PREP U- STDs & CONTRACEPTIVES

Which instructions should the nurse include in the teaching plan for a 30-year-old multiparous client who will be using an intrauterine device (IUD) for family planning? A. IUDs are more costly than other forms of contraception. B. Severe cramping may occur when the IUD is inserted. C. The client needs to use additional protection for conception. D. Amenorrhea is a common adverse effect of IUDs.

B. Severe cramping may occur when the IUD is inserted.

Students are reviewing information related to the various types of vulvovaginal infections. They demonstrate understanding of the information when they identify which of the following as the most common cause of vulvovaginal infections? A. Bacterial vaginosis B. Desquamative vaginitis C. Trichomoniasis D. Candidiasis

A. Bacterial vaginosis

A nurse is conducting a healthy-living workshop with a group of female college students. Which of the following methods of contraception should the nurse recommend as a means of preventing both pregnancy and sexually transmitted infections? A. Condoms B. Oral contraceptives C. Intrauterine devices (IUD) D. Coitus interruptus

A. Condoms

A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? A. Foul-smelling discharge from the penis B. Rashes on the palms of the hands and soles of the feet C. Painful red papules on the shaft of the penis D. Cauliflower-like warts on the penis

A. Foul-smelling discharge from the penis

The nurse is presenting a community lecture about STIs. She emphasizes that some STIs are easily cured with early and adequate treatment. Which of the following is not among these easily treated diseases? A. Genital herpes B. Syphilis C. Gonorrhea D. Chlamydia

A. Genital herpes

The nurse working at a family planning clinic evaluates a client's risk for complications from oral contraceptives. Which of the following places the client at highest risk? A. Smokes 1 pack cigerettes per week B. Age less than 35 C. History of diabetes D. Drinks 1 glass of wine daily

A. Smokes 1 pack cigerettes per week

A patient has been diagnosed with a Trichomoniasis vaginal infection. The nurse would expect which color of discharge? A. Yellow-green B. White, curd-like C. White D. Gray

A. Yellow-green

An 18-year-old female client who is sexually active with her boyfriend has a purulent vaginal discharge that is sometimes frothy. The nurse interprets this as suggesting a: A. sexually transmitted infection. B. change in birth control method. C. need for vaginal douching. D. normal variation in vaginal discharge.

A. sexually transmitted infection.

A client taking oral contraceptives is placed on a 10-day course of antibiotics for an infection. Which instruction should the nurse include in the teaching plan? A. "You should stop taking the oral contraceptives while taking the antibiotic." B. "Use a barrier method of birth control for the rest of your cycle." C. "Call your health care provider for increased hunger or fluid retention." D. "Take the antibiotics 2 hours after the oral contraceptive."

B. "Use a barrier method of birth control for the rest of your cycle."

While teaching sex education to a group of high school students, the nurse talks about forms of birth control. Which of the following could the nurse say is 100% effective if practiced correctly and consistently? A. Condoms B. Abstinence C. Oral contraceptives D. Withdrawal prior to ejaculation

B. Abstinence

The nurse providing education regarding sexually transmitted diseases. Which of the following statements regarding herpes virus 2 (herpes genitalis) is accurate? A. Usually, the virus is killed at room temperature by drying. B. In pregnant women with active herpes virus, babies delivered vaginally may become infected with the virus. C. Transmission of the virus requires sexual contact. D. The virus is very difficult to kill.

B. In pregnant women with active herpes virus, babies delivered vaginally may become infected with the virus.

A nurse has performed disease prevention teaching with a female client who has genital herpes. Which client behavior indicates that the teaching has been successful? A. The client wears tight-fitting jeans. B. The client washes her hands before and after touching lesions. C. The client keeps the affected area moist. D. The client keeps her fingernails long.

