Maternity Chpt. 5 Sexually Transmitted Infections 5-8
"You should be sure to receive consistent testing for cervical cancer."
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." "You should be sure to receive consistent testing for cervical cancer." "During colder weather, you will note more outbreaks than during warmer weather."
"Genital ulcers are a sign of genital herpes simplex."
The nurse is teaching a client about sexually transmitted infections. The nurse determines the teaching was successful when the client makes which statement? "Gonorrhea can be prevented with a vaccine." "Chlamydia remains localized if not treated." "People with trichomoniasis will have burning when they urinate." "Genital ulcers are a sign of genital herpes simplex."
human papillomavirus (HPV)
What is the most common viral infection? gonorrhea chlamydia human papillomavirus (HPV) trichomoniasis
educating on how to promote sexual health
When developing a program for STI prevention, which action would need to be done first? increasing the availability of resources interfering with the mode of transmission getting individuals to change their behaviors educating on how to promote sexual health
herpes simplex
Which STI could be transmitted perinatally? herpes simplex chlamydia gonorrhea trichomoniasis
"You have to be extremely careful in the future. Even if you do not have symptoms, you could still spread the infection to others."
A client with genital herpes asks the nurse about what to expect with the infection. Which response by the nurse is appropriate? "You need to avoid future pregnancies and consider another form of having children as you would spread this to your unborn child." "Once you take the medication prescribed, your infection will be resolved. However, you can become reinfected in the future." "You can expect future outbreaks during times of illness and stress, each of which will be longer than the first outbreak you experienced." "You have to be extremely careful in the future. Even if you do not have symptoms, you could still spread the infection to others."
heart disease and inflammation of the aorta, eyes, brain, central nervous system, and skin
A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which symptoms would the nurse expect the client to exhibit? heart disease and inflammation of the aorta, eyes, brain, central nervous system, and skin papular lesion, rash, headache ulcerated chancre, aortic valve insufficiency, lymphadenopathy fever, malaise, sore throat
genital pruritus and paresthesia.
A nurse is caring for clients who have a history of genital herpes infection. The client most at risk for an outbreak of genital herpes is the client who reports: headache and fever. vaginal and urethral discharge. dysuria and lymphadenopathy. genital pruritus and paresthesia.
engaging in abstinence
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? limiting sexual partners engaging in abstinence using condoms urinating immediately after intercourse
sharing contaminated needles
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? kissing sexual contact giving vaginal birth sharing contaminated needles
Safety of antiviral therapy during pregnancy has not been established.
A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. The health care provider has diagnosed it as the primary episode of genital herpes simplex virus (HSV), for which antiviral therapy is recommended. Which information should the nurse offer the client when educating her about managing the infection? Antiviral drug therapy cures the infection completely. Kissing during the primary episode does not transmit the virus. Safety of antiviral therapy during pregnancy has not been established. Recurrent HSV infection episodes are longer and more severe.
fluconazole
A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment? acyclovir fluconazole tetracycline clindamycin
The management of genital herpes includes antiviral therapy. The need to use good handwashing technique to prevent spread. Educate the client to abstain from sexual activity until HSV lesions resolve. The goal is for recurrences to be less frequent over time.
The nurse is developing a teaching plan for a client diagnosed with genital herpes simplex (HSV). Which would the nurse include? Select all that apply. The management of genital herpes includes antiviral therapy. Little can be done to control the occurrences of infection. The need to use good handwashing technique to prevent spread. Educate the client to abstain from sexual activity until HSV lesions resolve. The goal is for recurrences to be less frequent over time. The management of genital herpes includes antibiotic therapy.
lower abdominal tenderness cervical motion tenderness adnexal tenderness
A 24-year-old female client reports various issues. She admits to having unprotected sexual intercourse. Which findings would indicate possible pelvic inflammatory disease (PID)? Select all that apply. constipation lower abdominal tenderness cervical motion tenderness adnexal tenderness
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease.
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? 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. 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.
gonorrhea
A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition? genital warts genital herpes gonorrhea syphilis
"Shower instead of taking baths." "Use white, unscented toilet paper." "Avoid wearing exercise pants with spandex."
A woman who has had repeated candidal infections asks the nurse about ways to help prevent them. Which response(s) by the nurse would be appropriate? Select all that apply. "Wash your underwear in cold water." "Shower instead of taking baths." "Wash your genital area with antibacterial soap frequently." "Use white, unscented toilet paper." "Avoid wearing exercise pants with spandex."
Use high-protein supplements.
An HIV-positive client who is on antiretroviral therapy reports anorexia, nausea, and vomiting. Which suggestion should the nurse offer the client to cope with this condition? Eat dry crackers after meals. Limit number of meals to three a day. Use high-protein supplements. Constantly drink fluids while eating.
Papanicolaou test
A client presents with the possible symptoms of genital herpes simplex virus (HSV). When assessing the client, the nurse would anticipate which assessment measure as being least likely to aid in confirming the diagnosis? Papanicolaou test clinical findings viral culture physical examination
acyclovir 400 mg orally BID
The nurse is caring for a male client diagnosed with gonorrhea and chlamydia. Which health care provider order will the nurse question? notification of all recent sexual partners acyclovir 400 mg orally BID avoidance of sexual activity until treatment is complete rapid serum HIV test
gonorrhea
A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection? syphilis Candida albicans gonorrhea human immunodeficiency virus
"There is a chance your baby may have a form of intellectual disability."
