5. STDs, Infections

A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. Ceftriaxone B. Fluconazole C. Metronidazole D. Zidovudine

A. Ceftriaxone ATI

Cultures used in the diagnosis of STIs can be obtained from (select all that apply): a. urine b. vagina c. urethra d. rectum e. endocervix

a. urine b. vagina c. urethra d. rectum e. endocervix MS

A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? (Select all that apply) A. Episiotomy B. Oxytocin infusion C. Forceps D. Cesarean birth E. Internal fetal monitoring

A. Episiotomy C. Forceps E. Internal fetal monitoring ATI

A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? (Select all that apply) A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic E. TORCH infection

A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic ATI

A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (Select all that apply) A. Joint pain B. Malaise C. Rash D. Urinary frequency E. Tender lymph nodes

A. Joint pain B. Malaise C. Rash E. Tender lymph nodes (flu-like symptoms) ATI

What should teaching for pts with an STI include (select all that apply)? A. Treatment of sexual partners B. Douching may help to provide relief of itching. C. Cotton undergarments are preferred over synthetic materials. D. Sexual abstinence is indicated during the communicable phase of the disease. E. Condoms should be used during as well as after treatment during sexual activity.

A. Treatment of sexual partners C. Cotton undergarments are preferred over synthetic materials. D. Sexual abstinence is indicated during the communicable phase of the disease. E. Condoms should be used during as well as after treatment during sexual activity. MS

The physical assessment and history of a 29-year-old female patient are indicative of human papillomavirus (HPV) infection. What teaching should the nurse provide to the patient? A. Gardasil B. Antibiotic therapy C. Wart removal options D. Treatment with antiviral drugs

C. Wart removal options MS

A pt thinks she has a "yeast infection." What signs or symptoms should the nurse expect in this pt? (select all that apply) a. intense itching and dysuria b. hemorrhagic cervix and vagina c. pruritic, frothy greenish or gray discharge d. thick, white, cottage cheese-like discharge e. mucopurulent discharge and postcoital spotting

a. intense itching and dysuria d. thick, white, cottage cheese-like discharge MS workbook

A 24-year-old patient is at the clinic with symptoms of purulent vaginal discharge, dysuria, and dyspareunia. She is sexually active and has multiple partners. What should the nurse explain to the patient as the rationale for screening her for chlamydia? A. Chlamydia is frequently co-morbid with HIV. B. Chlamydial infections may progress to sepsis. C. Untreated chlamydial infections can lead to infertility. D. Chlamydial infections are treatable only in the early stages of infection.

C. Untreated chlamydial infections can lead to infertility. MS

A 22-year-old male is being treated at a college health care clinic for gonorrhea. Which teaching point should the nurse include in patient teaching? A. "While being treated for the infection, you will not be able to pass this infection on to your sexual partner." B. "While you're taking the antibiotics, you will need to abstain from participating in sexual activity and drinking alcohol." C. "It's important to complete your full course of antibiotics in order to ensure that you become resistant to reinfection." D. "The symptoms of gonorrhea will resolve on their own, but it is important for you to abstain from sexual activity while this is occurring."

B. "While you're taking the antibiotics, you will need to abstain from participating in sexual activity and drinking alcohol." MS

A 52-year-old man with a primary infection of genital herpes was prescribed acyclovir (Zovirax) orally for 10 days. The patient returns to the clinic for a follow-up visit. Which finding indicates that treatment is effective? A. Negative bacterial culture B. Absence of genital lesions C. Reduction of genital warts D. No drainage from chancre sore

B. Absence of genital lesions MS

The patient is being treated for a recurrent episode of Chlamydia. What should the nurse include in his teaching? A. If you are treated, your sexual partner will not need to be treated. B. Abstain from sexual intercourse for 7 days after finishing the treatment. C. You will probably get gonorrhea if you have another recurrence of Chlamydia. D. Because you have been treated before, you do not need to take a full course of medication this time.

