Med Surg 55-56

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?

"I'm temporarily not contagious once the warts are destroyed."

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

"Inform all potential sexual partners about the infection, even if it is inactive."

A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching?

"The penis will appear longer than usual."

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

Abandon biases that older adults are sexually inactive.

Which pharmacologic agents pose the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?

Antihistamines

The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications?

Apomorphine (Uprima)

The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?

Are you allergic to penicillin?

The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection?

Chlamydia

The nurse is providing discharge instructions to a female client following inpatient therapy for a gonorrhea infection. The client is being discharged on doxycycline (Vibramycin) for 7 days. Which nursing instruction is essential for a therapeutic outcome?

Complete all prescribed medication

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?

Cryptorchidism as an infant

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.

Do not delay the urge to void., Schedule digital rectal exams.

A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?

Escherichia coli

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 should nurses teach men, especially those with a history of cryptorchidism?

How to perform a testicular self-examination

A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse?

Keep the client NPO.

Which of the following types of condoms is appropriate only if the client is in a long-standing relationship?

Natural membrane condom

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?

Painful swelling, paraphimosis

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?

Palpate each testicle separately, following a warm shower.

Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted disease?

Perform thorough handwashing.

The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?

Prepare for a cesarean section.

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?

Tabes dorsalis, ataxia, and Charcot's joints

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Tetracycline

The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?

The client has dementia and cannot care for himself or herself.

A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?

Transillumination of the scrotum

The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?

Use a latex condom with a spermicide.

Following a vasectomy, which is the most important instruction to provide to the client?

Use another form a birth control until further notice.

Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase (PDE5) inhibitor such as sildenafil (Viagra)?

Use of nitrates

Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?

Using a reliable method of contraception for several weeks until sperm is no longer present

A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?

Vasectomies should be considered a permanent means of birth control.

Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?

You must inform all sexual partners.

A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?

"What concerns you most about having surgery?"

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

"What do you do to prevent sexually transmitted infections?"

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?

12 ng/mL

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?

Alprostadil

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

Ensure immunizations against infectious diseases such as mumps.

The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?

Human papilloma viral (HPV)

The nurse has just obtained a newborn for admission and assessment in the newborn nursery. Which of the following nursing actions is done as a result of potential contamination of the neonate when descending down the birth canal?

Instilling erythromycin ointment in the eyes

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.

Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?

Medication use

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?

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI)