CH 71 Prep U

A nurse is preparing a presentation for a local high school health class about STIs. When discussing the most commonly reported STIs, which infection would the nurse most likely include? Select all that apply.

chlamydia gonorrhea

A client diagnosed with syphilis is to receive medication therapy as part of the treatment plan. The nurse reviews the client's medical record and finds that the client is allergic to penicillin. Which medication would the nurse anticipate being used?

erythromycin

The nurse is presenting a community lecture about STIs, and emphasizes that some STIs are easily cured with early and adequate treatment. Which is not among these easily treated diseases?

genital herpes

A nurse practitioner is treating a client with early latent syphilis of less than 1 year's duration. The nurse told the client about the need to receive penicillin G benzathine injections according to the following protocol:

one injection.

A client is diagnosed with primary syphilis. When assessing the client, which manifestation would the nurse expect to find?

painless chancre

The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted disease would the nurse focus the client education on curative goals?

Chlamydia

The nurse is providing care to a client who has been diagnosed with gonorrhea. The nurse also prepares the client for treatment of which of the following?

Chlamydia

Which condition of generally requires the identification and treatment of sexual partners?

Chlamydia trachomatis infection

You are a school nurse teaching a health class about the chain of infection in the transmission of sexually transmitted diseases (STDs). A student asks you which part of the chain of infection can be missing when transmission occurs. What would be your best answer?

"All parts of the chain of infection have to be present for the disease to be passed to another human."

A 28-year-old sexually active male presented to a clinic because he was concerned about a round, painless sore on the shaft of his penis that had appeared 2 days prior to his visit. The nurse practitioner recognized the lesion as a "chancre," an indicator of primary syphilis. The nurse should tell the patient:

"An antibiotic injection is the best treatment since the lesion has just occurred."

The nurse educator, who is teaching a class on sexually transmitted infections, recognizes that teaching has been effective when students indicate which statement is true about the difference between colonization and infection?

"Colonization becomes infection when the host and organism interact."

The nurse is talking to a client who has come to the doctor's office to ensure that the client's sexually transmitted infection (STI) has been successfully treated. Which statement by the client requires further instruction?

"It's great that I don't have to worry about having this infection again because I'm now immune to it."

The nurse is meeting with the mother of an 11-year-old girl to provide decision making support and education regarding human papillomavirus (HPV) vaccination. The mother states, "I am confused about why my 11 year old needs to be protected from a sexually transmitted infection. She is so young and not sexually active. Why does she need the vaccination now?" What is the nurse's best response?

"The vaccination helps to prevent cervical cancer in adult women. It works better if she has it before she becomes sexually active. Let's talk about some of the concerns you have about the vaccination"

The nurse is providing education about treatment for syphilis to a client who has a confirmed infection. The client states, "Penicillin causes me to have raised, red bumps all over my body. Will I have to take it again?" How should the nurse respond?

"You can be treated with an alternative antibiotic called doxycycline."

The nurse is seeing a client who was recently diagnosed with primary syphilis after reporting a painless penis lesion to his health care provider. The client states, "I don't want anyone to find out that I have this disease." How should the nurse respond?

"You're test results are reported to a public health department. You will need to share the information about your sexual contacts, and they will notify and screen those people."

The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse?

"Your partner could have been asymptomatic at that time."

A client with syphilis has been evaluated and treated with medication. The nurse encourages the need for follow-up to ensure that the treatment was effective. The nurse instructs the client to return at which time to be retested?

3 months

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

The nurse educator is teaching a group of nursing students about the physiologic manifestations of tertiary syphilis. The students respond correctly by stating which major organ systems are identified as the most affected by tertiary syphilis?

Cardiovascular and neurological

The nurse educator is teaching a group of young adult women about sexually transmitted infections. The nurse explains that which infection is most likely to be "silent" with no overt symptoms in women?

Chlamydia

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?

Burning on urination

A client with suspected primary syphilis is to undergo diagnostic testing. Which of the following would the nurse expect to be done to confirm this diagnosis?

