Chapter 28: Infections

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? 1 painful joints 2 sore throat 3 intermenstrual bleeding 4 painful urination

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A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis? 1 sore throat and flu-like symptoms 2 pain-free crusty genital lesions 3 yellow vaginal discharge 4 painful dysurea

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A female sex trade worker has been diagnosed with secondary syphilis. Which findings would mostlikely correlate with this diagnosis? 1 sore throat and flu-like symptoms 2 pain-free crusty genital lesions 3 yellow vaginal discharge 4 painful dysurea

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A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infectious diseases. What is the nurse's best response? 1 "This STI is characterized by an infection of your cervix." 2 "This STI is an infection that will cause itching in the genital area." 3 "This STI is an infection that results in ulcers in the genital area." 4 "This STI is an infection that will result in the formation of genital warts."

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An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition? 1 Use high-protein supplements. 2 Eat dry crackers after meals. 3 Limit number of meals to three a day. 4 Constantly drink fluids while eating.

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When preparing a teaching plan for a female adolescent with a sexually transmitted infection (STI), the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer. Which STI would the adolescent most likely have? 1 genital warts 2 genital herpes 3 syphilis 4 chlamydia

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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: 1 ectopic pregnancy. 2 genital herpes simplex. 3 endometriosis. 4 secondary urinary tract infection.

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A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which instruction should the nurse give the client to prevent recurrence of bacterial vaginosis? 1 Practice monogamy. 2 Use oral contraceptives. 3 Avoid smoking. 4 Undergo colposcopy tests frequently.

1 Although the reasons for bacterial vaginosis are not yet fully understood, sex with multiple partners increases the risk, and therefore it should be avoided. Using oral contraceptives and smoking have not been associated with bacterial vaginosis. A colposcopy test is recommended for clients with high-risk HPV, not for diagnosing bacterial vaginosis.

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? 1 "One or two treatments should get rid of the warts." 2 "I'm temporarily not contagious once the warts are destroyed." 3 "Once the warts are gone, then I know I'm cured." 4 "My partner doesn't need to be treated."

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What is the most common early symptom of a sexually transmitted infection? 1 menstrual cramping 2 dysuria 3 vaginal discharge 4 amenorrhea

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A 40-year-old woman with gray, runny vaginal discharge that has a foul, fishy odor has been told that she most likely has vaginosis. What most likely contributed to her present condition? 1 unprotected sex with a new partner who is a carrier of the relevant bacteria 2 autoinoculation from a cold sore, wart, or oral fungal infection 3 a sharp reduction in the number of lactobacilli in the client's vaginal flora 4 proliferation of sexually-transmitted protozoa

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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? 1 Provide the client with brochures on sexually transmitted disease prevention. 2 Arrange for follow-up visits to her health care provider. 3 Discuss the necessity of completing the antibiotic therapy. 4 Refer the client to the women's sexual health clinic.

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A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition? 1 genital warts 2 genital herpes 3 gonorrhea 4 syphilis

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The nurse is assessing a primigravida woman who reports vaginal itching, a great deal of foamy yellow-green discharge, and pain during intercourse. The nurse suspects the woman has contracted which disorder? 1 Chlamydia 2 Simple yeast infection 3 Trichomoniasis 4 Gonorrhea

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A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe? 1 penicillin 2 tetracycline 3 levofloxacin 4 ceftriaxone

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A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission? 1 kissing 2 sexual contact 3 giving vaginal birth 4 sharing contaminated needles

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A pregnant client is complaining of a large amount of malodorous vaginal discharge that is foamy and yellow-green in color, vaginal itching and painful intercourse. When asked, she also reports that urination is somewhat painful. She is diagnosed with trichomoniasis. What treatment would the nurse anticipate the client receiving? 1 ceftriaxone IM 2 oral erythromycin 3 benzathine penicillin G IM 4 oral metronidazole

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A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? 1 foul-smelling discharge 2 vaginal bleeding 3 vesicles on the labia 4 chancres at the vaginal site

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Which statement made by a client with a chlamydial infection indicates understanding of the potential complications? 1 "I'm glad I'm not pregnant; I'd hate to have a malformed baby from this disease." 2 "I hope this medicine works before this disease gets into my urine and destroys my kidneys." 3 "If I had known a diaphragm would put me at risk for this, I would have taken birth control pills." 4 "I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day."

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A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings? 1 the possibility of a chlamydia infection 2 an acute stage of the gonorrheal infection 3 a reaction to the gonorrheal medications 4 a positive pregnancy test

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A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug? alcohol nicotine chocolate caffeine

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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? 1 Fluconazole 2 Tetracycline 3 Clindamycin 4 Acyclovir

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After teaching a client diagnosed with candidiasis about preventative measures, the nurse determines that the teaching was effective when the client states she will take which action? 1Avoid exposure to sun. 2 Use sunscreen regularly. 3 Avoid tight pants. 4 Exercise to prevent fatigue.

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The nurse is reviewing medication orders for a pregnant patient diagnosed with a urinary tract infection. Which medication order should the nurse question for this patient? 1 Ampicillin 2 Amoxicillin 3 Tetracycline 4 Cephalosporin

3 Amoxicillin, ampicillin, and cephalosporins are effective against most organisms causing UTIs and are safe antibiotics during pregnancy. Tetracyclines are contraindicated during pregnancy because they cause retardation of bone growth and staining of the fetal teeth.

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason? 1 The symptoms of these diseases are the same, and culture tests alone can determine the disease that has infected the client. 2 The infecting bacterium in all cases is the same, and therefore clients have concurrent infections. 3 The infections spread through the same medium, and therefore clients have concurrent infections. 4 It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).

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