B. Abstain from sexual intercourse for 7 days after finishing the treatment. MS

The nurse administers the Gardasil vaccine to an 18-year-old female patient at the clinic. It is most important for the nurse to advise the patient to take which action? A. Avoid sexual activity for 24 to 48 hours. B. Remain lying down for at least 15 minutes. C. Return to the clinic in 6 months for a second dose. D. Use two methods of birth control to avoid pregnancy

B. Remain lying down for at least 15 minutes. MS

A 19-year-old man comes to the outpatient clinic for treatment of uncomplicated gonorrhea. Which statement made by the patient requires immediate intervention by the nurse? A. "I should avoid alcohol intake for at least 2 weeks." B. "I will have my sexual partner come in for treatment." C. "After I start the antibiotic, it is safe to have sex again." D. "After the treatment, I do not need to return to the clinic for retesting."

C. "After I start the antibiotic, it is safe to have sex again." (avoid sexual intercourse for 7 days after completing treatment with antibiotics) MS

A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? A. "Obtain an immunization against rubella early in pregnancy" B. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy" C. "A woman should avoid crowded places during pregnancy" D. "A woman should avoid consuming undercooked meat while pregnant"

D. "A woman should avoid consuming undercooked meat while pregnant" ATI

The nurse obtains a history from a 34-year-old woman diagnosed with a chlamydial infection. It is most important for the nurse to follow up on which patient statement? A. "This infection can be cured by taking antibiotics." B. "It is important to use condoms for all sexual activity." C. "I will avoid sexual contact for a week after taking the antibiotics." D. "My sexual partner does not have symptoms and will not need treatment."

D. "My sexual partner does not have symptoms and will not need treatment." MS

A 30-year-old female patient has sought care because of the recent appearance of itchy lesions on her vulva, some of which have recently burst. Which STI should the nurse expect first? A. HIV B. Gonorrhea C. Chlamydia D. Genital herpes

D. Genital herpes MS

TORCH infections

Toxoplasmosis Other (HIV, syphilis, hepatitis B, group B streptococcus) Rubella Cytomegalovirus (CMV) Herpes simplex virus (HSV)

A married woman presents to the clinic with complaints of grayish vaginal discharge with a "fishy" odor. Which of the following statements demonstrates that your teaching regarding BV has been understood? a. "It is not necessary to treat my partner." b. "I can stop taking this medicine when the discharge looks better." c. "I should avoid Metronidazole gel during pregnancy." d. "BV is a sexually transmitted disease."

a. "It is not necessary to treat my partner." (BV is not an STI - male partner doesn't need to be treated)

A 24-year-old female client is being treated with tinidazole for bacterial vaginosis. Which information should the nurse include in this client's discharge instructions? a. Alcohol should be avoided when taking tinidazole. b. Tinidazole may be administered orally in tablet form or vaginally as a cream. c. Side effects of tinidazole include white or gray vaginal discharge with a foul odor described as "fishy." d. Tinidazole is contraindicated in pregnant clients.

a. Alcohol should be avoided when taking tinidazole.

A young male patient is seeking treatment for recurrence of genital tingling, burning, and itching. The nurse will expect a prescription for which class of medications? a. Antivirals b. Antibiotics c. Vaccination d. Contraceptives

a. Antivirals (symptoms of genital herpes HSV2) MS

pelvic inflammatory disease (PID)

an infectious condition of the pelvic cavity that may involve the fallopian tubes, ovaries, and pelvic peritoneum

pt teaching: preventing rubella

avoid large crowds of young children

A 25-yr-old pt is at the clinic and says that she has white vaginal drainage and itching. What etiology would be suspected? a. cancer b. candidiasis c. Trichomonas vaginalis d. bacterial vaginosis infection

b. candidiasis MS workbook

The laboratory result of a specimen from a 20-yr-old female pt shows human papillomavirus (HPV). What would the nurse suspect the pt's diagnosis to be? a. syphilis b. gonorrhea c. genital warts d. genital herpes

c. genital warts MS workbook

The nurse is providing prenatal care to an asymptomatic HIV-infected client. Which nursing intervention should take priority? a. Taking her temperature b. Performing a hearing test c. Performing a vision test d. Assessing reflexes

a. Taking her temperature (Taking temp to monitor for signs of fever is priority in an asymptomatic HIV-infected prenatal pt) text

