Med Surg: Chapter 53 Sexually Transmitted Infections

After the nurse has taught a patient with a newly diagnosed sexually transmitted infection about expedited partner therapy, which patient statement indicates that the teaching has been effective?

"I will make sure that my partner takes all of the prescribed medication."

Which statement by a 24-year-old patient indicates that the nurse's teaching about management of primary genital herpes has been effective?

"I will take the acyclovir (Zovirax) every 8 hours for the next week."

A 32-year-old man who has a profuse, purulent urethral discharge with painful urination is seen at the clinic. Which information will be most important for the nurse to obtain?

Recent sexual contacts

A 32-year-old woman who is diagnosed with Chlamydia tells the nurse that she is very angry because her husband is her only sexual partner. Which response should the nurse make first?

"It is understandable that you are angry with your husband right now."

A 29-year-old female patient is diagnosed with Chlamydia during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says which of the following?

"My partner will need to take antibiotics at the same time I do."

When a 31-year-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which question is most appropriate for the nurse to ask the patient?

"Were your sexual partners treated with antibiotics?"

Which topics will the nurse include when preparing to teach a patient with recurrent genital herpes simplex (select all that apply)?

* Sitz baths may be used to relieve discomfort caused by the lesions. * Recurrent genital herpes episodes usually are shorter than the first episode. *The virus can infect sexual partners even when you do not have symptoms of infection.

The nurse in the outpatient clinic notes that the following patients have not received the human papillomavirus (HPV) vaccine. Which patients should the nurse plan to teach about benefits of the vaccine (select all that apply)?

*24-year-old man who has a history of genital warts *18-year-old man who has had one male sexual partner *20-year-old woman who has a newly diagnosed Chlamydia infection

A 39-year-old patient with a history of IV drug use is seen at a community clinic. The patient reports difficulty walking, stating "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FTA-Abs) tests. Based on the patient history, what will the nurse assess (select all that apply)?

*Heart sounds *Mental state for judgment and orientation *Skin and mucous membranes for gummas

Which patient will the nurse plan on teaching about the Gardasil vaccine?

A 24-year-old female who has not been sexually active

Which infection, reported in the health history of a woman who is having difficulty conceiving, will the nurse identify as a risk factor for infertility?

N. gonorrhoeae

A 46-year-old man who has had blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which action should the nurse take next?

Ask the patient about past treatment for syphilis.

A 19-year-old patient has genital warts around her external genitalia and perianal area. She tells the nurse that she has not sought treatment until now because "the warts are so disgusting." Which nursing diagnosis is most appropriate?

Disturbed body image related to feelings about the genital warts

A patient admitted with chest pain is also found to have positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-Abs) tests, rashes on the palms and the soles of the feet, and moist papules in the anal and vulvar area. Which action will the nurse include in the plan of care?

Wear gloves for patient contact.

A woman is diagnosed with primary syphilis during her eighth week of pregnancy. The nurse will plan to teach the patient about the

intramuscular injection of penicillin.

A 55-year-old woman in the sexually transmitted infection (STI) clinic tells the nurse that she is concerned she may have been exposed to gonorrhea by her partner. To determine whether the patient has gonorrhea, the nurse will plan to

obtain secretions for a nucleic acid amplification test (NAAT).

A 20-year-old woman who is being seen in the family medicine clinic for an annual physical exam reports being sexually active. The nurse will plan to teach the patient about

testing for Chlamydia infection.

A 22-year-old patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse explains to the patient that this combination of antibiotics is prescribed to

treat any coexisting chlamydial infection.

A 48-year-old male patient who has been diagnosed with gonococcal urethritis tells the nurse he had recent sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the nurse explains that

women may not be aware they have gonorrhea because they often do not have symptoms of infection.