Chapter 46 PrepU: Sexually Transmitted Infections

Within how many days it is important to test anyone who has had sex with an individual who tests positive for gonorrhea? A. 60 B. 90 C. 180 D. 365

A

A male client presents at the clinic with flulike symptoms and reports a weight loss of 10 pounds without trying. On physical examination, the client is found to have splenomegaly and large, tender, fluctuant inguinal lymph nodes. While taking the nursing history, it is discovered that the client prefers male sexual partners, and that 2 weeks ago the client had small, painless papules. What disease would the nurse suspect the client has? A. Genital herpes B. Chancroid C. Syphilis D. Lymphogranuloma venereum

D

In assessing a client, the nurse notes a grayish discharge from the vaginal area accompanied by a foul odor. What is the nurse's best action? A. Encouraging better hygiene B. Flushing the area with an antibiotic wash C. Applying an antifungal cream D. Asking about other symptoms

D

Which event is associated with the primary stage of syphilis? A. Development of gummas B. Development of central nervous system lesions C. Palmar rash D. Genital chancres

D

Select the most reliable test to diagnose syphilis. A. Serology B. Chest x-ray C. Oral swab D. Urine culture

A

A client has been diagnosed with syphilis after seeking care for a penile lesion. The nurse should anticipate which intervention? A. Twice-daily irrigation of the lesions B. Administration of injectable penicillin C. Placing the client on protective isolation D. Topical administration of erythromycin

B

A client with herpes simplex virus (HSV) states, "I can stop taking my drugs because I'm cured. My lesions are gone." Knowing the pathophysiology behind the disappearance of HSV symptoms, the health care provider suspects the client is experiencing which phase of infection? A. Replication of the squamous epithelium B. Periods of latency in the nervous system C. Inhibition of cell-mediated immunity D. Production of exotoxins

B

A 22-year-old client has presented to the primary health care provider for an annual Papanicolaou (Pap) test. Which infection will give abnormal results of this diagnostic test? A. Human papillomavirus (HPV) B. Chlamydia trachomatis C. Candida albicans D. Trichomonas vaginalis

A

A female client is diagnosed with chlamydia during a routine pelvic examination. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective? A. "My partner will need to take antibiotics at the same time I do." B. "The infection is not contagious and will resolve on its own in a few days." C. "I will use condoms during sex until I finish taking all the antibiotics." D. "I will use antibiotic cream as directed twice a day until the infection is cured."

A

A female client is infected with human papillomavirus (HPV) following unprotected sexual intercourse. The nurse prepares to teach the client about the risk of developing which cancer? A. Cervical B. Ovarian C. Endometrial D. Vulvar

A

A nurse is assessing a male who is reporting nonspecific symptoms of prostate and periurethral gland pain. Which characteristic discharge makes the nurse suspect gonorrhea? A. Purulent exudates B. Painful small vesicles C. Cauliflower-shaped lesions D. Persistent perianal itching

A

A woman asks "Why do I have to tell my sexual partner about chlamydia? I thought this was a "female" disease." What is the nurse's best response? A. "The condition is transmittable to men and may cause infertility." B. "The condition is not transmittable; however, you need to let your partner know what you are going through." C. "The condition has the potential to cause other infections." D. "You are right, but notifying your sexual partner is required by law due to the fact this is a reportable disease."

A

Select the correct statement regarding herpes simplex virus. A. Only two strains of the virus are considered sexually transmittable. B. The virus is not contagious. C. The virus will not reactivate. D. Herpes simplex virus cannot be transmitted if lesions are not present.

A

Which condition is associated with domelike lesions on both the inner thighs and vaginal area that produce a curdlike exudate? A. Molluscum contagiosum B. Genital herpes C. Genital warts D. Chancroid

A

A client's presentation and recent sexual history are suggestive of gonorrhea. This suspected diagnosis can best be confirmed by: A. performing a tissue biopsy of urethral epithelium. B. culturing a sample of the client's penile discharge. C. measuring the viscosity of purulent discharge. D. endoscopy of the urethra.

B

A male reports urethral pain and a creamy yellow, bloody discharge from the penis. The provider suspects the client has which sexually transmitted infection? A. Candidiasis B. Gonorrhea C. Chancroid D. Trichomoniasis

B

A pregnant client presents with bacterial vaginosis. What is the nurse's primary concern? A. The client may transmit the infection to the unborn child. B. The client has an increased risk of preterm labor. C. The client may transmit the infection to her sexual partner. D. The client has an increased risk of secondary infection.

B

Bacterial vaginosis is the most common vaginal infection seen by health care providers. What is the predominant symptom of bacterial vaginosis? A. Thick, cottage cheese-like discharge with a fishy odor B. Painless chancres C. Grayish white discharge with a fishy odor D. Small, painless papules

C

In teaching a client about genital warts, which statement is correct for the nurse to say? A. "If you are infected, you will see warts right away." B. "The infection will start about a day after you are exposed." C. "The incubation period is 6 weeks to 3 months." D. "The warts often never develop and you will not know if you are a carrier."

C

Which instruction is essential for the nurse to include in the care plan for a client with herpes simplex virus-1 (HSV-1)? A. "Wear a mask at all times." B. "Hand washing prevents the spread of infection." C. "This disease is transmitted by oral secretions." D. "This disease is not transmitted to others by contact."

C

Which client will the nurse determine is a candidate for continuous antiviral suppressive therapy for genital herpes? A. The client who has just had a first outbreak B. The client who wants to prevent contracting genital herpes C. The client who has had a particularly painful outbreak D. The client with more than six outbreaks this year

D

A 23-year-old diagnosed with syphilis presents with palmar rash, sore throat, fever, and a red-brown lesion on the genital area. The symptoms have been present for 3 weeks. Select the stage of syphilis this client is currently in. A. Secondary B. Primary C. Latent D. Tertiary

A

A client has been diagnosed with a chlamydial infection. Select the pharmacologic treatment of choice. A. Azithromycin B. Bactrim C. Acyclovir D. Ceclor

A

A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be: A. Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans. B. Antibiotics cause an increase in vaginal glycogen, which promotes candidiasis. C. The bacterium is found in the vagina and can overgrow due to poor vaginal hygiene. D. The inappropriate use of antibiotics will cause overgrowth of Candida.

A

A client who has been diagnosed with gonorrhea asks the nurse if anyone has to know about it. The best response by the nurse is: A. Gonorrhea is a reportable sexually transmitted infection. B. If the client abstains from sexual intercourse, it does not need to be reported. C. It is only reported if a client is married. D. It is only reported after the second infection.

A

There is no known cure for genital herpes, and methods of treatment are often symptomatic. Pharmacologic management of genital herpes includes which drugs? A. AZT B. Acyclovir C. Nonsteroidal anti-inflammatory drugs D. Topical corticosteroid compounds

B

Which assessment question is most likely to address the causation of a woman's new case of candidiasis? A. "Have you recently begun a new sexual relationship?" B. "Have you been on antibiotics recently?" C. "Have you noticed any new growths on your vagina in recent months?" D. "Do you use condoms during sexual activity?"

B