Sexually Transmitted Infections

The nurse is caring for a client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client? "Avoid alcohol consumption for at least 24 hours after you take this medication." "Once you are healed, you need to come back to get the human papillomavirus (HPV) vaccination." "We need to complete a pregnancy test first, to be sure you can take this medication." "You may crush or chew this tablet if you have difficulty swallowing medications.

"Avoid alcohol consumption for at least 24 hours after you take this medication."

A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis? Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy. Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism. Antifungal medications are effective against the anovulation and risk for HIV that accompany the infection.

Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy.

A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client? Use a sunscreen when outside. Avoid alcohol consumption. Take the drug on an empty stomach. Report signs of an oral yeast infection.

Avoid alcohol consumption.

Which instruction should the nurse give to a client with genital herpes to help control the infection? Apply imiquimod cream. Apply antibacterial medication. Avoid people with upper respiratory infections. Avoid sexual contact until sores heal.

Avoid sexual contact until sores heal.

A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) discovers that there is a very high incidence of hepatitis B in the community. Which measure should the nurse take to ensure the prevention of the disease? Educate teenagers to delay onset of sexual activity. Educate about risks of injecting drugs. Ensure that the drinking water is disease-free. Instruct people to get vaccinated for hepatitis B.

Instruct people to get vaccinated for hepatitis B.

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 antiviral agent an azole antifungal agent a quinolone antibiotic a penicillin antibiotic

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 doxycycline metronidazole miconazole

benzathine penicillin G

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea? dry, hacking cough burning on urination painless chancre diffuse skin rash

burning on urination

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 clients who have not had babies clients with irregular menstrual cycles clients with fibrocystic breast disease

clients who have genital warts

Which medication is the most effective treatment for trichomoniasis? azithromycin penicillin G benzathine doxycycline metronidazole

metronidazole

Pelvic infection is most commonly caused by: sexual transmission. hysteroscopy. induced abortion (medical abortion). insertion of intrauterine device.

sexual transmission.

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? 30% 70% 50% 90%

70%

A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata? Treponema pallidum Haemophilus ducreyi bacillus human papillomavirus herpes virus

human papillomavirus

What is the most common viral infection? trichomoniasis gonorrhea chlamydia human papillomavirus (HPV)

human papillomavirus (HPV)

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding? acidity and heartburn loss of appetite hypertension yeast infections

yeast infections

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." "Eating yogurt can may help limit future infections." "Low blood sugar levels are a way to control vaginal infections." "I should wear cotton underwear to prevent future infections."

"Douching is an effective way to cleanse the vaginal area after intercourse."

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." "If I use this drug, I will be cured of the infection." "The severity of future attacks will be much less after using this drug." "This drug will help reduce my risk for a recurrence after discontinuing it."

"This drug will help to suppress any symptoms of the infection."

During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply? "When you first start having sex." "As soon as possible and every year thereafter." "When you turn 21 years old." "It all depends on your family history of cancer."

"When you turn 21 years old."

The nurse is educating a female client diagnosed with human papillomavirus (HPV). Which information will the nurse include in the client's education plan? "You will be prescribed an antiviral medication to take that will clear your infection." "Your best option is to surgically remove genital warts to prevent you from spreading the disease." "During colder weather, you will note more outbreaks than during warmer weather." "You should be sure to receive consistent testing for cervical cancer."

"You should be sure to receive consistent testing for cervical cancer."

The nurse is providing education on the prevention of sexually transmitted infections (STIs) to clients. The nurse understands which client is at the highest risk of contracting an STI? A 30-year-old client who consumes alcohol multiple times per week, uses cocaine, and has a history of prostitution. A 20-year-old client who reports having protected sexual intercourse with three others, male and female, over the past five years. A 25-year-old client who refused to receive the human papillomavirus vaccine and whose parents both have HIV. A 17-year-old client who is in a monogamous relationship with a 25-year-old partner and engages in unprotected sex.

A 30-year-old client who consumes alcohol multiple times per week, uses cocaine, and has a history of prostitution.

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? Arrange for follow-up visits to her health care provider. Refer the client to the women's sexual health clinic. Provide the client with brochures on sexually transmitted infection prevention. Discuss the necessity of completing the antibiotic therapy.

Discuss the necessity of completing the antibiotic therapy.

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? The infecting bacterium in all cases is the same, and therefore clients have concurrent infections. It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI). The infections spread through the same medium, and therefore clients have concurrent infections. The symptoms of these diseases are the same, and culture tests alone can determine the disease that has infected the client.

