NUR 238 PrepU Chapter 5: Sexually Transmitted Infections
The nurse is assessing a 68-year-old female client. The client presents with mild lower abdominal pain, greenish-yellow vaginal discharge, and pain during urination. Which question is appropriate for the nurse to ask the client next?
"Are you currently sexually active?"
The nurse is caring for a client diagnosed with candida vaginitis. The nurse knows additional teaching is needed when the client makes which statement?
"Douching is an effective way to cleanse the vaginal area after intercourse."
The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use?
"I will put the condom on just before orgasm."
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."
The nurse is caring for a client diagnosed with genital herpes who is prescribed acyclovir for treatment. Which statement by the client indicates to the nurse that additional teaching is needed?
"If I forget a dose, it is still important to take it. I can take a double dose if needed."
The clinic nurse is treating a client diagnosed with HIV. Which statement made by the client indicates an understanding of the diagnosis?
"If my T-cell count drops below 200 cells/mm3 (0.2 × 109/l), my HIV has progressed to AIDS."
During a routine examination, a 14-year-old client states, "I do have unprotected sex." Which reply by the nurse is most appropriate?
"Let me teach you how to properly apply a condom."
A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply.
"The virus remains quiet until a stressful event occurs to reactivate it." "Infections may be transmitted by individuals unaware that they have it." "Transmission is through contact of infected mucous membranes."
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 infections. What is the nurse's best response?
"This STI is characterized by an infection of your cervix."
A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?
"This drug will help to suppress any symptoms of the infection."
A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student?
"Withdraw the penis erect, holding the condom firmly against the penis."
A client with genital herpes asks the nurse about what to expect with the infection. Which response by the nurse is appropriate?
"You have to be extremely careful in the future. Even if you do not have symptoms, you could still spread the infection to others."
The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?
25
A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia?
70%
A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client?
Avoid alcohol consumption.
A client is being discharged from the gynecological unit after treatment for acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?
Discuss the necessity of completing the antibiotic therapy.
What is the most common viral infection?
Human papillomavirus (HPV)
A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms?
an azole antifungal agent
The nurse cares for a client recently diagnosed with syphilis who has no known drug allergies. Which medication will the nurse expect the health care provider to prescribe?
benzathine penicillin G
A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess?
characteristic "stale fish" odor
A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States?
chlamydia
A client with a family history of cervical cancer is to undergo a Papanicolaou test. During the client education, what group should the nurse include as at risk for cervical cancer?
clients who have genital warts
A nurse is conducting a class for high school students on preventing sexually transmitted infections (STIs). Which information would the nurse emphasize as the sole method for not contracting STIs?
engaging in abstinence
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?
gonorrhea
The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis?
green vaginal discharge
The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis?
irritation of vaginal walls
Which stage of syphilis occurs when the infected person has no signs or symptoms of syphilis?
latency
A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?
metronidazole
A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider mostlikely prescribe?
metronidazole
A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?
metronidazole
Which medication is the most effective treatment for trichomoniasis?
metronidazole
Which medications are appropriate to treat vaginal candidiasis? Select all that apply.
miconazole fluconazole
What is the medication of choice for early syphilis?
penicillin G benzathine
Pelvic infection is most commonly caused by:
sexual transmission
A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis?
sore throat and flu-like symptoms
A pregnant woman who is HIV-positive comes to the clinic for an evaluation. As part of the visit, the nurse discusses ways the woman can boost her immune system. Which instruction(s) would the nurse likely suggest? Select all that apply.
staying away from crowded places drinking at least 2 liters of fluid each day. taking rest periods during the day
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?
trichomoniasis
A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis?
vaginal odor smelling of fish
A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection?
viral culture of vesicular fluid