The individual with the lowest risk for sexually transmitted pelvic inflammatory disease is a woman who uses: a. oral contraceptives b. barrier methods of contraception c. an intrauterine device for contraception d. norplant implant or injectable Depo-Provera for contraception

b. barrier methods of contraception MS

In establishing screening programs for populations at high risk for chlamydial infections, the nurse recognizes that in women, C. trachomatis infection most often results in: a. cervicitis b. no symptoms c. acute urethritis d. liver inflammation

b. no symptoms

medication to treat chlamydia (2)

-azithromycin -amoxicillin

medication to treat gonorrhea (2)

-ceftriaxone IM -azithromycin PO

PID risks (2)

-ectopic pregnancy -infertility (secondary to fallopian tube damage)

toxoplasmosis symptoms (3)

-flu-like symptoms (malaise, muscle aches) -fever -tender lymph nodes

medication to treat yeast infection (2)

-fluconazole (antifungal) -clotrimazole (OTC)

rubella symptoms (3)

-joint and muscle pain -rash -fever

PID symptoms (5)

-lower abdominal pain/cramping -fever -chills -purulent vaginal discharge -irregular bleeding

medication to treat trichomoniasis (2)

-metronidazole -tinidazole

toxoplasmosis causes (2)

-raw or undercooked meat -cat feces

which 3 STDs must be reported to public health?

-syphilis -chlamydia -gonorrhea

symptoms of chlamydia (7)

-thin, purulent discharge -dysuria -urinary frequency -pelvic pain, lower abdominal pain -postcoital bleeding -bleeding between periods -friable cervix (bleeds easily)

symptoms of bacterial vaginosis (2)

-thin, white or gray discharge -discharge has a fishy odor

PID causes

-untreated cervical infection (infection spreads from cervix to uterus, fallopian tubes, ovaries, peritoneal cavity) -chlamydia -gonorrhea

symptoms of candidiasis (2)

-vulvar and vaginal pruritus (itching) -thick, creamy, white, cottage cheese-like vaginal discharge

symptoms of trichomoniasis (5)

-yellow-green frothy vaginal discharge with foul odor -dyspareunia (pain during sex) -dysuria -itching -inflammation of vagina, vulva, or cervix

symptoms of gonorrhea (5)

-yellowish-green vaginal discharge -dysuria -urinary frequency -vaginal bleeding between periods -endocervical bleeding

A female client is suspected of having a vaginal infection caused by the organism Candida albicans. Which assessment question would elicit data associated with this infection? 1. "Have you had any vaginal discharge?" 2. "Do you have any blood in your urine?" 3. "Have you had any flank pain or headaches?" 4. "Have you noticed any swelling in your feet?"

1. "Have you had any vaginal discharge?" NCLEX

The clinic nurse has provided instructions regarding home care measures to a female client diagnosed with pelvic inflammatory disease (PID). Which statement, if made by the client, indicates an understanding of these measures? 1. "I need to avoid tight-fitting clothing." 2. "I need to douche once in the morning and once in the evening." 3. "I need to see a health care provider to get an intrauterine device for birth control." 4. "I need to wear tampons instead of sanitary pads when I have my menstrual period."

1. "I need to avoid tight-fitting clothing." NCLEX

A nursing student is doing a presentation on human papillomavirus (HPV) for a young adult group aged 18 to 20 years old. What information should the nursing student include in this presentation? (Select all that apply) 1. "Some forms of HPV can lead to cervical cancer." 2. "You cannot get HPV if you have had only 1 sex partner." 3. "There are no vaccinations available to protect against HPV." 4. "HPV is most commonly spread during vaginal or anal sexual contact." 5. "In some types, HPV will go away on its own and does not cause health issues."