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

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response? "The risk of your newborn being infected with HIV infection is about 1%." "It is only transmitted through the birth canal so a cesarean birth will be scheduled." It is recommended to formula-feed your newborn as it is transmitted through your breast milk." "It is not transmitted to your newborn as it is protected in the uterus."

It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

Which instruction should be given to a woman newly diagnosed with genital herpes? Use a water-soluble lubricant for relief of pruritus. Limit stress and emotional upset as much as possible. Obtain a Papanicolaou test every 3 years. Have your partner use a condom when lesions are present.

Limit stress and emotional upset as much as possible.

A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? one or more flat, wartlike papules in the genital area that are sensitive to touch patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas a painless genital ulcer that appeared about 3 weeks after unprotected sex copper-colored macules on the palms and soles that appeared after a brief fever

a painless genital ulcer that appeared about 3 weeks after unprotected sex

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? vesicles on the labia chancres at the vaginal site foul-smelling discharge vaginal bleeding

chancres at the vaginal site

A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission? giving vaginal birth sharing contaminated needles kissing sexual contact

sharing contaminated needles

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection? trichomoniasis Gardnerella vaginalis vaginitis candidiasis gonorrhea

trichomoniasis

A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis? intense itching of the vulva warts in the vulva and labia vaginal odor smelling of fish cottage cheese-like discharge

vaginal odor smelling of fish

Which finding would alert the nurse to suspect that a client has a yeast infection? vulvar burning and itching lymphadenopathy changes in skin color acidic vaginal secretions

vulvar burning and itching

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? "Feeling sick and vomiting are common side effects of acyclovir." "If I forget a dose, it is still important to take it. I can take a double dose if needed." "My symptoms may resolve before I complete the entire prescribed amount of acyclovir." "Acyclovir is an antiviral medication that will slow the spread of the herpes virus in my body."

"If I forget a dose, it is still important to take it. I can take a double dose if needed."

A school health nurse is presenting information on sexually transmitted infections (STIs) to a high school class. The nurse feels confident that learning has taken place when the students report: most adolescents will seek early treatment to cure the STI. female adolescents are more susceptible to STIs due to their anatomy. genital cancer is associated with the STI genital herpes. adolescent females make up more than three-quarters of HIV diagnosis.

female adolescents are more susceptible to STIs due to their anatomy.

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which information will the nurse include? A condom does not need to be used for oral sex. Leave space at the tip of the condom. Use both a male and female condom together. Body lotion can be used as a lubricant.

Leave space at the tip of the condom.

A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis? Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. Antifungal medications are effective against the anovulation and risk for HIV that accompany the infection. Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism. Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy.

Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease.

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? syphilis gonorrhea candidiasis chlamydia

chlamydia

Clients who have had PID are prone to which complication? ectopic pregnancy multiple gestation ovarian cancer inguinal lymphadenopathy

ectopic pregnancy

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? using condoms engaging in abstinence limiting sexual partners urinating immediately after intercourse

engaging in abstinence

A client is diagnosed with pediculosis infection. When teaching the client about measures to treat and minimize the transmission, which measures would the nurse include? Select all that apply. removing any nits with a fine toothed comb washing all clothes and bed linens in warm water not sharing any personal items with others thoroughly shampooing all rugs and upholstery with hot soapy water following the manufacturer's instructions for the medication

following the manufacturer's instructions for the medication not sharing any personal items with others removing any nits with a fine toothed comb

The clinic nurse is treating a client diagnosed with HIV. Which statement made by the client indicates an understanding of the diagnosis? "I will not spread HIV to others if I have intercourse with them, if I take my medication." "Right now I have HIV, but eventually it will develop into AIDS." "If I do not take my medications as prescribed, my red blood cell count will fall." "If my T-cell count drops below 200 cells/mm3 (0.2 × 109/l), my HIV has progressed to AIDS."

"If my T-cell count drops below 200 cells/mm3 (0.2 × 109/l), my HIV has progressed to AIDS."

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis? secondary tertiary primary latency

latency

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect which finding once the microorganism disseminates throughout the body? painful urination intermenstrual bleeding painful joints sore throat

painful joints

A nurse is engaged in primary prevention activities for human papillomavirus (HPV). The nurse would be most likely involved with which activity? educating about HPV testing in women over age 30 administering HPV vaccine encouraging treatment for genital warts teaching about the importance of regular Papanicolaou test

administering HPV vaccine