B. The client washes her hands before and after touching lesions.

A primigravid client at 8 weeks' gestation tells the nurse that since having had sexual relations with a new partner 2 weeks ago, she has noticed flu-like symptoms, enlarged lymph nodes, and clusters of vesicles on her vagina. The nurse refers the client to a primary health care provider because the nurse suspects which sexually transmitted infection? A. gonorrhea B. herpes genitalis C. syphilis D. Chlamydia trachomatis infection

B. herpes genitalis

A woman is taking oral contraceptives. The nurse teaches the client to report which complication? A. mild headache B. severe calf pain C. breakthrough bleeding D. weight gain of 3 lb (1.4 kg)

B. severe calf pain

The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl understands the implications of her disease when she tells the nurse: A. "My partner does not need treatment." B. "I will not have any more problems once I learn to protect myself." C. "I could have trouble getting pregnant." D. "Once I am treated, I will have immunity."

C. "I could have trouble getting pregnant."

After discussing the various methods of contraception with a nurse, a client decides on the contraceptive sponge as her method of choice. Which of the following would the nurse include in the teaching plan for the client about this contraceptive method? A. "You can use this at any time, even when you are menstruating." B. "Clean the sponge with mild soap and water after using it." C. "Keep the sponge in place for at least 6 hours after intercourse." D. "You need to have the sponge fitted before using it."

C. "Keep the sponge in place for at least 6 hours after intercourse."

Which of the following is a risk factor for cervical cancer? A. Sex with circumcised males B. Underweight status C. Exposure to HPV D. Late childbearing

C. Exposure to HPV

The nurse is completing a sexual history on a client. The client reports a history of having a sexually transmitted infection (STI) which lies dormant in the body and can reoccur, but does not remember the name. Which STI matches the client's description? A. Gonorrhea B. Syphilis C. Herpes infection D. Chlamydia

C. Herpes infection

Which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina? A. Herpes simplex 2 B. Herpes simplex 1 C. Trichomoniasis D. Nonspecific vaginitis

C. Trichomoniasis

What is most important for the nurse to teach a client newly diagnosed with genital herpes? A. Determine if your partner has received a vaccine against herpes. B. Oral sex is permissible without a barrier. C. Use condoms at all times during sexual intercourse. D. A urologist should be seen only when lesions occur.

C. Use condoms at all times during sexual intercourse.

A female client is treated for trichomoniasis with metronidazole. The nurse instructs the client that: A. she should discontinue oral contraceptive use during this treatment. B. the medication should not alter the color of the urine. C. she should avoid alcohol during treatment and for 24 hours after completion of the drug. D. her partner does not need treatment.

C. she should avoid alcohol during treatment and for 24 hours after completion of the drug.

A 17-year-old high school senior calls the clinic because she thinks she might have gonorrhea. She wants to be seen but wants assurances that no one will know. Which is the most appropriate response by the nurse? A. "We can see you and will not share your results with anyone." B. "We can treat you without your parents' consent, but they have the right to review your medical record." C. "Because you are underage, we will need your parent's consent to treat you." D. "We can see you without your parents' consent but have to report any positive results to the public health department."

D. "We can see you without your parents' consent but have to report any positive results to the public health department."

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea? A. Dry, hacking cough B. Diffuse skin rash C. Painless chancre D. Burning on urination

D. Burning on urination

A 20-year-old client visiting the clinic requests the use of oral contraceptives. When reviewing the client's history, which finding would alert the nurse to a possible contraindication to using these agents? A. ulcerative colitis B. urinary tract infections C. menorrhagia D. thrombophlebitis

D. thrombophlebitis

A nurse is caring for a male client with gonorrhea. The client asks how he can reduce his risk of contracting another sexually transmitted disease (STD). The nurse should instruct the client to: A. consider intercourse safe if his partner has no visible discharge, lesions, or rashes. B. expect to limit the number of sexual partners to less than five over his lifetime. C. ask all potential sexual partners if they have an STD. D. wear a condom every time he has intercourse.

D. wear a condom every time he has intercourse.