Chapter 28 Infection

Which statement made by a client with a chlamydial infection indicates understanding of the potential complications?

"I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day."

A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?

Discuss the necessity of completing the antibiotic therapy.

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:

improve survival rates.

The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use?

"Put the condom on just before orgasm."

A client has been recently diagnosed with genital herpes and asks, "Why am I having so many recurring outbreaks of the infection?" What is the nurse's best response?

"Stress-reducing strategies may help prevent the outbreaks."

The nurse is preparing a class on infectious disorders of the reproductive tract. It will be presented to an eighth-grade health class. When teaching about pelvic inflammatory disease, what would be the primary factor in preventing this infection?

Abstinence

A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?

Adolescents and young adults are the largest age group diagnosed with an S

A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which nursing strategy should be adopted to prevent the spread of STIs in the community?

Discuss limiting the number of sex partners.

Which instruction should be given to a woman newly diagnosed with genital herpes?

Limit stress and emotional upset as much as possible.

The vagina is at risk for infection because of its location and because it opens to the outside of the body. What is a protective mechanism of the vagina to keep it from becoming infected?

Normal vaginal pH is acidic (4 to 5), which protects from infection

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?

The client washes her hands before and after touching lesions.

A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess?

characteristic "stale fish" odor

Clients who have had PID are prone to which complication?

ectopic pregnancy

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?

genital herpes

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:

genital pruritus and paresthesia.

A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. For which symptom related to this condition should the nurse assess?

genital vesicular lesions

A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis?

gonorrhea

A woman is diagnosed with a vaginal infection. After teaching the client about measures to reduce her risk, the nurse determines that the client needs additional teaching when she states which factor as increasing her risk?

menstruation

A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider mostlikely prescribe?

metronidazole

Which medication is the most effective treatment for trichomoniasis?

metronidazole

A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis?

vaginal odor smelling of fish

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

candidiasis.

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?

"I will wear loose cotton underwear."

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?

burning on urination

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which nursing intervention may help foster the client's self-esteem?

Affirm the client's good judgment in seeking treatment.

Which factor in a client's history indicates she is at risk for candidiasis?

use of corticosteroids

A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition?

vulvovaginal candidiasis