Sexually Transmitted Infections

The nurse is caring for an adolescent patient who has been diagnosed with gonorrhea and prescribed an oral antibiotic therapy. Which patient statement indicates understanding of the medication instructions? A. "I will need to take all my medication as prescribed." B. "I will need to take this one dose with food." C. "I will need to return in 12 hours for my second dose." D. "I will need to have an injection of penicillin G."

A. "I will need to take all my medication as prescribed."

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. "Can you tell me more about how you are feeling?" B. "You are not alone. Most women feel uncomfortable about this examination." C. "Do not worry about the doctor. He is a specialist in female problems." D. "We will do everything we can to avoid embarrassing you."

A. "Can you tell me more about how you are feeling?"

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. "Natural or animal-skinned condoms feel more comfortable than latex versions." C. "Application of petroleum jelly to the condom provides an additional barrier." D. "An initial HIV test result needs to be followed up with a retest exactly 1 month after the initial test."

A. "Condoms should be used for every sexual encounter."

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 may have an infection that I do not know about due to the absence of symptoms." B. "I would consider this if I had more than one partner." C. "I am guaranteed to pass an infection onto my unborn baby." D. "This is a formality so insurance pays for the visit."

A. "I may have an infection that I do not know about due to the absence of symptoms."

The nurse is teaching a client about caring for herpes lesions. Which statement made by the client expresses​ understanding? A. "I should dry the lesions with a hair dryer on a cool​ setting." B. "I should wash the lesions with antibacterial​ soap." C. ​"I should wear​ jeans, not​ shorts, to keep the lesions​ covered." D. ​"I should wear nylon​ underwear."

A. "I should dry the lesions with a hair dryer on a cool​ setting."

The nurse is meeting with a patient who has been taking antiviral medication for a herpes outbreak. The nurse stresses the term autoinoculation. Which patient statement demonstrates an understanding of this term? A. "I should refrain from touching the blisters and then scratching another part of my body." B. "I should dab the drainage from the blisters with soft tissues." C. "I should wash the blistered area thoroughly with antibacterial soap.' D. "I should avoid sexual contact."

A. "I should refrain from touching the blisters and then scratching another part of my body."

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 will notify my sex partners and not have unprotected sex from now on." B. "I will be careful not to have intercourse with someone who has an STI." C. "I won't have my sexual partner wear a condom, because I'm not allergic to penicillin." D. "If you're going to get it, you're going to get it."

A. "I will notify my sex partners and not have unprotected sex from now on."

The nurse has completed discharge teaching for a client treated for genital herpes. Which statement by the client indicates teaching was effective​? ​(Select all that​ apply.) A. "I will notify my sex partners so they can get​ treatment." B. "I'm glad the medication prescribed will cure this​ infection." C. "I don't need to use a​ condom." D. "I understand this antiviral medication will help shorten and prevent​ outbreaks." E. ​"I'll try to keep my stress level​ down."

A. "I will notify my sex partners so they can get​ treatment." D. "I understand this antiviral medication will help shorten and prevent​ outbreaks." E. ​"I'll try to keep my stress level​ down."

The nurse is teaching ways to decrease the risk of contracting an STI to a group of adolescents. Which information should the nurse include in the session? A. "STIs can be contracted by oral sex." B. "STIs can be contracted from toilet seats." C. "STIs can be contracted from shared toothbrushes." D. "STIs can be contracted by sharing drinking glasses."

A. "STIs can be contracted by oral sex."

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 are vaccines to prevent human papillomavirus infections." B. "Yes, but your daughter is too young for this vaccine." C. "Yes, there is a vaccine available to prevent syphilis." D. "Yes, and you would use it along with medication to prevent chlamydia."

A. "Yes, there are vaccines to prevent human papillomavirus infections."

The nurse is providing information about sexually transmitted infections (STIs) to a patient with genital herpes. The patient states, "I know I got this infection from my boyfriend, but what germs caused my infection?" Which is the best response from the nurse? A. "Your infection was caused by a virus." B. "Your infection was caused by bacteria." C. "Your infection was caused by a fungus." D. "Your infection was caused by a protozoa."

A. "Your infection was caused by a virus."

The nurse is caring for an older female patient during their annual check-up. Which condition puts this patient at a higher risk of STIs due to normal, age-related changes? A. A decrease in estrogen B. A decrease in bone mass C. A decrease in mobility D. A decrease in progesterone

A. A decrease in estrogen

The community nurse is teaching a group of patients about sexually transmitted infections (STIs). Which patient is at the greatest risk for contracting an STI? A. Adolescent girl, age 17 B. Woman, age 32 C. Man, age 50 D. Man, age 22

A. Adolescent girl, age 17

The nurse is caring for an adolescent patient who has been diagnosed with chlamydia. Which treatment option is appropriate for this patient? A. Antibiotics B. Antifungals C. Antivirals D. Antihypertensives

