Sexuality Mastery Assessment

The nurse in the clinic is assessing a teenager with a tentative diagnosis of primary syphilis. Which is an early sign of this infection?

Answer: Genital lesion Chancre is the earliest sign of syphilis - dark field examination of a scraping will reveal the treponema organism. In the secondary stage of syphilis a rash occurs. Multiple lesions are late manifestations of syphilis. Genital discharge is associated with gonorrhea.

The nurse is caring for the newborn of a drug-addicted mother suspected cytomegalovirus disease. Which would the nurse suspect was the cause of the disease?

Answer: Having sex with many partners. Cytomegalovirus can be recovered from semen, vaginal secretions, urine, feces, blood, usually in clients with HIV. Toxoplasmosis can be contracted from contaminated cat litter and inadequately cooked meat. Hepatitis type A can be contracted from contaminated water.

Which action identified by the student indicates to the nurse an understanding of oxytocin in a pregnant client at term?

Answer: Induction of labor Oxytocin helps enhance the labor at term, Oxytocin induces abortion in incomplete abortions, Oxytocin controls uterine bleeding after the delivery.

Which intervention is the priority for a woman who was sexually assaulted by a stranger?

Answer: Obtaining information about her perception of the incident *In a crisis is important to enable the client to move past shock and disbelief.

A client presents with a sore throat and a generalized rash. The client reports that a chancre that had been present healed approximately 3 months ago. Serological test findings indicate a diagnosis of syphilis. Which stage of syphilis is the client in at this time?

Answer: Secondary

A client undergoing pre-surgical testing before a total abdominal hysterectomy says to the nurse., " After I have this surgery I know my husband will never come near me again" Which response would the nurse give?

"You're concerned about how your husband will respond to your surgery"

After discussion a 23- year old client's medical hx, the nurse discovers the client has never had a Papanicolaou (Pap) test. Which intervention would the nurse suggest to the client?

Schedule a Pap test immediately

Which identity may fail to develop if an adolescent lacks physical evidence of maturity?

Sexual

What are fingerlike projections that massage the ovaries to facilitate ovum extraction?

the fallopian tubes

Which initial action would the nurse take when a client is seen openly masturbating in the recreation room?

Escorting the client from the room

*Client A: infection: Chlamydia/ medication: Azithromycin *Client B: infection: Genital Herpes/ medication: Benzathine penicillin G. *Client C: infection: Genital Warts/ medication: imiquimod *Client D: infection: Gonorrhea/ medication: Doxycycline Based on the medication chart, the nurse would need to notify the health care provider regarding which client?

Client B

A client has been prescribed chlorpromazine for the management of positive symptoms of schizophrenia. Which response would the nurse provide when the client reports difficulty sustaining an erection?

Consulting with the health care provider regarding alternative medication therapies.

Which instructions would the nurse provide to adolescent boys regarding the usual procedure to be followed and normal findings observed during testicular self-examination? Select all that apply.

>A firm, smooth, egg shaped organ can be placed >Each testicle is examined individually after realizing the scrotal skin >The thumb and fingers of both hands can be used to apply firm and gentle pressure >A raised swelling that can be palpated on the superior aspect of the testicle is the epididymis

Which stage of the human immunodeficiency virus (HIV) would a client with a CD4+ T cell count of 325 cells/mm 3 classified?

Answer: Stage 2 Stage 1 CD4+ T cell count of greater than 500 cells/mm 3 Stage 2 CD4+ T cell count between 200 & 499 cells/mm 3 Stage 3 CD4+ T cell count less than 200 cells/mm 3 Stage 4 describes a client with confirmed HIV infection, no information about CD4+ T cell count

Which transformations occur during the mid-puberty stage of normally developing devolving adolescent female.

Breast enlargement and the growth of public hair

The nurse reviews the prescriptions of multiple adolescents with genital herpes simplex infections. *Client A: 23 years old/+ positive pregnancy test/ Primary infection/ Regimen: Acyclovir, 400 mg orally tid. *Client B: 17 years old/- negative pregnancy test/Suppression therapy/ Regimen: Valacyclovir, 500 mg orally bid. *Client C: 26 years old/+ positive pregnancy test/ Recurrent infection/ Regimen: Acyclovir, 400 mg orally tid. *Client D: 20 years old/- negative pregnancy test/ Recurrent infection/ Regimen: Valacyclovir, 500 mg orally bid. Which client's medication regimen would require correction?

Client B

Which growth findings can the nurse anticipate in a 16 year old adolescent female client? Select all that apply.

Descending growth Attaining up to 95% of adult height

Which disease would the nurse suspect in a 16 year old client with a history of multiple sexual partners who is complaining of increased vaginal discharge, intermittent vaginal bleeding, excessive bleeding during menstruation, and pain in the lower abdomen.

Gonorrhea The signs and symptoms indicate that the client is suffering from pelvic inflammatory disease which is a complication of Gonorrhea.

The nurse is teaching a female client on prevention of urinary tract infections. Which action of the client indicates need for additional teaching?

Taking frequent bubble baths Bubble baths increase the risk of a UTI.

Which statement indicates a client understands transmission of the human immunodeficiency virus (HIV) Select all that apply

" I can contact HIV by participating in oral sex" "HIV is contracted by using contaminated needles" "Babies can contract HIV because of contract with maternal blood during birth"

Which response would the nurse use when a client scheduled for a transurethral incision of the prostate (TUIP) voices concerns regarding impotence?

"I can understand your concern, but this procedure usually does not cause impotence".

Which condition would the nurse anticipate as a diagnosis for the female client complaining of swelling of the labia and throbbing pain in the labial area after sexual intercourse?

Answer: Bartholinitis Bartholin glands are located beneath the vaginal vestibule- if cysts form and become infected they cause labial, vaginal or pelvic pain, usually during intercourse (dyspareunia) Urethritis causes painful urination. Vaginal hematoma causes swelling in the vaginal wall, not the labia. Skene glands are located in the urethra, not the labia.

The nurse understands which medication places a client's offspring at risk for vaginal cancer?

Diethylstilbestrol This is a synthetic nonsteroidal estrogen used in tx of menopausal and postmenopausal