STI questions

A 20 year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which of the following statements by the client demonstrates the best understanding of his health problem? a) "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." b) "Each of the 3 stages of the disease seems to be worse than the previous one." c) "Either me or a partner could end up with an eye infection from chlamydia that could make us blind." d) "Even though I couldn't end up sterile, a woman that I give it to certainly could."

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."

A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective? a) "I can pour hydrogen peroxide and water over my lesions." b) "I will apply a water-based lubricant to my lesions." c) "I should rub rather than scratch in response to itching." d) "I will wear loose cotton underwear."

"I will wear loose cotton underwear."

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? a) "One or two treatments should get rid of the warts." b) "My partner doesn't need to be treated." c) "I'm temporarily not contagious once the warts are destroyed." d) "Once the warts are gone, then I know I'm cured."

"I'm temporarily not contagious once the warts are destroyed."

The nurse is giving a presentation about Chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age? a) 40 b) 32 c) 28 d) 25

25

The nurse is caring for clients who have STIs. Which of the following clients is most at risk for becoming infertile due to the infection? a) A woman diagnosed with chlamydia b) A woman diagnosed with syphilis c) A woman diagnosed with trichomoniasis d) A woman diagnosed with herpes simplex virus

A woman diagnosed with chlamydia

Primary prevention for HPV includes which of the following? a) Recommending treatment of genital warts b) Administering HPV vaccine c) Educating about the importance of regular Pap smears d) Teaching about HPV testing in women over age 30

Administering HPV vaccine

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which of the following nursing interventions may help foster the client's self-esteem? a) Schedule an appointment for follow-up care b) Provide the client with a telephone number for obtaining accurate information c) Explain the cause of the sexually transmitted infection (STI) d) Affirm the client's good judgment in seeking treatment

Affirm the client's good judgment in seeking treatment

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 six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms? a) An antiviral agent b) A quinolone antibiotic c) An azole antifungal agent d) A penicillin antibiotic

An azole antifungal agent

A female client is prescribed metronidazole for the treatment of trichomoniasis. Which of the following instructions should the nurse give the client undergoing treatment? a) Avoid alcohol. b) Increase fluid intake. c) Avoid extremes of temperature to the genital are d) Use condoms during sex.

Avoid alcohol.

Which of the following instructions should the nurse give to a client with genital herpes to help control the infection? a) Apply antibacterial medication b) Apply imiquimod cream c) Avoid people with upper respiratory infections d) Avoid sexual contact until sores heal

Avoid sexual contact until sores heal

After teaching a client diagnosed with candidiasis about preventative measures, the nurse determines that the teaching was effective when the client states she will do which of the following? a) Exercise to prevent fatigue b) Avoid exposure to sun c) Use sunscreen regularly d) Avoid tight pants

Avoid tight pants

A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply a) Avoid using deodorant tampons b) Clean the perineal area from back to front c) Wear only cotton panties and ventilated pantyhose. d) Take a bubble bath once a week e) Avoid the use of colored toilet tissue.

Avoid using deodorant tampons Wear only cotton panties and ventilated pantyhose. Avoid the use of colored toilet tissue.

A client with a family history of cervical cancer is to undergo a Pap test. During the client education, what group should the nurse include as at risk for cervical cancer? a) Clients with fibrocystic breast disease b) Clients with irregular menstrual cycles c) Clients who have not had babies d) Clients who have genital warts

Clients who have genital warts

A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which of the following nursing strategies should be adopted to prevent the spread of STIs in the community? a) Promote use of oral contraceptives. b) Discuss limiting the number of sex partners. c) Emphasize the importance of good body hygiene. d) Emphasize not sharing personal items with others.

Discuss limiting the number of sex partners.

Patients who have had PID are prone to which of the following complications? Select all that apply. a) Ectopic pregnancy b) Fibrosis c) Pelvic abscess d) Inguinal lymphadenopathy

Ectopic pregnancy Fibrosis Pelvic abscess

Which of the following measures would be most effective in preventing STIs? a) Interfering with the mode of transmission b) Education to promote sexual health c) Increasing the availability of resources d) Getting individuals to change their behaviors

Education to promote sexual health

A client complaining of genital warts has been diagnosed with human papillomavirus (HPV). The genital warts have been treated, and they have disappeared. Which of the following should the nurse include in the teaching plan when educating the client about the condition? a) All women above the age of 30 should get themselves vaccinated against HPV. b) Use of latex condoms is associated with increased risk of cervical cancer. c) Applying steroid creams in affected area promotes comfort. d) Even after warts are removed, HPV still remains.