A. Antibiotics

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. Blood tests B. White blood cell (WBC) with differential C. Computerized tomography (CT) scan D. Pap exam

A. Blood tests

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. Amount of discharge C. Consistency of discharge D. Pain upon assessment

A. Color of the discharge

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. Notifying the adolescent's family of the STI C. Being judgmental when providing teaching D. Telling the adolescent that they do not need to notify any sexual partners

A. Encouraging the patient to receive the hepatitis B vaccination

Which nursing intervention related to teaching a patient about sexually transmitted infections (STIs) would require revision? A. Encouraging the use of antibiotics until symptoms resolve B. Abstaining from sexual activity while being treated C. Demonstrating proper placement of condoms D. Supporting the decision to contact partners who may be infected

A. Encouraging the use of antibiotics until symptoms resolve

The nurse explains the importance of testing for sexually transmitted infections​ (STIs) to a newly pregnant client. During which time period should the nurse explain that this test will take​ place? A. First prenatal visit B. Only if the client has symptoms C. Second prenatal visit D.Immediately after finding out she is pregnant

A. First prenatal visit

Which intervention by the nurse can help decrease the burning upon urination for a female client with​ gonorrhea? A. Increasing fluids B. Running ice water over the perineal area C. Providing a Sitz bath D. Taking diuretics

A. Increasing fluids

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. Advising patient to contact any sexual partners C. Reporting the infection to the CDC D. Submitting the office visit to insurance for reimbursement

A. Informing the patient's parents of the STI

`The nurse is teaching at a community health clinic about the risk factors for syphilis. Which statement should the nurse​ include? (Select all that​ apply.) A. It is contracted by unprotected sex. B. Only women are at risk for syphilis. C. It is only contracted through anal sex. D. It has an incubation period of 10 to 90 days. E. It spreads through the body by way of blood and lymph nodes.

A. It is contracted by unprotected sex. D. It has an incubation period of 10 to 90 days. E. It spreads through the body by way of blood and lymph nodes.

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 does not lead to serious complications. D. It is often marked by symptoms of dysuria or vaginal bleeding.

A. It may not cause symptoms until serious complications occur

A client reports burning on urination and a vaginal discharge. Which information should the nurse include in the​ client's documentation?​ (Select all that​ apply.) A. Length of time since symptoms presented B. History of unprotected sex C. Names and phone numbers of all sexual contacts D. Allergies to any medications E. History of fever or chills

A. Length of time since symptoms presented B. History of unprotected sex D. Allergies to any medications E. History of fever or chills

The nurse is caring for a female patient with possible chlamydia. This patient is most likely to present initially with which clinical manifestation? A. No specific symptoms B. Pelvic inflammatory disease C. Cervicitis D. Urethritis

A. No specific symptoms

Which intervention should the nurse discuss with a client newly diagnosed with herpes regarding viral​ shedding? A. Not sharing bath towels B. Abstaining from sex C. Taking antivirals D. Following a​ low-protein diet

A. Not sharing bath towels

The nurse is interviewing a patient newly diagnosed with syphilis. Which nursing action is most important to control the spread of the infection? A. Stressing importance to patient of contacting sexual contacts B. Motivating the patient to undergo treatment C. Increasing the patient's knowledge of the infection D. Reassuring the patient that records are confidential

A. Stressing importance to patient of contacting sexual contacts

The nurse is caring for a client who has been diagnosed with herpes. Following the​ diagnosis, which intervention should the nurse include in the plan of​ care? A. Teach client how to keep herpes blisters clean and dry. B. Teach client to refrain from sexual activity until disease is cured. C. Perform a physical exam. D. Instruct the client to take antibiotics until symptoms resolve.

A. Teach client how to keep herpes blisters clean and dry.

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. Stating that a request for a parent's consent is needed C. Referring the patient to a family planner D. Counseling on inappropriateness of teens having sex

A. Teaching on how adolescents are at greater risk for STIs

The nurse is caring for a patient diagnosed with cardiovascular syphilis. The nurse should recognize that the patient is in which stage of syphilis? A. Tertiary B. Primary C. Secondary D. Latent

A. Tertiary

The nurse is teaching a client diagnosed with genital herpes simplex virus​ (HSV). How should the nurse describe the signs of an​ outbreak? (Select all that​ apply.) A. Ulcerations B. Itching C. Small, flat,​ flesh-colored warts D. Burning E. Bleeding

A. Ulcerations B. Itching D. Burning

A client presents for evaluation of a possible sexually transmitted infection​ (STI). Which assessment finding should the nurse consider a potential indication of an​ STI? A. Vaginal dryness B. Burning and frequency of urination C. Absence of expected menses D. Thick, cottage​ cheese-like vaginal discharge

B. Burning and frequency of urination

The nurse receives notification from the lab that a client tests positive for syphilis. Which nursing action should the nurse​ implement? (Select all that​ apply.) A. Inform the client that syphilis is not contagious if there are no symptoms of infection. B. Ensure that this case is reported to the public health system. C. Recommend that a pregnancy test be obtained. D. Verify the​ client's drug allergies. E. Initiate client teaching regarding sexually transmitted infections and their consequences.

