OB Chapt 5 Sexually Transmitted Infections(nclex)
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
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
When preparing a teaching plan for a woman with mastitis, which of the following would the nurse include?
Applying a warm compress to the breast
Which of the following is the gold standard for HSV diagnosis?
Culture
A physician tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This order would be appropriate for a woman with which condition?
Gonorrhea
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
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?
Trichomoniasis
Which factor in a client's history indicates she's at risk for candidiasis?
Use of corticosteroids
After teaching a client diagnosed with candidiasis about preventative measures, the nurse determines that the teaching was effective when the client states she will do which of the following?
Avoid vaginal trauma
The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which of the following would the nurse expect to include as the most common STI in the United States? a) Chlamydia b) Gonorrhea c) Genital herpes d) Syphilis
Chlamydia Explanation: Chlamydia is the most common and fastest-spreading bacterial STI in the United States, with 2.8 million new cases occurring each year. Gonorrhea is the second most frequently reported communicable disease in the U.S. The incidence of syphilis had been increasing for the past 6 years. One in five people older than age 12 is infected with the virus that causes genital herpes.
Which of the following measures would be most effective in preventing STIs? a) Interfering with the mode of transmission b) Getting individuals to change their behaviors c) Increasing the availability of resources d) Education to promote sexual health
Education to promote sexual health Correct Explanation: The key to successful treatment and prevention of STIs is education to promote sexual health. Behavior changes, increasing the availability of resources, and interfering with modes of transmission are important, but all of these require education
Which of the following is the most common viral infection? a) Human papillomavirus (HPV) b) Chlamydia c) Gonorrhea d) Trichomoniasis
Human papillomavirus (HPV) Correct Explanation: HPV infection is the most common viral infection. Millions of American are infected with HPV, many unaware that they carry the virus.
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 of the following is the most effective treatment for trichominiasis?
Metronidazole (Flagyl)
A nurse has performed disease prevention teaching with a female client who has genital herpes. Which client behavior indicates that the teaching has been successful? a) The client keeps the affected area moist. b) The client wears tight-fitting jeans. c) The client keeps her fingernails long. d) The client washes her hands before and after touching lesions.
The client washes her hands before and after touching lesions. Correct Explanation: Because hand-to-body contact is a common method of transmitting the herpes simplex virus, the client should wash her hands before and after touching the lesions to prevent the spread of the disease. To promote lesion drying and client comfort, the client should keep the affected area dry. To prevent scratching of the lesions, the client should keep her fingernails short, instead of long. Because tight-fitting clothes help retain heat and moisture, which can delay healing and cause discomfort, the client should wear loose-fitting garments.
A nurse is assessing a client diagnosed with bacterial vaginosis. Which of the following is a symptom of bacterial vaginosis?
Vaginal odor smelling of fish
In which of the follow patients would the nurse first suspect cancer?
A 30-year-old with a mobile, rubbery, firm, well-circumscribed, nontender lump
Patients who have had PID are prone to which of the following complications?
Ectopic pregnancies
A young woman who has recently been married asks a nurse at the clinic for something to calm her nerves and help her sleep. When assessing the patient the nurse suspects that the husband is abusing the patient. This is confirmed when the patient states, "My husband will not let me look for a job and when I need money he will not give it to me." This patient is suffering from which type of abuse?
Financial abuse
The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: a) Penicillin G b) Miconazole c) Doxycycline d) Metronidazole
Penicillin G Correct Explanation: Penicillin G is the drug of choice for treating syphilis. Miconazole is used to treat candidiasis. Metronidazole is used to treat trichomoniasis. Doxycycline is used to treat chlamydia.
