Common Reproductive Concerns
An adolescent with pneumonia shares fears of having contracted human immunodeficiency virus (HIV). The adolescent wants to be tested but does not want parental involvement. What should the nurse say?
"The healthcare provider will run the test confidentially."
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?
"We can see you without your parents' consent but have to report any positive results to the public health department."
Which information would the nurse include in a teaching plan about treatments for sexually transmitted infections?
Ceftriaxone sodium may be used to treat Neisseria gonorrhoeae infections.
A postmenopausal woman is worried about pain in the upper outer quadrant of her left breast. The nurse's best course of action is to:
Do a breast examination and report the results to the physician.
An adolescent presents to a community clinic for treatment of vulvar lesions associated with type 2 herpes simplex. Which intervention is appropriate to do at this time? Select all that apply.
Escort the adolescent to a private examination room. Provide the adolescent with literature about type 2 herpes simplex.
The nurse at the gynecologic clinic is teaching the client about the results of her Papanicolaou test, which demonstrated dysplasia. Which represents the nurse's best intervention?
Explain that results show alteration in the size and shape of cells, which requires follow-up.
A nurse is conducting a physical assessment on an adolescent who does not want her parents informed that she had an abortion in the past. Which statement best describes the information security measures the nurse would implement in this situation?
Respect the adolescent's wishes and maintain her confidentiality.
A school nurse is teaching a class about sexually transmitted infections (STIs). Which statement is correct regarding STIs?
STIs are most prevalent among teenagers and young adults.
The nurse is preparing a community education program about preventing hepatitis B infection. Which information should be incorporated into the teaching plan?
The use of a condom is advised for sexual intercourse.
The nurse is speaking to a group of women about early detection of breast cancer. Which screening does the nurse recommend to women age 50 and older?
annual mammogram
A client with human papillomavirus (HPV) infection is being treated by a colposcopy. The client asks the nurse if this procedure is really necessary. The nurse can tell the client that if the HPV infection is not treated which health problem is likely to occur?
cervical cancer
Examination of a primigravid client having increased vaginal secretions since becoming pregnant reveals clear, highly acidic vaginal secretions. The client denies any perineal itching or burning. The nurse interprets these findings as a response related to which factor?
control of the growth of pathologic bacteria
A 49-year-old woman has sought help from her primary care provider because of "intimacy problems." Upon questioning, the woman reveals that she is experiencing sexual desire, but that intercourse causes significant pain. In the absence of sexual activity, the woman states that she does not have any significant vaginal discomfort. What would the clinician recognize that this client is most likely experiencing?
dyspareunia
What should the nurse include in a community health program designed to control sexually transmitted infections (STIs)?
education about safe sex practices
The nurse is interviewing a client with newly diagnosed syphilis. In order to prevent the spread of the disease, the focus of the interview should include which approach?
obtaining a list of the client's sexual contacts
A young adult woman tells the nurse she has a slight yellow vaginal discharge. The nurse should tell the client to contact her health care provider if she has which additional symptoms? Select all that apply.
vaginal discharge that has a fishy odor abdominal pain a temperature above 101ºF (38.3ºC)
The nurse is gathering data from a female client that states she has had difficulty conceiving. Which statement made by the client would the nurse find most significant related to the difficulty getting pregnant?
"I had gonorrhea that went untreated for about 3 months."
A client plans to travel to a country where hepatitis B is common. What should the nurse advise the client about the most effective way to prevent the disease?
Observe safe sex practices.
The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included?
Women with gonorrhea are usually asymptomatic.
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?
herpes genitalis
A sexually active male client has burning on urination and a milky discharge from the urethral meatus. What documentation should be included on the client's medical record? Select all that apply.
history of unprotected sex (sex without a condom) length of time since symptoms presented history of fever or chills presence of any enlarged lymph nodes on examination allergies to any medications
A couple seeks information about natural family planning. Which of the following should the nurse inform the couple about natural family planning? Select all that apply.
requires some period of abstinence uses calculations of menstrual cycles determines ovulation from basal body temperature
Which group has experienced the greatest rise in the incidence of sexually transmitted diseases (STDs) over the past two decades?
teenagers