Even after warts are removed, HPV still remains.

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? a) Genital herpes b) Gonorrhea c) Syphilis d) Chlamydia

Genital herpes

A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection? a) Syphilis b) Gonorrhea c) Human immunodeficiency virus d) Candida albicans

Gonorrhea

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection. Which of the following assessments would be most indicative of trichomoniasis? a) Lesions on the vulva b) Urinary incontinence c) Flu-like symptoms d) Green vaginal discharge

Green vaginal discharge

A pregnant client has been diagnosed with gonorrhea. Which of the following nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby? a) Perform a cesarean operation to prevent infection. b) Administer cephalosporins to mother during pregnancy. c) Instill a prophylactic agent in the eyes of the newborn. d) Administer an antiretroviral syrup to the newborn.

Instill a prophylactic agent in the eyes of the newborn.

A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) in a particular community discovers that there is a very high incidence of hepatitis B in the community. Which of the following measures should she take to ensure the prevention of the disease? a) Educate about risks of injecting drugs. b) Instruct people to get vaccinated for hepatitis B. c) Educate teenagers to delay onset of sexual activity. d) Ensure that the drinking water is disease free.

Instruct people to get vaccinated for hepatitis B.

A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning? a) Advise the patient to take medication with a glass of milk b) Counsel the patient to refrain from sex for one week c) Instruct the patient not to drink alcohol with this treatment d) Reassure the patient further STI testing is not indicated

Instruct the patient not to drink alcohol with this treatment

The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis? a) Being postmenopausal b) Irritation of vaginal walls c) Trauma to the bladder d) Spontaneous abortion

Irritation of vaginal walls

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason? a) It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI) b) The infecting bacterium in all cases is the same and therefore clients have concurrent infections c) The infections spread through the same medium and therefore clients have concurrent infections d) The symptoms of these diseases are the same and culture tests alone can determine the disease that has infected the client

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI)

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis? a) Latency b) Secondary c) Primary d) Tertiary

Latency Secondary syphilis occurs when the hematogenous spread of organisms from the original chancre leads to generalized infection. A period of latency occurs when the infected person has no signs or symptoms of syphilis. Primary syphilis occurs 2 to 3 weeks after initial inoculation with the organism. Tertiary syphilis presents as a slowly progressive inflammatory disease with the potential to affect multiple organs.

Which instruction should be given to a woman newly diagnosed with genital herpes? a) Use a water-soluble lubricant for relief of pruritus. b) Obtain a Papanicolaou (Pap) test every 3 years. c) Limit stress and emotional upset as much as possible. d) Have your partner use a condom when lesions are present.

Limit stress and emotional upset as much as possible.

Which of the following is the most effective treatment for trichominiasis? a) Azithromycin (Zithromax) b) Doxycycline (Adoxa) c) Penicillin G benzathine d) Metronidazole (Flagyl)

Metronidazole (Flagyl)

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? a) Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy b) Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease c) Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism d) Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection

Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease

A nurse is caring for a female client who is undergoing treatment for genital warts due to human papillomavirus (HPV). Which of the following information should the nurse include when educating the client about the risk of cervical cancer? Select all that apply. a) Recurrence of genital warts increases risk of cervical cancer. b) Use of broad-spectrum antibiotics increases risk of cervical cancer. c) Use of latex condoms is associated with a lower rate of cervical cancer. d) Obtaining Pap smears regularly helps early detection of cervical cancer. e) Abnormal vaginal discharge is a sign of cervical cancer.

Recurrence of genital warts increases risk of cervical cancer. Use of latex condoms is associated with a lower rate of cervical cancer. Obtaining Pap smears regularly helps early detection of cervical cancer.

A pregnant client arrives at the community clinic complaining of fever blisters and cold sores on the lips, eyes, and face. The primary health care provider has diagnosed it as the primary episode of genital herpes simplex, for which antiviral therapy is recommended. Which of the following information should the nurse offer the client when educating her about managing the infection? a) Safety of antiviral therapy during pregnancy has not been established. b) Antiviral drug therapy cures the infection completely. c) Recurrent HSV infection episodes are longer and more severe. d) Kissing during the primary episode does not transmit the virus.

Safety of antiviral therapy during pregnancy has not been established.

