Patho Exam ? Ch 46

60 days

1. It is important to test anyone who has had sex with an individual tests positive for gonorrhea within how many days of the diagnosis? 60 days 90 days 180 days 365 days

Administration of injectable penicillin

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

Fallopian tube damage

11. During infertility workup, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation? Amenorrhea Uterine cancer Vaginal adhesions Fallopian tube damage

Asking about other symptoms

18. 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? Asking about other symptoms Flushing the area with an antibiotic wash Applying an antifungal cream Encouraging better hygiene

It is prevalent in those under 25. It is most common in those with multiple sexual partners. It resolves on it's own without treatment.

4. What statements are true concerning genital warts? Select all that apply It is not a treatable condition. It is a rare condition. It is most common in those with multiple sexual partners. It resolves on it's own without treatment. It is prevalent in those under 25.

Thick, white secretions

5. A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition? Thick, white secretions Pustules Severely painful lesions Urinary retention

Candida albicans

6. A sexually active female presents to the clinic with white copious vaginal discharge, itch, swelling, and dysuria. The nurse anticipates the client will be treated for the overgrowth of which organism? Escherichia coli Neisseria gonorrhoeae Lactobacillus acidophilus Candida albicans

Only two strains of the virus are considered sexually transmittable

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

a large percentage (70%) of those infected experience no symptoms of the disease.

8. The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that: the lesions (LSILs) occur on the cervix and can only be detected by a Pap test. a large percentage (70%) of those infected experience no symptoms of the disease. the organism spreads upward to the prostate gland in males and fallopian tubes in females. the lesions take a long time to incubate and the small papules are usually located inside the vagina.

An azole antifungal agent

9. A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last 6 months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of medication is most likely to resolve her symptoms? An azole antifungal agent An antiviral agent A penicillin antibiotic A quinolone antibiotic

Azithromycin

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

Sterility

12. For a woman, what is the most serious long-term outcome of an infection resulting from exposure to the N. gonorrhoeae bacteria? Dysuria Postcoital bleeding Bartholin gland abscesses Sterility

The client with more than six outbreaks this year

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

Abstinence is recommended until the therapy is completed.

14. Which information is essential for a nurse to include in the teaching plan for a client receiving metronidazole for trichomoniasis? Do not take food with this medication. Do not drink grapefruit juice while on this medication. After taking the medication, sit upright for half an hour. Abstinence is recommended until the therapy is completed.

"Have you been on antibiotics recently?"

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

Genitalia chancres

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

"The condition is transmittable to men and may cause infertility."

17. 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? "The condition is not transmittable; however, you need to let your partner know what you are going through." "The condition has the potential to cause other infections." "The condition is transmittable to men and may cause infertility." "You are right, but notifying your sexual partner is required by law due to the fact this is a reportable disease."

Human papillomavirus

19. A female client is found to have genital warts during a routine pelvic examination. Which sexually transmitted infection will the nurse prepare to test for? Herpes simplex virus Human papillomavirus Adenovirus Chlamydia trachomatis

"The incubation period is 6 weeks to 3 months."

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

Sexual encounters

20. While teaching a class on health promotion to a group of high school students a student asks, "How is herpes simplex virus type 2 (HSV-2) transmitted?" Which response by the nurse is most accurate? Kissing Sexual encounters Fomites Contaminated food or water

Periods of latency in the nervous system

21. 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? Periods of latency in the nervous system Production of exotoxins Replication of the squamous epithelium Inhibition of cell-mediated immunity

"Human papillomavirus (HPV) is the cause of your condition."

22. A client asks how his condition, Condylomata acuminata, is caused. What is the nurse's best response? "The cause of this is unknown." "A bacteria caused your condition." "Human papillomavirus (HPV) is the cause of your condition." "A parasite is the cause of this condition."

A client who is sexually active

23. Which client is at highest risk of developing trichomoniasis? A client who is taking 10 different medications A client who completed a 10-day course of antibiotic therapy for a urinary tract infection A client who is sexually active A client newly diagnosed with diabetes mellitus type 2

High-dose cefixime given in a single dose

24. A female client presents at an STD clinic. She is in the first trimester of pregnancy and has tested positive for gonorrhea. Because strains of N. gonorrhoeae have become resistant to penicillin, the current treatment recommendation includes: No treatment until after the baby is born Doxycycline over the course of 1 week High-dose cefixime given in a single dose 10-day supply of metronidazole

Grayish white discharge with a fishy odor

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

Blindness

26. The nurse provides prophylactic treatment for a neonate to prevent conjunctival gonorrhea. The nurse is aware that the intervention will reduce the risk of: Pruritus Urethritis Genital infection Blindness

"Have you traveled outside of the country recently?"

27. A client is diagnosed with granuloma inguinale. Which question should the nurse ask the client? "Have you had all of your vaccinations?" "Have you been near anyone who has had the flu?" "Have you ever had genital herpes?" "Have you traveled outside of the country recently?"

Engaging in oral-genital sex

28. A adolescent asks the nurse if there is anything that would greatly increase her risk of acquiring herpes simplex virus (HSV). Which response would be the most accurate for the nurse to reply? Cigarette smoking Sharing pizza when an HSV-infected friend hands you a slice Engaging in oral-genital sex Hugging a friend who is infected

Human papillomavirus

29. A female client is found to have genital warts during a routine pelvic examination. Which sexually transmitted infection will the nurse prepare to test for? Chlamydia trachomatis Adenovirus Herpes simplex virus Human papillomavirus

"This disease is transmitted by oral secretions."

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

Serology

30. Select the most reliable test to diagnose syphilis. Serology Urine culture Chest x-ray Oral swab

Pain on urination Pustules Painful lesions Itching

32. A nurse is caring for a client in whom genital herpes is being ruled out. Which information helps to confirm the diagnosis? Select all that apply. Painful lesions Pain on urination Positive urine culture Pustules Itching

Recent sexual contacts

33. A male client presents to the clinic with profuse, purulent urethral discharge with painful urination. Which information will be most important for the nurse to obtain? Immunization history Recent sexual contacts Sexual orientation Contraceptive use