Lipincott reproductive concerns

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. Ask the adolescent if her parents know about her sexual activity. Notify the adolescent's parents and ask permission to treat their daughter. Provide the adolescent with literature about type 2 herpes simplex. Escort the adolescent to a private examination room. Inform the adolescent that confidentiality is not guaranteed.

Provide the adolescent with literature about type 2 herpes simplex. Escort the adolescent to a private examination room.

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. uses calculations of menstrual cycles requires some period of abstinence uses estrogen and progestin in various combinations uses effective methods wherein miscalculations are rare determines ovulation from basal body temperature

uses calculations of menstrual cycles requires some period of abstinence determines ovulation from basal body temperature

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: Explain that pain is caused by hormonal fluctuations. Do a breast examination and report the results to the physician. Teach the client the correct procedure for breast self-examination (BSE). Reassure the client that pain is not a symptom of breast cancer.

Do a breast examination and report the results to the physician.

The nurse is preparing a community education program about preventing hepatitis B infection. Which information should be incorporated into the teaching plan? Frequent ingestion of alcohol can predispose an individual to development of hepatitis B. Hepatitis B is relatively uncommon among college students. Good personal hygiene habits are most effective at preventing the spread of hepatitis B. The use of a condom is advised for sexual intercourse.

The use of a condom is advised for sexual intercourse.

The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included? Gonorrhea is not easily transmitted to women who are menopausal. Women are more reluctant than men to seek medical treatment. Women with gonorrhea are usually asymptomatic. Gonorrhea is usually a mild disease for women.

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? gonorrhea Chlamydia trachomatis infection syphilis herpes genitalis

herpes genitalis

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? motivating the client to undergo treatment increasing the client's knowledge of the disease reassuring the client that medical records are confidential obtaining a list of the client's sexual contacts

obtaining a list of the client's sexual contacts

Which group has experienced the greatest rise in the incidence of sexually transmitted diseases (STDs) over the past two decades? divorced people young married couples teenagers older adults

teenagers

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 have used oral contraceptives for 2 years." "I was told I had the beginning of osteoporosis." "I had iron deficiency anemia" "I had gonorrhea that went untreated for about 3 months."

"I had gonorrhea that went untreated for about 3 months."

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. Ask client if she and her partner would like information about infertility treatments. Discuss the implications of hysterectomy for this client and her partner. Reinforce that the cells are cancerous and will require treatment.

Explain that results show alteration in the size and shape of cells, which requires follow-up.

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? "Tell me why you think you may have contracted HIV." "You'll have to talk with the hospital's nurse ethicist." "The healthcare provider will run the test confidentially." "You're very young to have HIV."

"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 treat you without your parents' consent, but they have the right to review your medical record." "We can see you without your parents' consent but have to report any positive results to the public health department." "We can see you, treat any infections, and will not share your results with anyone." "Because you are underage, we will need your parent's consent to treat you."

"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? Chlamydia trachomatis infections are usually treated with penicillin. Ceftriaxone sodium may be used to treat Neisseria gonorrhoeae infections. Metronidazole is used to treat condylomata acuminata. Acyclovir can be used to cure herpes genitalis.

Ceftriaxone sodium may be used to treat Neisseria gonorrhoeae infections.

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. allergies to any medications presence of any enlarged lymph nodes on examination length of time since symptoms presented history of unprotected sex (sex without a condom) names and phone numbers of all sexual contacts history of fever or chills

allergies to any medications presence of any enlarged lymph nodes on examination length of time since symptoms presented history of unprotected sex (sex without a condom) history of fever or chills

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 self breast examination biennial clinical breast examination by a healthcare provider annual mammogram annual test for hormonal receptor assay

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 rectal cancer infertility pelvic inflammatory disease

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? a decrease in vaginal glycogen stores development of a sexually transmitted infection control of the growth of pathologic bacteria prevention of expulsion of the cervical mucus plug

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? vaginismus dyspareunia vulvodynia a sexually transmitted infection (STI)

dyspareunia

What should the nurse include in a community health program designed to control sexually transmitted infections (STIs)? isolation of those suspected of having STIs education about safe sex practices mass screening of all individuals treatment of those with the disease

education about safe sex practices

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. starting her menstrual period vaginal discharge that has a fishy odor a temperature above 101ºF (38.3ºC) loss of appetite abdominal pain

vaginal discharge that has a fishy odor abdominal pain a temperature above 101ºF (38.3ºC)

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? Complete the vaccination series. Drink purified water. Observe safe sex practices. Avoid crowed, enclosed spaces.

Observe safe sex practices.

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? Before agreeing to maintain confidentiality, determine whether the adolescent is an emancipated minor. Respect the adolescent's wishes and maintain her confidentiality. Discussing the adolescent's medical history with her parents and thoroughly document it in the medical record. Because the adolescent is a minor, inform her parents about her medical history.

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 signs and symptoms of an STI are obvious. The incidence of STIs is decreasing due to limited sex partners. STIs disproportionately affect people with a lower socioeconomic status and education.

STIs are most prevalent among teenagers and young adults.