1. "Some forms of HPV can lead to cervical cancer." 4. "HPV is most commonly spread during vaginal or anal sexual contact." 5. "In some types, HPV will go away on its own and does not cause health issues." NCLEX

The nurse is providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The client asks the nurse about the feeding options that are available. Which response should the nurse make to the client? 1. "You will need to bottle-feed your newborn." 2. "You will need to feed your newborn by nasogastric tube feeding." 3. "You will be able to breast-feed for 6 months and then will need to switch to bottle-feeding." 4. "You will be able to breast-feed for 9 months and then will need to switch to bottle-feeding."

1. "You will need to bottle-feed your newborn." (HIV can be transmitted through breastmilk) NCLEX

The nurse presents a seminar on STIs. Which information about syphilis should the nurse include in this presentation? (Select all that apply) 1. A blood test will confirm the diagnosis. 2. Syphilis signs and symptoms are divided into stages. 3. Syphilis can be spread through vaginal, anal, or oral sex. 4. Having syphilis once provides lifelong immunity from repeat infection. 5. Syphilis will always be present in a chronic state, as there is no cure for this illness.

1. A blood test will confirm the diagnosis. 2. Syphilis signs and symptoms are divided into stages. 3. Syphilis can be spread through vaginal, anal, or oral sex. NCLEX

The clinic nurse is performing a psychosocial assessment of a client who has been told that she is pregnant. Which assessment finding indicates to the nurse that the client is at risk for contracting human immunodeficiency virus (HIV)? (Select all that apply) 1. A client who has a history of intravenous drug use 2. A client who has a significant other who is heterosexual 3. A client who has a history of sexually transmitted infections 4. A client who has had one sexual partner for the past 10 years 5. The client has a previous history of gestational diabetes mellitus

1. A client who has a history of intravenous drug use 3. A client who has a history of sexually transmitted infections NCLEX

In the prenatal clinic, the nurse is interviewing a new client and obtaining health history information. Which action should the nurse plan to do to elicit the most accurate responses to the questions that refer to sexually transmitted infections? 1. Establish a therapeutic relationship. 2. Use specific closed-ended questions. 3. Omit these types of questions because they are highly personal. 4. Apologize for the embarrassment that these questions will cause the client.

1. Establish a therapeutic relationship. NCLEX

The nurse is conducting a routine screening to detect a client's risk for toxoplasmosis parasite infection during pregnancy. Which factor should the nurse ask the client about to determine this risk? 1. Presence of cats in the home 2. Number of sexual partners during pregnancy 3. Exposure to children with rashes or gastrointestinal symptoms 4. History of high fevers or unusual rashes during the first 6 weeks of pregnancy

1. Presence of cats in the home NCLEX

A pregnant woman tests positive for the hepatitis B virus (HBV). The woman asks the nurse if she will be able to breast-feed the baby as planned after delivery. Which response by the nurse is most appropriate? 1. "You will not be able to breast-feed the baby until 6 months after delivery." 2. "Breast-feeding is allowed after the baby has been vaccinated with immune globulin." 3. "Breast-feeding is not advised, and you should seriously consider bottle-feeding the baby." 4. "Breast-feeding is not a problem, and you will be able to breast-feed immediately after delivery."

2. "Breast-feeding is allowed after the baby has been vaccinated with immune globulin." NCLEX

A prenatal clinic nurse is providing instructions to a group of pregnant women regarding measures to prevent toxoplasmosis. Which client statement indicates a need for further instruction? 1. "I should cook meat thoroughly." 2. "I should drink unpasteurized milk only." 3. "I should avoid contact with materials that are possibly contaminated with cat feces." 4. "I should avoid touching mucous membranes of the mouth or eyes while handling raw meat."