When describing the methods of transmission for herpes simplex virus, which method would be least likely? a) Sharing contaminated needles b) Kissing c) Vaginal birth d) Sexual contact

Sharing contaminated needles

An HIV-positive client who is on antiretroviral therapy complains of anorexia, nausea, and vomiting. Which of the following suggestions should the nurse offer the client to cope with this condition? a) Limit number of meals to three a day. b) Eat dry crackers after meals. c) Use high-protein supplements. d) Constantly drink fluids while eating.

Use high-protein supplements.

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which of the following? a) Yeast infections b) Loss of appetite c) Hypertension d) Acidity and heartburn

Yeast infections

Patients who have had PID are prone to which of the following complications? a) Ovarian cancer b) Multiple gestation c) Ectopic pregnancy d) Inguinal lymphadenopathy

Ectopic pregnancy

The nurse's discharge teaching plan for the woman with pelvic inflammatory disease (PID) should reinforce which of the following potentially life-threatening complications? a. Involuntary infertility b. Chronic pelvic pain c. Depression d. Ectopic pregnancy

Ectopic pregnancy

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to: a) Intervene in late-stage AIDS b) Promote the progression of disease c) Improve survival rates d) Conduct additional drug research

Improve survival rates

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: a) Miconazole b) Penicillin G c) Doxycycline d) Metronidazole

Penicillin G

Which of the following is the medication of choice for early syphilis? a) Penicillin G benzathine b) Doxycyline c) Rocephin d) Tetracycline

Penicillin G benzathine

Pelvic infection is most commonly caused by which of the following? a) Sexual transmission b) Hysteroscopy c) Surgical abortion d) Insertion of intrauterine device

Sexual transmission

In teaching about Human immunodeficiency virus (HIV) transmission, the nurse explains that the virus cannot be transmitted by: a. Shaking hands b. Sharing drug needles c. Sexual intercourse d. Breast-feeding

Shaking hands

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection? a) Candidasis b) Gardnerella vaginalis vaginitis c) Gonorrhea d) Trichomoniasis

Trichomoniasis

Which of the following would alert the nurse to suspect that a client has a yeast infection? a) Changes in skin color b) Acidic vaginal secretions c) Lymphadenopathy d) Vulvar burning and itching

Vulvar burning and itching

A 31 year-old male was diagnosed with genital herpes of the HSV-2 type 5 years ago. He is now broaching the subject with a woman he has recently formed a relationship with. Which of his statements is most accurate? a) "The worst case scenario is that you'll develop cold sores, since this is the type of herpes virus that I've got." b) "Even when I'm not having a recurrence, I could still pass the virus on to you." c) "If you've had cold sores when you were younger, it means that you've got antibodies against this type of herpes virus." d) "If you've been exposed to the herpes virus in the past, then there's no significant risk of reinfection."

"Even when I'm not having a recurrence, I could still pass the virus on to you."

The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which of the following would indicate to the nurse that the client has AIDS? a) 1,000 cells/mm3 b) 200 cells/mm3 c) 700 cells/mm3 d) 450 cells/mm3

200 cells/mm3

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. Which of the following phenomena most likely contributed to her present condition? a) A sharp reduction in the number of lactobacilli in the client's vaginal flora b) Proliferation of sexually-transmitted protozoa c) Unprotected sex with a new partner who is a carrier of the relevant bacteria d) Autoinoculation from a cold sore, wart or oral fungal infection

A sharp reduction in the number of lactobacilli in the client's vaginal flora

Which of the following medications are used to suppress viral load of the HSV-2 infection? a) Penicillin b) Metronidiazole (Flagyl) c) Acyclovir (Zovirax) d) Clindamycin (Cleocin)

Acyclovir (Zovirax)

A client is receiving ceftriaxone as treatment for gonorrhea. Which of the following would be most important for the nurse to emphasize to the client? a) Avoiding alcohol consumption b) Using a sunscreen when outside c) Reporting signs of an oral yeast infection d) Taking the drug on an empty stomach

Avoiding alcohol consumption

A pregnant woman in her 39th week of pregnancy presents to the clinic with a vaginal infection. She tests positive for chlamydia. What would this make her infant at risk for? a) Chicken pox b) Deafness c) Blindness d) Neonatal laryngeal papillomas

Blindness

A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe? a) Penicillin b) Ceftriaxone c) Levofloxacin d) Tetracycline

Ceftriaxone

Which of the following is the gold standard for HSV diagnosis? a) Punch biopsy b) Shave biopsy c) Culture d) Excisional biopsy

Culture

A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. Which of the following symptoms related to this condition should the nurse assess for? a) Genital vesicular lesions b) Yellow-green vaginal discharge c) Loss of hair or alopecia d) Rashes on the face

Genital vesicular lesions

The nurse is teaching a class about sexually transmitted diseases to a middle school class. Which of the following is a misconception about condom use that needs to be clarified? a) Latex condoms protect best against disease. b) Don't store condoms in your wallet. c) Use water-based lubricant with latex condoms. d) Put the condom on just before orgasm.

