Unit Repro STD Pot of Questions

The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?

A chancre on the genitals

. 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

. Sexually transmitted infections are a significant health problem for several reasons. Which are contributing factors to the increasing incidence of STIs?

All options are correct

A client with trichomoniasis comes to the walk-in clinic. In developing a care plan for this client the nurse would know to include what as an important aspect of treating this client?

Both partners will be treated with metronidazole

The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom?

Candida albicans

The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:

Cervical cancer

. Which condition of generally requires the identification and treatment of sexual partners?

Chlamydia trachomatis infection

. 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

. Which is a risk factor for cervical cancer

Exposure to HPV

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 client is diagnosed as being in the primary stage of syphilis. Which of the following would the nurse expect as a finding

Genital chancres

. 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

The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?

Human papilloma virus (HPV)

The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification?

I consider myself protected because i am on birth control pills

. 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

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?

Impaired Skin Integrity

. A nurse is preparing a presentation about cervical cancer for a local woman's group. Which of the following would the nurse include as a possible risk factor for the development of cervical cancer?

Infection with human papilloma virus (HPV)

. A nurse is assisting with a physical examination of a male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes?

Itching, pain, and the emergence of pustules on the penis

A 16-year-old patient comes to the free clinic and is diagnosed with primary syphilis. The patient states that she contracted this disease by holding hands with someone who has syphilis. What is the most appropriate nursing diagnosis for this patient?

Knowledge deficit related to modes of transmission

The nurse is caring for a client who has just been diagnosed with chlamydia and is very upset. The client says, "I don't understand this. The person I had sex with did not have any symptoms at all. How could I have known?" What is the best response by the nurse to this client?

Many people with chlamydia won't have symptoms for up to 3 weeks after being infected

. Which of the following are risk factors for the development of a sexually transmitted disease (STD)? Select all that apply.

Multiple partners, unprotected sex, and prostitution

. A client is being treated for trichomoniasis. The client has received instructions about the prescribed drug therapy. The nurse determines that the client needs additional teaching when she states which of the following?

My partner will not need any treatment

Which of the following is the medication of choice for early syphilis?

Penicillin G benzathine

The nurse has received several laboratory studies back at the clinic. Which of these results should be reported to the local health department?

Positive gonorrhea

A patient comes to the clinic with complaints of a painless sore on her lip 2 weeks after she had oral sex with her boyfriend. The nurse observes a chancre on the lips and the physician orders testing for syphilis. If results are positive, what is the likely stage the patient is in?

Primary

The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session?

The effect of the vaccination is optimized if it is administered before the child becomes sexually active

. 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 client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate?

There is no cure, but drug therapy helps reduce symptoms and recurrences

You are caring for a patient who has been diagnosed with genital herpes. When preparing a teaching plan for this patient, what general guidelines should be taught?

Thorough hand washing is essiential

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

A nurse is teaching a community class about reducing the risk of STIs. Which recommendation would be included in the presentation?

Use latex condoms with nonoxynol-9 (a spermicide) when having oral, vaginal, or anal intercourse

. The nurse is caring for a male patient with gonorrhea. The patient asks how he can reduce his risk of contracting another sexually transmitted infection (STI). The nurse should instruct the patient to do which of the following?

Wear a condom every time he has intercourse

The nurse is 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

The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse?

Your partner could have been asymptomatic at that time

Which nursing interventions would a nurse be expected to do when caring for a client with syphilis? Select all that apply.

all options are correct

A nurse practitioner advised the mother of a 16-year-old girl, who was diagnosed with human papillomavirus (HPV), that the infection can cause cancer of the _______ in the future.

cervix

The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?

prepare for a cesarean birth

A nurse is teaching a client with genital herpes. Education for this client should include an explanation of:

the importance of informing his partners of the disease