2. "I should drink unpasteurized milk only." NCLEX

A pregnant client has been diagnosed with a vaginal infection from the organism Candida albicans. Which finding should the nurse expect to note when assessing this client? 1. Costovertebral angle pain 2. Pain, itching, and vaginal discharge 3. Absence of any signs and symptoms 4. Proteinuria, hematuria, edema, and hypertension

2. Pain, itching, and vaginal discharge NCLEX

A rubella titer is performed on a client who has just been told that she is pregnant. The results of the titer indicate that the client is not immune to rubella. Which should the nurse anticipate to be prescribed for this client? 1. Immunization with rubella 2. Retesting rubella titer during pregnancy 3. Antibiotics to be taken throughout the pregnancy 4. Counseling the mother regarding therapeutic abortion

2. Retesting rubella titer during pregnancy (A rubella titer is performed to determine immunity to rubella. If mother is not immune, a retest during pregnancy is prescribed, and the mother is immunized postpartum if she is not immune. Antibiotics are not prescribed.) NCLEX

A rubella titer result of a day-1 postpartum client is less than 1:8, and a rubella virus vaccine is prescribed to be administered before discharge. The nurse provides which information to the client about the vaccine? (select all that apply) 1. breast-feeding needs to be stopped for 3 months 2. pregnancy needs to be avoided for 1-3 months 3. the vaccine is administered by the subcutaneous route 4. exposure to immunosuppressed individuals needs to be avoided 5. a hypersensitivity reaction can occur if the client has an allergy to eggs 6. the area of injection needs to be covered with sterile gauze for 1 week

2. pregnancy needs to be avoided for 1-3 months 3. the vaccine is administered by the subcutaneous route 4. exposure to immunosuppressed individuals needs to be avoided 5. a hypersensitivity reaction can occur if the client has an allergy to eggs NCLEX

A pregnant client has been instructed on the prevention of genital tract infections. Which client statement indicates an understanding of these preventive measures? 1. "I can douche anytime I want." 2. "I can wear my tight-fitting jeans." 3. "I should avoid the use of condoms." 4. "I should wear underwear with a cotton panel liner."

4. "I should wear underwear with a cotton panel liner." NCLEX

A nurse is caring for a pregnant woman who has herpes genitalis. The nurse provides instructions to the woman about treatment modalities that may be necessary for this condition. Which statement made by the woman indicates an understanding of these treatment measures? 1. "I do not need to abstain from sexual intercourse." 2. "I need to use vaginal creams after I douche every day." 3. "I need to douche and perform a sitz bath three times a day." 4. "It may be necessary to have a cesarean section for delivery."

4. "It may be necessary to have a cesarean section for delivery." NCLEX

The nurse encourages a pregnant human immunodeficiency virus (HIV)-positive client to report any early signs of vaginal discharge or perineal tenderness to the health care provider immediately. The client asks the nurse about the importance of this action, and the nurse responds by telling the client which accurate statement? 1. "This is necessary to relieve anxiety for the pregnant client." 2. "This is necessary to eliminate the need for further uncomfortable screenings." 3. "This is necessary to minimize the financial cost of caring for an HIV-positive client." 4. "This is necessary to assist in identifying potential infections that may need to be treated."

4. "This is necessary to assist in identifying potential infections that may need to be treated." NCLEX

A pregnant woman in her second trimester calls the prenatal clinic nurse to report a recent exposure to a child with rubella. Which response by the nurse is most appropriate and supportive to the woman? 1. "You should avoid all school-age children during pregnancy." 2. "There is no need to be concerned if you don't have a fever or rash within the next 2 days." 3. "Be sure to tell the health care provider on your next prenatal visit, but there is little risk in the second trimester." 4. "You were wise to call. I will check your rubella titer screening results, and we can immediately identify whether future interventions are needed."

4. "You were wise to call. I will check your rubella titer screening results, and we can immediately identify whether future interventions are needed." NCLEX

A pregnant woman has a positive history of genital herpes but has not had lesions during this pregnancy. What should the nurse should plan to tell the client? 1. "You will be isolated from your newborn infant after delivery." 2. "Vaginal deliveries can reduce neonatal infection risks, even if you have an active lesion at the time." 3. "There is little risk to your newborn infant during this pregnancy, during the birth, and after delivery." 4. "You will be evaluated at the time of delivery for herpetic genital tract lesions, and if any are present, a cesarean delivery will be needed."