Put the condom on just before orgasm.

A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? a) Copper-colored macules on the palms and soles that appeared after a brief fever b) Patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas c) One or more flat, wartlike papules in the genital area that are sensitive to touch d) A painless genital ulcer that appeared about 3 weeks after unprotected sex

A painless genital ulcer that appeared about 3 weeks after unprotected sex

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) Painless chancre c) Burning on urination d) Diffuse skin rash

Burning on urination

A woman with human papilloma virus (HPV) is likely to present with which nursing assessment finding? a. Profuse, pus-filled vaginal discharge b. Clusters of genital warts c. Single painless ulcer d. Multiple vesicles on genitalia

Clusters of genital warts

A patient has been diagnosed with condylomata acuminata and requires treatment for the condition. Which of the following would be the treatment of choice? a) Topically applied antifungal cream b) Antibiotics c) Avoidance of sexual contact d) Cryotherapy

Cryotherapy

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent? a) Ceftriaxone b) Doxycycline c) Podophyllum resin d) Acyclovir

Doxycycline

Which of the following is the most common viral infection? a) Gonorrhea b) Trichomoniasis c) Chlamydia d) Human papillomavirus (HPV)

Human papillomavirus (HPV)

Which of the following would be most appropriate to do when assisting in collecting a culture from a client infected with gonorrhea? a) Collecting the specimen exactly 12 to 15 days after the menses b) Having the client douche with water and then with alcohol before collection c) Moistening the vaginal speculum with water d) Lubricating the vaginal speculum

Moistening the vaginal speculum with water

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body? a) Intermenstrual bleeding b) Painful joints c) Sore throat d) Painful urination

Painful joints

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms? a) Use a pure vinegar douche daily. b) Use skin protectants containing zinc oxide. c) Take sitz baths frequently d) Avoid yogurt with active lactobacilli cultures.

Take sitz baths frequently

A nurse is caring for a human immunodeficiency virus (HIV)-positive client who is on triple-combination highly active antiretroviral therapy (HAART). Which of the following should the nurse include in the teaching plan when educating the client about the treatment? Select all that apply. a) Unpleasant side effects such as nausea and diarrhea are common. b) Provide written materials describing diet, exercise, and medications. c) Ensure that the client understands the dosing regimen and schedule d) Successful antiretroviral therapy may prevent acquired immunodeficiency syndrome (AIDS). e) Exposure of fetus to antiretroviral agents is completely safe.

Unpleasant side effects such as nausea and diarrhea are common. Provide written materials describing diet, exercise, and medications. Ensure that the client understands the dosing regimen and schedule

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which of the following would the nurse encourage? a) Avoidance of condoms lubricated with silicone b) Removal of the condom after penis becomes limp c) Use of natural-membrane condoms as the most effective type d) Use of additional water-based lubricant

Use of additional water-based lubricant

A nurse is caring for a client who has just delivered a baby. Which of the following information should the nurse give the client regarding hepatitis B vaccination for the baby? a) Vaccine consists of a series of three injections given within 6 months. b) Vaccine is required only if mother is identified as high-risk for hepatitis B. c) Vaccine may not be safe for underweight or premature babies. d) Vaccine is administered only after the infant is at least 6 months old.

Vaccine consists of a series of three injections given within 6 months.

A nurse is assessing a client diagnosed with bacterial vaginosis. Which of the following is a symptom of bacterial vaginosis? a) Warts in the vulva and labia b) Intense itching of the vulva c) Cottage cheese-like discharge d) Vaginal odor smelling of fish

Vaginal odor smelling of fish

A woman comes to the clinic complaining of intense pruritus and a thick curd-like vaginal discharge. On examination white plaques on observed on the vaginal wall. The nurse suspects which of the following? a) Vulvovaginal candidiasis b) Chlamydia c) Trichomoniasis d) Bacterial vaginosis

Vulvovaginal candidiasis

A 19-year-old female client has been diagnosed with pelvic inflammatory disease (PID) due to untreated gonorrhea. Which of the following instructions should the nurse offer when caring for the client? Select all that apply. a) Limit the number of sex partners. b) Complete the antibiotic therapy. c) Avoid douching vaginal area. d) Use an intrauterine device (IUD). e) Increase fluid intake.

