapy

A client has progressed to the stage of advanced syphilis (tertiary). Assessment findings of the client may include:

Dementia

Select the most common symptom a female diagnosed with chlamydia infection will develop.

Mucopurulent cervical discharge

The nurse determines that teaching was effective with a client who has been treated for Chlamydia states the importance of:

No follow-up as needed

The nurse is assessing a client who has a history of untreated chlamydial infection. The nurse is aware that the client is at risk for:

Reiter syndrome

Select the most reasonable test to diagnose syphilis.

Serology

A client has been diagnosed with a chlamydial infection. Select the pharmacological treatment of choice.

Azithromycin

A 22-year-old female client states she has vaginal itching with pain and small vesicles that appear on her vagina when she is stressed. The client is most likely experiencing:

Genital herpes

A client who has been diagnosed with gonorrhea ask the nurse if anyone has to know about it. The best response by the nurse is:

Gonorrhea is a reportable sexually transmitted infection

Select the correct statement regarding herpes simplex virus.

Only two strains of the virus are considered sexually transmittable

A client asks the nurse there is anything that would greatly increase her risk of acquiring human papilloma virus (HPV). The best response by the nurse would be:

Oral-genital sex

The public health nurse is presenting a program on the prevalence of STI's, which should include: select all that apply

a) STI's may be asymptomatic., b) Drug can manage infections but do not control the spread

Select the condition that contributes to the risk of infertility in males.

Trichomoniasis

Risk factors of bacterial vaginosis include: select all that apply.

a) premature rupture of membranes b) pelvic inflammatory disease (PID) c) postpartum endometritis e) preterm labor

A client presents with copious, frothing, malodorous green/yellow vaginal discharge. A diagnosis of Trichomoniasis is made. The client tells the nurse that she has not been sexually active and is concerned. Select a possible modes of transmission. Select all that apply

b) Fomites c) sexual contact e) hot tubs f) swimming pools