4. "You will be evaluated at the time of delivery for herpetic genital tract lesions, and if any are present, a cesarean delivery will be needed." NCLEX

The nurse is reviewing the results of the rubella screening (titer) with a pregnant client. The test results are positive, and the mother asks if it is safe for her toddler to receive the vaccine. What is the nurse's best response? 1. "Most children do not receive the vaccine until they are 5 years of age." 2. "You are still susceptible to rubella, so your toddler should receive the vaccine." 3. "It is not advised for children of pregnant women to be vaccinated during their mother's pregnancy." 4. "Your titer supports your immunity to rubella, and it is safe for your toddler to receive the vaccine at this time."

4. "Your titer supports your immunity to rubella, and it is safe for your toddler to receive the vaccine at this time." NCLEX

A pregnant woman seen in the health care clinic has tested positive for human immunodeficiency virus (HIV). What can the nurse determine based on this information? 1. The woman has the herpes simplex virus (HSV). 2. This woman has contracted an airborne disease. 3. The neonate will definitely develop this disease after birth. 4. HIV antibodies are detected by the enzyme-linked immunosorbent assay (ELISA) test.

4. HIV antibodies are detected by the enzyme-linked immunosorbent assay (ELISA) test. NCLEX

A patient comes to the clinic after being informed by a sexual partner of possible recent exposure to syphilis. The nurse will examine the patient for what characteristic finding of syphilis in the primary clinical stage? A. Chancre B. Alopecia C. Condylomata lata D. Regional adenopathy

A. Chancre MS

The community health nurse is creating an educational brochure about sexually transmitted infections (STIs). Which information should the nurse include when discussing the two types of herpes infections? a. Both HSV-1 and HSV-2 can cause genital herpes. b. HSV-1 may cause cold sores but does not cause genital herpes. c. If administered early in the course of treatment, acyclovir, valacyclovir, or famciclovir is an effective cure for either type of HSV. d. Emotional stress does not impact the recurrence of HSV.

a. Both HSV-1 and HSV-2 can cause genital herpes.

The nurse is obtaining a subjective data assessment from a woman reported as a sexual contact of a man with chlamydial infection. The nurse understands that symptoms of chlamydial infection in women: a. are frequently absent b. are similar to those of genial herpes c. include a macular palmar rash in the later stages d. may involve chancres inside the vagina that are not visible

a. are frequently absent MS

A 22-yr-old woman with multiple sex partners seeks care after several weeks of experiencing painful frequent urination and vaginal discharge. Although the results of a culture of cervical secretions are not yet available, the nurse explains to the patient that she will be treated as if she has gonorrhea and chlamydia to prevent: a. damage to the fallopian tubes b. endocarditis and aortic aneurysms c. disseminated gonoccal infection d. polyarthritis and generalized adenopathy

a. damage to the fallopian tubes MS workbook

What is most important for the nurse to teach the female pt with genital warts? a. have an annual Pap smear b. apply topical acyclovir faithfully as directed c. have her sexual partner treated for the condition d. use a contraceptive to prevent pregnancy, which might exacerbate the disease

a. have an annual Pap smear MS workbook

What should the nurse include when teaching the pt with acute PID how to care for herself? a. promote rest in semi-Fowler's position b. perform vaginal irrigations every 4 hrs c. instruct the pt to use tampons to control vaginal drainage d. pt should ambulate frequently to promote drainage of exudate

a. promote rest in semi-Fowler's position -promotes drainage of pelvic cavity by gravity and may prevent development of abscesses in the abdomen -douching and tampons should be avoided to prevent spreading the infection upward from the vagina MS workbook