• Avoid douching vaginal area. • Complete the antibiotic therapy. • Limit the number of sex partners.

Which of the following STIs could be transmitted perinatally? a) Gonorrhea b) Chlamydia c) Herpes simplex d) Trichomoniasis

Herpes simplex

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)? a) Older clients who are sexually active have less risk for STIs than other age groups b) Abandon biases that older adults are sexually inactive c) Older clients, because of their maturity, are rarely embarrassed to talk about this d) Older clients know the ways to prevent STIs

Abandon biases that older adults are sexually inactive

A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which of the following would the nurse recommend? a) Intrauterine device b) Withdrawal c) Oral contraceptives d) Condom

Condom

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 of developing which of the following diagnoses? a) Candidiasis b) Condylomata acuminata c) Genital herpes d) Gonorrhea

Condylomata acuminata

A client is admitted in the healthcare facility with pelvic inflammatory disease (PID). When reviewing the client's history, which of the following would the nurse identify as a risk factor? a) Environmental exposure b) Gestational diabetes c) Genetic predisposition d) Frequent douching

Frequent douching

Which of the following contraceptive methods offers protection against sexually transmitted infections (STIs)? a) Oral contraceptives b) Withdrawal c) Latex condom d) Intrauterine contraceptive (IUC)

Latex condom

In which group is it most important for the client to understand the importance of an annual Papanicolaou test? a) Clients with a pregnancy before age 20 b) Clients infected with the human papillomavirus (HPV) c) Clients with a long history of hormonal contraceptive use d) Clients with a history of recurrent candidiasis

Clients infected with the human papillomavirus (HPV)

A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning? a) Reassure the patient further STI testing is not indicated b) Counsel the patient to refrain from sex for one week c) Instruct the patient not to drink alcohol with this treatment d) Advise the patient to take medication with a glass of milk

Instruct the patient not to drink alcohol with this treatment

A nurse is required to assess a client complaining of unusual vaginal discharge for bacterial vaginosis. Which of the following is a classic manifestation of this condition that the nurse should assess for? a) Dysfunctional uterine bleeding b) Characteristic "stale fish" odor c) Heavy yellow discharge d) Erythema in the vulvovaginal area

Characteristic "stale fish" odor

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata? a) Human papilloma virus b) Haemophilus ducreyi bacillus c) Treponema pallidum d) Herpes virus

Human papilloma virus

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? a) Hepatitis B b) Genital herpes c) Condylomata acuminata d) Syphilis

Syphilis

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate? a) "Once you take the medication, the infection will be gone for good." b) "You can expect other outbreaks, each of which will be longer than the first." c) "Even though you don't have symptoms, you could still spread the infection." d) "You might have to try several different medications before finding one that works."

"Even though you don't have symptoms, you could still spread the infection."

A nurse is caring for the following clients who have a history of genital herpes infection. Which client is most at risk for an outbreak of genital herpes? a) A client who complains of a headache and fever b) A client who complains of dysuria and lymphadenopathy c) A client who complains of genital pruritus and paresthesia d) A client who complains of vaginal and urethral discharge

A client who complains of genital pruritus and paresthesia

To confirm a finding of primary syphilis, the nurse would observe which of the following on the external genitalia? a. A highly variable skin rash b. A yellow-green vaginal discharge c. A nontender, indurated ulcer d. A localized gumma formation

A nontender, indurated ulcer

A physician tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This order would be appropriate for a woman with which condition? a) Syphilis b) Genital warts c) Gonorrhea d) Genital herpes

Gonorrhea

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms? a) Metronidazole b) Azithromycin c) Penicillin d) Valacyclovir

Metronidazole

Which of the following would the nurse recommend to a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection? a) Participate in early prenatal care b) Pat or blot the skin dry c) Have regular cancer screening examinations d) Take tub baths regularly

Participate in early prenatal care

A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which of the following instructions should the nurse give the client to prevent recurrence of bacterial vaginosis? Select all that apply. a) Practice monogamy b) Undergo colposcopy tests frequently c) Use oral contraceptives d) Avoid foods containing excessive sugar e) Avoid smoking

Practice monogamy