A client at 32 weeks' gestation has recently been diagnosed with acute herpes type 2. The client asks what can happen to the baby as a result of this infection. How should the nurse best respond? "There is a chance your baby may have a form of intellectual disability." "Your infant is protected from this infection during pregnancy." "You may carry the pregnancy beyond your due date." "There may be a chance your baby will be a heavier birth weight."
a sharp reduction in the number of lactobacilli in the client's vaginal flora Vaginosis is a disorder characterized by a shift in the vaginal flora from one dominated by hydrogen peroxide-producing lactobacillus to one with greatly reduced numbers of lactobacillus species and an overgrowth of other organisms
A 40-year-old woman with gray, runny vaginal discharge that has a foul, fishy odor has been told that she most likely has vaginosis. What most likely contributed to her present condition? unprotected sex with a new partner who is a carrier of the relevant bacteria autoinoculation from a cold sore, wart, or oral fungal infection a sharp reduction in the number of lactobacilli in the client's vaginal flora proliferation of sexually-transmitted protozoa
"If you plan to have future sexual relationships, you need to let your partner know of your history prior to intercourse."
A client diagnosed with genital herpes asks the nurse about future sexual experiences. Which response by the nurse is appropriate? "If your partner has been exposed to the herpes virus in the past, then there is no significant risk of reinfecting your partner." "Future sexual intercourse should be avoided due to the high risk of transmitting the virus to others and causing yourself additional outbreaks." "If you plan to have future sexual relationships, you need to let your partner know of your history prior to intercourse." "As long as you wear a condom and have intercourse while no lesions are present, you will not spread the virus to your partner."
doxycycline azithromycin ceftriaxone
A nurse educator is teaching a client about sexually transmitted infections. The client would learn that which medications are appropriate to treat chlamydia? Select all that apply. acyclovir doxycycline azithromycin ceftriaxone metronidazole
"I can wear any style of pants as long as I wear cotton underwear."
After teaching a client diagnosed with candidiasis about preventive measures, the nurse determines additional teaching is needed when the client makes which statement? "I will avoid consuming foods and drinks that are fermented with yeast." "It is best to eat yogurt that contains live bacterial cultures." "I can wear any style of pants as long as I wear cotton underwear." "I will promptly remove my wet bathing suit after swimming."
condylomata acuminata HPV is an identified precursor to condylomata acuminata, or genital warts
During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk for developing which diagnosis? genital herpes gonorrhea condylomata acuminata candidiasis
"Eating less baked goods, white rice and honey may help prevent yeast infections."
The nurse is teaching a prenatal class about yeast infections during pregnancy. Which statement made by the class indicates the teaching has been effective? "Daily baths rather than showers will soothe vaginal irritation if I develop a yeast infection." "Wearing cotton or spandex underwear is best to prevent yeast infections." "Eating less baked goods, white rice and honey may help prevent yeast infections." "Douching no more than once or twice per week after intercourse is appropriate."
genital warts
When preparing a teaching plan for a female adolescent with a sexually transmitted infection (STI), the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer. Which STI would the adolescent most likely have? chlamydia syphilis genital warts genital herpes
yeast infections
A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding? loss of appetite yeast infections hypertension acidity and heartburn
"I'm temporarily not contagious once the warts are destroyed."
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? "One or two treatments should get rid of the warts." "I'm temporarily not contagious once the warts are destroyed." "Once the warts are gone, then I know I'm cured." "My partner doesn't need to be treated."
Practice monogamy.
A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which instruction should the nurse give the client to prevent recurrence of bacterial vaginosis? Use oral contraceptive pills (OCPs). Avoid smoking. Practice monogamy. Undergo colposcopy tests frequently.
multiple sex partners vaginal douching approximately once a week intrauterine contraceptive device inserted 3 weeks ago
A nurse is reviewing the history of a client diagnosed with pelvic inflammatory disease. Which factors would the nurse identify as placing the client at increased risk for this condition? Select all that apply. residence in a suburban area multiple sex partners vaginal douching approximately once a week intrauterine contraceptive device inserted 3 weeks ago 29 years of age
"This STI is characterized by an infection of your cervix."
A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infections. What is the nurse's best response? "This STI is characterized by an infection of your cervix." "This STI is an infection that will cause itching in the genital area." "This STI is an infection that results in ulcers in the genital area." "This STI is an infection that will result in the formation of genital warts."
"Take 1 dose of the drug by mouth."
A woman with candidiasis is prescribed fluconazole. When teaching the woman about this medication, which instruction would the nurse include? "Take 1 dose of the drug by mouth." "Insert the suppository into the vagina daily for 1 week." "Apply the cream to the area for 3 days." "Use the applicator to insert the vaginal tablet."
hepatitis A and hepatitis B recombinant vaccine
The nurse in a sexual health clinic is reviewing the history of a 30-year-old client who is an IV drug addict and diagnosed with a sexually transmitted infection. Which therapy would the nurse expect to include in this client's care? hepatitis A and hepatitis B recombinant vaccine recombinant human papillomavirus vaccine acyclovir HIV vaccine