Pts with which STI are most likely to avoid obtaining and following treatment measures for their infection? a. syphilis b. gonorrhea c. HPV infection d. genital herpes

a. syphilis MS workbook

Which STIs can be asymptomatic? (select all that apply) a. syphilis b. gonorrhea c. genital warts d. genital herpes e. chlamydial infection

a. syphilis b. gonorrhea c. genital warts d. genital herpes e. chlamydial infection MS

A young woman is admitted to the hospital with acute pelvic inflammatory disease (PID). During the nursing history, the nurse notes which factor as being most significant for this pt? a. lack of any method of birth control b. sexual activity with multiple partners c. use of a vaginal sponge for contraception d. recent antibiotic-induced monilial vaginitis

b. sexual activity with multiple partners (increases risk of PID and there is often a history of acute infection of the lower genital tract caused by gonococcal or chlamydia microorganisms) MS workbook

Provide emotional support to a pt with an STI by: a. offering information on how safer sex practices can prevent STIs b. showing concern when listening to the pt who expresses negative feelings c. reassuring the pt that the disease is highly curable with appropriate treatment d. helping the pt who received an STI from his or her sexual partner in forgiving the partner

b. showing concern when listening to the pt who expresses negative feelings MS

A primary HSV infection differs from a recurrent HSV episodes in that (select all that apply): a. only primary infections are sexually transmitted b. symptoms are less severe during recurrent episodes c. transmission of the virus to a fetus is less likely during primary infection d. systemic manifestations such as fever and myalgia are more common in primary infection e. lesions from recurrent HSV are more likely to transmit the virus than lesions from primary HSV.

b. symptoms are less severe during recurrent episodes d. systemic manifestations such as fever and myalgia are more common in primary infection MS

The nurse is teaching a group of female teenagers about prevention of STIs. Which student's statement suggests the need for additional teaching? a. "I can get venereal warts by having anal sex." b. "The same STI that causes genital warts can cause cancer of the cervix." c. "If I test positive for the human papillomavirus (HPV), my sexual partner and I both have to be treated with medication." d. "Human papillomavirus (HPV) can be spread from one person to another during oral sex."

c. "If I test positive for the human papillomavirus (HPV), my sexual partner and I both have to be treated with medication." (partners do not require treatment unless large lesions are present)

In working with teenagers, what should the nurse include when teaching about prevention of STIs? a. Spermicidal jellies reduce the risk of getting STIs. b. STIs are easily cured so prevention is not important. c. Abstinence and then condoms are the best prevention. d. Douches for women and cleaning the penis will prevent STIs.

c. Abstinence and then condoms are the best prevention. MS

Although an 18-yr-old girl knows that abstinence is one way to prevent STIs, she does not consider that as an alternative. She asks the nurse at the clinic if there are other measures for preventing STIs. What should the nurse teach her? a. abstinence is the only way to prevent STIs b. voiding immediately after intercourse will decrease the risk of infection c. a vaccine can prevent genital warts and cervical cancer caused by some strains of HPV d. thorough hand washing after contact with genitals can prevent oral-genital spread of STD

c. a vaccine can prevent genital warts and cervical cancer caused by some strains of HPV MS workbook

The pt arrives at the urgent care facility worried about the fishy smell of her vaginal discharge. What does the nurse suspect will be diagnosed? a. cervicitis b. trichomoniasis c. bacterial vaginosis d. vulvovaginal candidiasis

c. bacterial vaginosis -BV = watery discharge with fishy odor -trichomoniasis = greenish or gray discharge -candidiasis = thick, white, curdy discharge MS workbook

What are characteristics of a HSV infection? (select all that apply) a. treatment with acyclovir can cure genital herpes b. herpes simplex virus type 2 (HSV-2) is capable of causing only genital lesions c. recurrent symptomatic genital herpes may be precipitated by sexual activity and stress d. to prevent transmission of genital herpes, condoms should be used when lesions are present e. the primary symptom of genital herpes is painful vesicular lesions that rupture and ulcerate

c. recurrent symptomatic genital herpes may be precipitated by sexual activity and stress e. the primary symptom of genital herpes is painful vesicular lesions that rupture and ulcerate -acyclovir only decreases recurrences of genital herpes -HSV-2 can cause oral or genital lesions -avoid sexual activity when lesions are present to prevent transmission MS workbook