B. Ensure that this case is reported to the public health system. C. Recommend that a pregnancy test be obtained. D. Verify the​ client's drug allergies. E. Initiate client teaching regarding sexually transmitted infections and their consequences.

The nurse is caring for an adolescent client who has been diagnosed with a sexually transmitted infection​ (STI). Which problem should the nurse assess in this​ client? (Select all that​ apply.) A. Risk of altered parenting B. Impaired skin integrity C. Disturbed body image D. Deficient knowledge E. Pain

B. Impaired skin integrity C. Disturbed body image D. Deficient knowledge E. Pain

The nurse is meeting with the mother of an 8-year-old girl who complains of a burning sensation upon urination and an abnormal vaginal discharge. Which intervention is most appropriate for the nurse to implement? A. Having the mother leave during the examination B. Involving a clinician experienced in child sexual abuse C. Making sure to have two nurses present during assessment D. Contacting a child abuse line immediately

B. Involving a clinician experienced in child sexual abuse

The nurse is assessing a client with syphilis. Which stage of syphilis is characterized by a​ chancre, painless ulcerations on the genital​ area? A. Latent stage B. Primary stage C. Tertiary stage D. Secondary stage

B. Primary stage

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. Older adults are uneducated about safe sex. B. STIs go undiagnosed, sexuality may be overlooked. C. Older adults are as sexually active as younger adults. D. Older adults do not practice safe sex

B. STIs go undiagnosed, sexuality may be overlooked.

The nurse is assessing a female patient who presents with painless, wart-like growths on the vulva, inner vagina, and cervix. Which condition should the nurse suspect? A. Pediculosis pubis B. Syphilitic lesion C. Human papillomavirus D. Fluid-filled blisters

C. Human papillomavirus

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. The nurse should assess for which complication? A. Epididymis B. Inflammation of the periurethral glands C. Pelvic inflammatory disease D. Reactive arthritis

C. Pelvic inflammatory disease

The nurse is caring for a client who was diagnosed with chlamydia. Which action by the nurse is appropriate for this​ client? A. Tracking that the client filled a prescription B. Instructing client to take antibiotics until symptoms resolved C. Reporting the sexually transmitted infection D. Visiting the home to follow up

C. Reporting the sexually transmitted infection

The nurse is caring for a client diagnosed with syphilis. The client has a rash covering both palms of the hands. The nurse explains that the client is in which stage of​ syphilis? A. Latent stage B. Primary stage C. Secondary stage D. Tertiary stage

C. Secondary stage

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. "The fetus is protected from any complication related to an untreated sexually transmitted infection if the baby is born by Cesarean section." B. "Bacterial STIs cannot be treated during pregnancy." C. "Viral STIs are treatable in the pregnant woman." D. "Congenital syphilis is transferred to the fetus through the placental circulation."

D. "Congenital syphilis is transferred to the fetus through the placental circulation."

The nurse is preparing to administer an intramuscular injection of one antibiotic and an oral dose of another antibiotic for a client with gonorrhea. The client wants to know why both are needed. Which rationale for dual treatment should the nurse include in the​ explanation? A. Specific portal of entry B. Strength of the bacteria C. Client's immunity D. Antimicrobial resistance

D. Antimicrobial resistance

The nurse is caring for a client who has been diagnosed with reactive arthritis. The nurse notes symptoms of a sexually transmitted infection​ (STI). Which STI should the nurse​ suspect? A. Herpes simplex virus B. Syphilis C. Gonorrhea D. Chlamydia

D. Chlamydia

The nurse is obtaining a history on an adolescent client. Which reported behavior should be​ concerning? A. Practicing abstinence for the first 6 months of a monogamous relationship B. Asking a partner in a monogamous relationship to be tested for STDs C. Verbalizing how to identify the warning signs of dating violence and date rape D. Engaging in sex with a diaphragm with a​ non-monogamous partner

D. Engaging in sex with a diaphragm with a​ non-monogamous partner

The nurse is teaching a group of adolescent patients about sexually transmitted infections (STIs). The nurse divides the infections into two groups: bacterial and viral. Which infection should the nurse discuss when teaching about viral STIs? A. Syphilis B. Gonorrhea C. Chlamydia D. Herpes

D. Herpes

A client presents with a sore tip of the penis. The client reveals having sex with two partners. Upon examination the nurse notices swelling in the​ client's groin, along with chancre. How should the nurse interpret this swelling in the​ groin? A. Allergic reaction B. Retention C. Necrosis D. Lymphadenopathy

D. Lymphadenopathy

The nurse is caring for a pregnant client who has syphilis. Which is a priority ​intervention? A.Scheduling treatment after birth of the baby B.Screening and treating the​ client's partner C.Treating the client with an antifungal D.Treating the client with an antibiotic

D.Treating the client with an antibiotic