Module 19.5
A female teenager presents to a clinic to discuss birth control options with the nurse. Which item should the nurse include in the conversation? A Teaching on how adolescents are at greater risk for STIs B Counseling on inappropriateness of teens having sex C Referring the patient to a family planner D Stating that a request for a parent's consent is needed
A
The nurse is assessing a sexually active adolescent male patient in a community clinic. When teaching about reducing the risk of sexually transmitted infections (STIs), which statement should the nurse include? A "Condoms should be used for every sexual encounter." B "Application of petroleum jelly to the condom provides an additional barrier." C "An initial HIV test result needs to be followed up with a retest exactly 1 month after the initial test." D "Natural or animal-skinned condoms feel more comfortable than latex versions."
A
The nurse is performing an assessment on a patient who reports abnormal vaginal discharge. Which manifestation should the nurse identify as being useful in the diagnosis? A Color of the discharge B Pain upon assessment C Amount of discharge D Consistency of discharge
A
The nurse is planning a teaching session for a group of pregnant women about potential complications to unborn children that result from untreated sexually transmitted infections (STIs). Which information should the nurse include? A "Congenital syphilis is transferred to the fetus through the placental circulation." B "The fetus is protected from any complication related to an untreated sexually transmitted infection if the baby is born by Cesarean section." C "Bacterial STIs cannot be treated during pregnancy." D "Viral STIs are treatable in the pregnant woman."
A
The nurse is providing care in an outpatient clinic for an adolescent patient who has been diagnosed with a sexually transmitted infection (STI). Which intervention should the nurse include in the plan of care? A Encouraging the patient to receive the hepatitis-B Vaccination B Being judgmental when providing teaching C Notifying the adolescent's family of the STI D Telling the adolescent that they do not need to notify any sexual partners
A
The nurse is providing teaching to a female patient with gonorrhea. Which information should the nurse emphasize? A It may not cause symptoms until serious complications occur. B It can be treated, but not cured. C It is often marked by symptoms of dysuria or vaginal bleeding. D It does not lead to serious complications.
A
The nurse is teaching a younger patient who has a sexually transmitted infection (STI). Which action would breach the confidentiality aspect of the patient and thus should not be a part of the teaching plan? A Informing the patient's parents of the STI B Submitting the office visit to insurance for reimbursement C Advising patient to contact any sexual partners D Reporting the infection to the CDC
A
The nurse is teaching to a group of older adults on the increased need of sexually transmitted infection (STI) testing in this particular population. Which describes the reasoning for this community action? A STIs go undiagnosed, sexuality may be overlooked. B Older adults do not practice safe sex. C Older adults are uneducated about safe sex. D Older adults are as sexually active as younger adults.
A
The nurse is caring for an adolescent patient who has been diagnosed with chlamydia. Which treatment option is appropriate for this patient? A Antihypertensives B Antibiotics C Antivirals D Antifungals
B
The nurse is speaking with a 12-year-old girl and her mother about sexually transmitted infections (STIs). The mother asks, "I heard there is a shot that can help prevent STIs. Is this true?" Which response by the nurse is accurate? A "Yes, there is a vaccine available to prevent syphilis." B "Yes, there are vaccines to prevent human papillomavirus infections." C "Yes, and you would use it along with medication to prevent chlamydia." D "Yes, but your daughter is too young for this vaccine."
B
A female patient reports dysuria and abnormal vaginal discharge. The nurse reviews the chart and notes a history of gonorrhea. The nurse suspects the patient has unresolved gonorrhea. A Reactive arthritis B Epididymis C Pelvic inflammatory disease D Inflammation of the periurethral glands
C
After a physical examination and health history, a patient is suspected of having syphilis. Which diagnostic test should the nurse expect to confirm diagnosis? A Computerized tomography (CT) scan B Pap exam C Blood tests D White blood cell (WBC) with differential
C
The nurse is teaching a patient on the importance of STI testing during the prenatal visit. The patient displays confusion as to why this is necessary. The nurse elaborates further on the reasoning. Which patient statement demonstrates understanding of the reasoning for the testing? A "I am guaranteed to pass an infection onto my unborn baby." B "This is a formality so insurance pays for the visit." C "I may have an infection that I do not know about due to the absence of symptoms." D "I would consider this if I had more than one partner."
C
The nurse performs a health history for a college student who is suspected of having a sexually transmitted infection (STI). The patient states she is nervous about the upcoming pelvic examination. Which is the best response from the nurse? A "You are not alone. Most women feel uncomfortable about this examination." B "Do not worry about the doctor. He is a specialist in female problems." C "Can you tell me more about how you are feeling?" D "We will do everything we can to avoid embarrassing you."
C
The nurse has completed discharge teaching for a patient treated for a sexually transmitted infection (STI). Which patient statement indicates that the discharge instructions were understood? A "I won't have my sexual partner wear a condom, because I'm not allergic to penicillin." B "If you're going to get it, you're going to get it." C "I will be careful not to have intercourse with someone who has an STI." D "I will notify my sex partners and not have unprotected sex from now on."
D