The current incidence of STIs is related in part to what? a. increased social acceptance of homosexuality b increased virulence of organisms causing STIs c. use of oral agents rather than condoms as contraceptives d. increased microorganism resistance to common antibiotics

c. use of oral agents rather than condoms as contraceptives MS workbook

While summarizing teaching regarding genital herpes, which patient statement indicates a need for further instruction? a. "No cure is available for my genital herpes." b. "I will utilize my medication when I begin to have symptoms." c. "Genital herpes may be caused by herpes simplex virus type 1 or 2" d. "I am not able to infect a sexual partner unless I have active lesions."

d. "I am not able to infect a sexual partner unless I have active lesions." (the majority of HSV transmission occurs during asymptomatic periods) MS

Which event discovered during pregnancy would alert the nurse that a cesarean section delivery is indicated? a. Contact with an individual with syphilis 2 weeks ago b. Treatment for gonococcal pharyngitis before conception c. Treatment for Chlamydia trachomatis at her 20th week of gestation d. Active herpes simplex virus type 2 vesicles on her cervix at the time of delivery

d. Active herpes simplex virus type 2 vesicles on her cervix at the time of delivery MS

A female patient with a purulent vaginal discharge is seen at the outpatient clinic. The nurse suspects a diagnosis of gonorrhea. How would this STI be treated? a. oral acyclovir (Zovirax) b. penicillin G benzathine given IM c. need a confirmatory test result before treatment d. ceftriaxone IM with oral azithromycin (Zithromax)

d. ceftriaxone IM with oral azithromycin (Zithromax) MS workbook

Which STI actively occuring at the time of delivery would indicate the need for a cesarean section delivery of the woman's baby? a. syphilis b. gonorrhea c. chlamydia d. genital herpes

d. genital herpes MS workbook

During the physical assessment of a female patient with HPV infection, what should the nurse expect to find? a. purulent vaginal discharge b. a painless, indurated lesion on the vulva c. painful perineal vesicles and ulcerations d. multiple coalescing gray warts in the perineal area

d. multiple coalescing gray warts in the perineal area MS workbook

To prevent the infection and transmission of STIs, the nurse's teaching plan would include and explanation of: a. the appropriate use of oral contraceptives b. sexual positions that can be used to avoid infection c. the necessity of annual Pap tests for pts with HPV d. sexual practices that are considered high-risk behaviors

d. sexual practices that are considered high-risk behaviors MS

Why should the nurse encourage serologic testing for HIV in the pt with syphilis? a. syphilis is more difficult to treat in patients with HIV infections b. the presence of HIV infection increases the risk of contacting syphilis c. CNS involvement is more common in patients with HIV infection and syphilis d. the incidence of syphilis is increased in those with high rates of indiscriminate sexual activity and drug abuse

d. the incidence of syphilis is increased in those with high rates of indiscriminate sexual activity and drug abuse MS workbook

Explain to the patient with gonorrhea that treatment will include both ceftriaxone and azithromycin because: a. azithromycin helps prevent recurrent infections b. some pts do not respond to oral drugs alone c. coverage with more than one antibiotic will prevent reinfection d. the increasing rates of drug resistance requires the use of at least two drugs

d. the increasing rates of drug resistance requires the use of at least two drugs (Treatment of gonorrhea is a single IM dose of ceftriaxone (Rocephin) in combination with azithromycin (Zithromax).) MS

During evaluation and treatment of gonorrhea in a young man at the health clinic, it is most important that the nurse question the patient about what? a. a prior history of STIs b. when the symptoms began c. the date of his last sexual activity d. the names of his recent sexual partners

d. the names of his recent sexual partners MS workbook

rubella cause

infected kids who have rashes

medication to treat bacterial vaginosis

metronidazole