Med Surg: Chapter 35: Nursing Management: Patients With Sexually Transmitted Infections: PREPU

A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment would physician prescribe? A. IV penicillin G; single dose B. IV tetracycline C. oral penicillin G; single dose D. IV penicillin G; multiple dosing

A

A nurse is preparing a presentation about STIs for a local community group. When describing chlamydia, which age group would the nurse identify as being at greatest risk for this infection? A. Women younger than 24 years of age B. Men between the ages of 25-30 C. Women in their 30s D. Men between the ages of 18-28 years

A

The nurse recognizes the client is in which stage of syphilis when the client has no signs or symptoms of syphilis? A. Latency B. Tertiary C. Secondary D. Primary

A

Patients who have had pelvic inflammatory disease (PID) are prone to which of the following complications? A. Thrombophlebitis B. Inguinal lymphadenopathy C. Ectopic pregnancy D. Bacteremia

C

dyspareunia means?

painful intercourse

A female patient has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this patient? A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually. B. The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex. C. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days. D. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.

A

A male patient in his 20s has been diagnosed with a chlamydial infection and states that he is "terrified" at the prospect of having to inform his fiancée. In light of this patient's statement, what action should the nurse first perform? A. Assess the specific reasons why the patient fears this discussion with his fiancée. B. Role play the discussion with the patient. C. Reiterate the patient's legal and moral obligations for having this discussion with his fiancée. D. Teach the patient assertiveness skills that he can utilize when informing his fiancée.

A

A nursing midwife delivered a baby whose mother had a sexually transmitted disease. The nurse knows that of the six sexually transmitted diseases, only two can be transmitted via the perinatal route. What are those two diseases? A. Herpes simplex and syphilis B. Chlamydia and Gonorrhea C. Human papillomarviries and Chlamydia D. Trichomoniasis and syphilis

A

The nurse has received several laboratory studies back at the clinic. Which of these results should be reported to the local health department? A. Positive gonorrhea B. Wound infection with MRSA C. Positive mononucleosis D. Positive influenza

A

The nurse is caring for a client who has just been diagnosed with chlamydia and is very upset. The client says, "I don't understand this. The person I had sex with did not have any symptoms at all. How could I have known?" What is the best response by the nurse to this client? A. "Many people with chlamydia won't have symptoms for up to 3 weeks after being infected." B. "It is very hard to see signs of infection in the heat of passion." C. "It is really important that you know the sexual history of every potential lover. It may be uncomfortable but it will prevent the situation you are dealing with right now." D "I think you realize that if you had used some form of a barrier protection such as a condom, it would have helped prevent this situation."

A

Which of the following is the gold standard for herpes simplex virus (HSV) diagnosis? A. Culture B. Punch biopsy C. Shave biopsy D. Excisional biopsy

A

Which of the following sexually transmitted infections (STIs) could be transmitted perinatally? A Herpes simplex B Gonorrhea C Trichomoniasis D Chlamydia

A Herpes simplex and syphilis can be transmitted perinatally and sexually. Chlamydia, gonorrhea, and trichomoniasis are transmitted sexually.

A male client comes to the clinic for evaluation. After assessing the client, the nurse suspects that he may be experiencing gonorrhea. Which assessment finding would support the nurse's suspicion? Select all that apply. A. penile discharge B. flank pain C. swollen testicles D. chancre on the penis E. burning on urination

A, C, E,

A female client recently diagnosed with chlamydia comes to the clinic for a check-up. During the visit, the client says, "I had no idea I had chlamydia. I didn't have any symptoms." The nurse would incorporate knowledge of which information when responding to the client? A. Clients often attribute the symptoms to the flu because they are similar. B. Clients with chlamydia frequently are asymptomatic. C. Clients typically overlook the symptoms because they are mild. D. Clients are usually in denial about the symptoms.

B

A patient has a concentration of Staphylococcus aureus located on his skin. The patient is not showing signs of increased temperature, redness, or pain at the site. The nurse is aware that this is a sign of a microorganism at which of the following stages? A. Bacteremia B Colonization C Disease D Infection

B

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. Syphillis B. Genital herpes C. Chlamydia D. Gonorrhea

B

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority? A. Knowledge Deficit B Impaired Skin Integrity C Anxiety D. Powerlessness

B

The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse? A. "You should have asked your partner if they have any infections." B "Your partner could have been asymptomatic at that time." C. "Sexually transmitted infections have obvious signs of their presence." D. "Your partner should have told you of a previous infection."

