Ch 55 sexually transmitted infections

The heart, joints, skin, and meninges may be- come involved with which systemic infection?

Gonorrhea

A patient problem related to possible effects of STI or partner reaction to the STI is:

anxiety.

The treatment for gonorrhea is a single dose of IM ceftriaxone sodium (Rocephin) and:

azithromycin.

Which are signs and symptoms of syphilis? Se- lect all that apply.

-Round ulcer with well-defined margin (chancre) present -Sore throat Regional -lymphadenopathy

Which are common problems for a patient with an STI? Select all that apply.

-Altered sexual function related to fear of transmission -Impaired self-concept related to diagnosis -Potential injury related to disease process -Pain related to lesions and inflammation

Which statements are related to Chlamydia tra- chomatis? Select all that apply.

-An infection that is transmitted by contact with the mucous membranes in the mouth, mass 5. Symptoms include a penile discharge that is initially thin and then creamy, accompa- nied by painful urination 6 The most common STI in the United States

Which statements are related to syphilis? Select all that apply.

-Characterized by a papule that becomes a painless red ulcer within a week. -The first sign of this infection is a chancre. -During the secondary stage, pustules, fe- ver, sore throat, and aching are symptoms that occur.

The nurse is taking orrhea and is care of a patient with gon- implementing a discharge teach- ing plan. Which are ways to reduce the risk of gonorrhea that the nurse would explain to this patient? Select all that apply.

-Have all sexual partners treated. -Take complete prescription of Cipro or tetracycline, even if symptoms disappear -Avoid unprotected sex until patient and sexual partners have been treated.

Which are signs and symptoms of chlamydia infection? Select all that apply.

-May be no signs or symptoms -Painful, frequent urination in males -Lower abdominal pain in females

After completing treatment for primary or sec- ondary syphilis, the patient is advised not to engage in sexual activity for:

1 month.

What percentage of all cases of STIS involve people between the ages of 15 and 24?

50%

Which is the drug of choice for treating HSV?

Acyclovir (Zovirax)

A patient with gonorrhea is being treated with Rocephin. Which side effects would the nurse expect to see? Select all that apply.

Allergic reactions in patients allergic to cephalosporins or penicillin 3. Nephrotoxicity Superinfections

Which group of drugs is used to treat genital herpes infections?

Antivirals

Lesion that is the first sign of syphilis

Chancre

19. Which STI has symptoms similar to those of gonorrhea?

Chlamydia

What do Papanicolaou smears detect?

Cancer of the cervix

Which is the most common bacterial STI because peolple have no symptoms?

Chlamydia

Which STIS can be cured with antimicrobial drug therapy? Select all that apply.

Chlamydia ,Gonorrhea ,Syphilis

Which STIS involve a vaginal or penile dis- charge for which smears and cultures are taken for diagnosis? Select all that apply.

Chlamydial infection HSV Trichomoniasis

Which drugs are used to treat gonorrhea? Se- lect all that apply.

Cipro Erythromycin Rocephin Azithromycin

The nurse is taking care of a patient with tal warts. Which medical treatments would nurse expect to be used for a patient with tal warts? Select all that apply.

Cryotherapy Surgical removal Injection of interferon into the lesions

15. Which emergency drugs for possible hypersensitivity reactions need to be kept on hand when administering drug therapy to patients with

Diphenhydramine hydrochloride (Benad- ryl) Epinephrine Corticosteroids

Which is a low-risk type of HPV?

Genital warts; condylomata acuminata

How is HSV transmitted? Select all that apply.

Hand contact Sexual contact

The nurse is taking care of a patient with syphilis who is being treated with penicillin G. Which manifestations may occur during the first 24 hours in patients with syphilis who are treated with penicillin? Select all that apply.

Headache ,Fever ,Muscle aches

Which is the cause of genital warts?

Human papillomavirus (HPV)

What is the most important problem related to the stigma associated with STIS, shame, and anger

Inadequate coping

During this period of a disease, there are no signs or symptoms of the disease

Latent

Infections that thrive when the immune system is impaired

Opportunistic infections

The nurse is presenting an education to a school district advisory council meeting program about prevention of STIS. Which are considered unsafe sexual practices in preventing transmis- sion of infection that the nurse would include in the presentation? Select all that apply.

Oral sex without condom Ingestion of urine or semen

An infection of the ovaries, fallopian tubes, and pelvic area

Pelvic inflammatory disease (PID)

Conditions that can be transmitted during intimate contact

Sexually transmitted infections (STIS)

Which STI can be transmitted through the placenta, causing an infant to be born with the disease?

Syphilis

What is the treatment of choice for a patient who has trichomoniasis?

Tinidazole (Tindamax)

Two screening tests for syphilis include the rapid plasma reagin (RPR) and the:

VDRL.

Serologic tests for STIS are designed to detect infectious diseases by measuring:

antigens or antibodies.

Female patients with gonorrhea are likely to have vaginal discharge, a burning sensation during urination, abnormal menstruation, and:

abdominal pain.

Females with HSV infections are advised to have annual Papanicolaou smears because they are at increased risk of:

cervical cancer.

Gonorrhea is transmitted most often by:

direct sexual contact.

With an STI, common reasons that patients give for seeking medical care include pain, fe- ver, lesions, or genital:

discharge.

When collecting a sample of vaginal discharge for culture and sensitivity tests, the nurse or person collecting the sample always wears:

gloves.

If males have a whitish- or greenish-colored discharge from the penis and complain of a burning sensation during urination, this is sug- gestive of:

gonorrhea.

If untreated, sterility, prostatitis in males, and pelvic inflammatory disease in females may result from:

gonorrhea.

Specimens collected during a pelvic exam are handled as:

infective material.

To identify and treat infected individuals so that transmission of the STI can be slowed, the be notified nurse recognizes that partners may and confirmed cases of certain STIS must be reported to the:

local public health department.

Some STIS are painless, but patients may have pain associated with oral lesions, rectal lesions, or:

pelvic infection.

The treatment of choice for syphilis is:

penicillin.

Gonorrhea can be found in the pharynx, urethra, uterus, and:

rectum.

Untreated STIS can lead to serious complications such as PID and:

sterility.

Paralysis, mental illness, blindness, and heart disease may occur as complications of:

syphilis.

7. A discussion of sexual behavior can be awk- ward for the nurse and the patient. Before nurses can deal with patients' sexuality, they must:

tbe aware of their own values. patient

Patients with gonococcal, chlamydial, HSV, trichomonal, or yeast infections often have:

vaginal or penile discharge.