Direct identification in a specimen from the chancre lesion

The nurse educator is teaching a class about the chain of infection. The nurse educator correctly states that sexually transmitted infections are passed on through which route of transmission?

Direct transmission

A male client comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?

Discharge from the penis and burning during urination

A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

Foul-smelling discharge from the penis

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

The nurse is assessing a client in the emergency department who grimaces and reports swelling of the testicles, burning on urination and a green discharge from the penis. The nurse suspects the client will be diagnosed with which infection?

Gonorrhea

Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time?

Herpes infection

Which of the following sexually transmitted infections (STIs) could be transmitted perinatally?

Herpes simplex

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

Human papilloma virus

A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment would physician prescribe?

IV penicillin G; single dose

A nurse is caring for a client with syphilis. Which nursing interventions would be included on the plan of care? Select all that apply.

Inform the client that notification of the sexual partner by the department of public health is important for the evaluation and treatment. Inquire about the client's allergy history in anticipation of antibiotic treatment. Collect health information and a sexual history.

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point would the nurse place in bold letters?

Many people are asymptomatic and show no symptoms contributing to the spread of the disease.

The clinical manifestations of primary syphilis can be diagnostic. Select all the symptoms consistent with this diagnosis.

It occurs 2 to 3 weeks after initial inoculation with the organism a painless lesion forms at the site of infection the lesion resolves in 2 months.

The nurse recognizes the client is in which stage of syphilis when the client has no signs or symptoms of syphilis?

Latency

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis?

Latency

Which of the following is the most effective treatment for trichomoniasis?

Metronidazole (Flagyl)

Which of the following is the medication of choice for early syphilis?

Penicillin G benzathine

A patient comes to the clinic with complaints of a painless sore on her lip 2 weeks after she had oral sex with her boyfriend. The nurse observes a chancre on the lips and the physician orders testing for syphilis. If results are positive, what is the likely stage the patient is in?

Primary

Nursing students are reviewing information about sexually transmitted infections (STIs). They demonstrate a need for additional review when they identify which of the following as an example?

Shigella

To confirm a diagnosis of syphilis, the nurse would identify the gram-negative bacteria, Treponema palladium, on the laboratory report. The nurse knows that this bacteria is classified among:

Spirochetes

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Syphilis

Painless chancres are associated with which systemic disease?

Syphilis

The nurse is assessing a client who reports stiff joints and alopecia. While taking the client's health history, the client reports having multiple sexual partners in the past 6 months and finding a lesion on her labia about 1 month before today's appointment. What should the nurse anticipate based on the signs and symptoms presented?

The client will require treatment for the secondary stage of syphilis.

The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session?

The effect of the vaccination is optimized if it is administered before the child becomes sexually active.

A 16-year-old male client comes to the free clinic and is subsequently diagnosed with primary syphilis. What health problem most likely prompted the client to seek care?

The emergence of a chancre on his penis

A male client with gonorrhea asks the nurse how he can reduce his risk of contracting another sexually transmitted infection. The client is not in a monogamous relationship. The nurse should instruct the client to do what action?

Wear a condom every time he has intercourse.

The nurse is caring for a client with secondary syphilis. What intervention should the nurse institute when caring for this client?

Wear gloves if contact with lesions is possible.

When developing a teaching plan for a client with syphilis, which of the following would be most important to include?

With proper treatment, the disease can eventually be cured.

A client comes to the clinic for an evaluation. During the visit, the client reports a fever, malaise, hair loss and weight loss. Further assessment reveals lymphadenopathy. The client also reports a penile ulcer that appeared about 4 weeks ago but went away. The nurse suspects the client may have syphilis and interprets the client's assessment findings as suggestive of which stage of this disease?

secondary

A nurse is caring for a male client with gonorrhea. The client asks how he can reduce his risk of contracting another sexually transmitted disease (STD). The nurse should instruct the client to:

wear a condom every time he has intercourse.