B

Which of the following describes microorganisms present without host interference or interaction? A. Infectious disease B. Colonization C. Reservoir D. Infection

B

Which of the following is the medication of choice for early syphilis? A. Tetracycline B. Penicillin G benzathine C. Doxycycline D. Rocephin

B

Which of the following is the most common sexually transmitted infection (STI) among young, sexually active people? A. Gonorrhea B. Human papillomavirus (HPV) C. Chlamydia D. Trichomoniasis

B

A client is being tested for gonorrhea. Based on the nurse's understanding of this STI, the nurse would anticipate that the client will also be tested for: A. HPV B. Herpes simplex 2 C. chlamydia D. syphilis

C

A client is diagnosed with herpes simplex. Which statement about herpes simplex infection is true? A. Herpetic keratoconjunctivitis usually is bilateral and causes systemic symptoms. B. Genital herpes simplex lesions are painless, fluid-filled vesicles that ulcerate and heal in 3 to 7 days. C. During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature birth. D. A client with genital herpes lesions may have sexual contact but must use a condom.

C

An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms. What is the best response by the nurse? A. "You are too young to be having sex at all." B. "I can understand your concern and you should bring him here so that I can talk with him about STIs." C. "The use of condoms is one of the best ways to reduce the risk of acquiring an STI." D. "If he won't use a condom, then he doesn't care about you."

C

The nurse educator is teaching a group of nursing students about the physiologic manifesations of tertiary syphillis. The students respond correctly by stating which major organ systems are identified as the most affected by tertiary syphillis? A Musculoskeletal and gastrointestinal B Integumentary and genitourinary C Cardiovascular and neurological D Respiratory and endocrine

C

The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted disease would the nurse focus the client education on curative goals? A. HIV B. Genital herpes C. Chlamydia D. HPV

C

The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session? A. The HPV vaccination prevents the future need for cervical cancer screening in women. B. The vaccination is available only to girls but, in the long term, protects both genders from sexually transmitted infections. C. The effect of the vaccination is optimized if it is administered before the child becomes sexually active. D. A Pap smear test is required prior to administration of the HPV vaccination.

C

Which of the following describes host interaction with an organism? A Infectious disease B Colonization C Infection D Reservoir

C

A female patient tells the nurse that she thinks she has a vaginal infection because she has noted inflammation of her vulva and a yellow-green discharge. The nurse recognizes that the clinical manifestations described are typical of what vaginal infections? A. Chlamydial infection B. Gardnerella C. Candidiasis D. Trichomonas vaginalis

D

A nurse is teaching a group of college-aged men about the risks of Chlamydia trachomatis and Neisseriae gonorrhoeae. A participant has implied that men do not need to be particularly concerned about these diseases since the health consequences for men are comparatively minor. The nurse counters that men may in fact become infertile because these diseases can cause: A Incarcerated hernias B Priapism C Hydrocele D Epididymitis

D

A nurse practitioner assessed a patient's complaints about a vaginal discharge and prescribed Flagyl. The nurse was able to diagnose bacterial vaginosis because of this defining characteristic, a discharge that: A. Is burning and itching. B. Is yellow-green and frothy. C. Is accompanied by vulvitis. D. Has a fish-like odor.

D

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

D

The nurse is assessing a client in the emergency department who grimaces and reports swelling of the testicles, burning on urination and a green discharge from the penis. The nurse suspects the client will be diagnosed with which infection? A. Herpes genitalis B. Primary syphilis C. Trichomoniasis D. Gonorrhea

D

The nurse is instructing a client with herpes simplex virus type 2 (HSV-2) about self-care and precautions. Which instruction would not be included in this client education session? A. Inform all potential sexual partners of the HSV infection even if it is in an inactive state. B. Keep lesions dry using alcohol, peroxide, witch hazel, and warm air from a hair dryer. C. Wear loose clothing that promotes air circulation about the genitals. D. A condom does not need to be used during sexual activity if the disease is dormant.

D. A condom does need to be used during sexual activity even if the disease is dormant. Keep lesions dry using alcohol, peroxide, witch hazel, and warm air from a hair dryer. Inform all potential sexual partners of the HSV infection even if it is in an inactive state. Wear loose clothing that promotes air circulation about the genitals.