PrepU Med surg assignment 17
Which statement made by a client with a chlamydial infection indicates understanding of the potential complications?
"I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day."
An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms. What is the best response by the nurse?
"The use of condoms is one of the best ways to reduce the risk of acquiring an STI."
A nurse is teaching a health class to a group of clients likely to be at highest risk for gonorrhea. What is the age range of the clients?
15 to 24 years
A client is diagnosed with chlamydia and is distraught. "How can I have this problem? I don't have any symptoms!" she says. The nurse teaches the client that the percentage of women with chlamydia who are asymptomatic is as high as
75%
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
Which of the following medications are used to suppress viral load of the HSV-2 infection?
Acyclovir (Zovirax)
The nurse explained the difference between the herpes simplex viruses (HSV-1 and HSV-2). One characteristic of HSV-1 is that it:
Affects the mouth and lips.
A 23-year-old sexually active woman is having a yearly check-up. The nurse advises the client that she should be screened for chlamydia with what frequency?
Annually
Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact upon public health. Which is the fastest-spreading bacterial STI in the United States?
Chlamydia
Which condition of generally requires the identification and treatment of sexual partners?
Chlamydia trachomatis infection
In which group is it most important for the client to understand the importance of an annual Papanicolaou test?
Clients infected with the human papillomavirus (HPV)
A 26-year-old preschool teacher is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and upcoming wedding. She is returning for her results and is devastated to learn that she has the sexually transmitted infection, gonorrhea. What would contribute to her ignorance of her condition?
Being asymptomatic
Katrina Sterrett, a 26-year-old preschool teacher, is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and upcoming wedding. She is returning for her results and is devastated to learn that she has the sexually-transmitted infection, gonorrhea. What would contribute to her ignorance of her condition?
Being asymptomatic
A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?
Burning on urination
Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact on public health. Which is the fastest spreading bacterial STI in the United States?
Chlamydia
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea has presented at the clinic. The student knows that the care plan for this patient should be include what in the treatment of gonorrhea?
Concurrent treatment for chlamydia
A nurse is caring for a client diagnosed with a chlamydia infection. The nurse teaches the client about disease transmission and advises the client to inform his sexual partners of the infection. The client refuses, stating, "This is my business and I'm not telling anyone. Beside, chlamydia doesn't cause any harm like the other STDs." How should the nurse proceed?
Educate the client about why it's important to inform sexual contacts so they can receive treatment.
A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?
Foul-smelling discharge from the penis
A male client reports urethral pain and a creamy yellow, bloody discharge from the penis. The nurse associates these characteristics with which of the following sexually transmitted infections?
Gonorrhea
Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of disease and their impact on public health. Which is the second most frequently reportable communicable disease in the United States?
Gonorrhea
Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of disease and their impact upon public health. Which is the second most frequently reportable communicable disease in the United States?
Gonorrhea
Which of the following is the medication of choice for early syphilis?
Penicillin G benzathine
A patient has herpes simplex 2 viral infection (HSV-2). The nurse recognizes that which of the following should be included in teaching the patient?
Treatment is focused on relieving symptoms.
You are caring for a patient with secondary syphilis. What nursing interventions would you know to institute when caring for this patient?
Wear gloves when there is a possibility of coming into contact with lesions.
