Review Questions

A nurse in the clinic is obtaining a health history of a 16 year old boy with a complaint of a thick urethral discharge. What is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea?

Obtain a urethral specimen for culture

The nurse is teaching a sex education course to high school students. What information should the nurse provide regarding the rationale for an increase in gonorrhea prevalence?

- symptoms of the disease are vague - the incubation period is relatively short - causative organisms have become resistant to treatment

Which subjective statement made by the client helps in distinguishing bacterial vaginosis from other vaginal infections?

"I have a thin vaginal discharge with a fishy odor."

A female client who has been sexually active for 5 years is diagnosed with gonorrhea. The client is upset and asks the nurse, "What can I do to keep from getting another infection in the future?" Which statement by the client indicates that the teaching by the nurse was effective?

"My partner has to use a condom all the time."

A nurse is assessing a female client with suspected primary syphilis. Which sign of primary syphilis does the nurse expect the client to exhibit?

An indurated painless nodule on the vulva that is draining

A nurse is concerned about the public health implications of gonorrhea diagnosed in a 16 year old adolescent. Which should be of most concern to the nurse?

Finding the client's sexual contacts

A 16 year old client arrives at the clinic complaining of increased vaginal discharge, intermittent vaginal bleeding, excessive bleeding during menstruation, and pain in the lower abdomen. She relates an active sexual history with multiple partners. Which disease does the nurse suspect the client has?

Gonorrhea

A 16 year old client has a steady boyfriend with whom she is having sexual relations. She asks the nurse how she can protect herself from contracting HIV. Which guidance is most appropriate for the nurse to provide?

Insist that her partner use a condom when having sex

A nurse is teaching a group of parents about a developmental expectation that occurs in girls around 10 years of age. What should the nurse identify as the earliest signs of sexual maturity?

The appearance of axillary and pubic hair

The waiting area of a health care facility displays a pink triangle. What does this signify?

The health care facility welcomes LGBTQ clients

The clinic nurse is planning care for a client found to have Chlamydia. Which treatment should the nurse plan to implement?

administration of 1 gram of azithromycin orally in a single dose

During a pelvic examination of a 24 year old woman, the nurse suspects a vaginal infection because of the presence of a while curdlike vaginal discharge. What other finding supports a fungal vaginal infection?

an itchy perineum

A nurse is teaching a client about drug therapy for gonorrhea. Which fact about drug therapy should the nurse emphasize?

cures the infection

A nurse is caring for a pregnant woman who has contracted a trichomonal infection. Which oral drug should the nurse anticipate that the primary healthcare provider will most likely prescribe?

metronidazole

In teaching a class about sexually transmitted infections, the nurse discusses manifestations associated with each and effects of delaying treatment. During the discussion, gummas, which are tumors that break and ulcerate, and mental and physical disability are described. Which infection is the nurse describing?

syphilis