Sexually Transmitted Infections

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?

"Your partner could have been asymptomatic at that time."

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection and all sexually active women younger than which age?

24 And in women with new or multiple sex partners

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection?

Abandoned biases that older adults are sexually inactive

The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections. Which statement made by the client needs clarification?

I consider myself protected because i am on birth control pills

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Tetracycline

The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the CDC?

Chlamydia Syphilis HIV Gonorrhea

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?

Chlamydia Most common and fast spreading bacteria.

The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection?

Chlamydia The nurse is most correct to state that chlamydia is the most common and fastest spreading bacterial sexually transmitted infection.

The nurse is providing discharge instructions to a female client following inpatient therapy for gonorrhea infection. The client is being discharged on doxycycline for 7 days. Which nursing intervention is essential for a therapeutic outcome?

Complete all prescribed medications

The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?

Fever, sore throat, lymph node enlargement

The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?

HPV

When evaluating the therapeutic outcome of medication therapy for a client with recurrent sexually transmitted disease, which cleans statement best confirms medication use?

I seem to have less breakouts with fewer symptoms Med is effective towards disease

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?

I'm temporarily not contagious once the warts are destroyed.

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?

Impaired skin integrity

A client with HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

Inform all potential sexual partners about the infection, even if it is inactive. Advise the client to use a condom during sexual activity even if the disease is dormant and to avoid sexual contact if the infection is active. Condoms do not protect skin and mucous membranes left exposed.

Which of the following types of condoms is appropriate only if the client is in a long standing relationship?

Natural membrane condom Only appropriate when the client is in a long standing relationship. Natural membrane condom acts as a barrier preventing sperm from encountering the female reproductive tract, but it allows viruses to pass through the membrane.

The nurse is instructing a health class on the proper use of a condom. Place the steps of applying a condom in the proper order.

Obtain an erection Check expiration date on condom Unroll condom over penis leaving a 1/2 in space at the top Dispose of the used condom Roll the condom up to the tip of the penis pinching the top

The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections. One of the points is the fact that the statistics of infection are underreported. Which of the following is the main cause that statistics are underreported?

Only certain STI's are reported to the CDC and prevention Thus providing incomplete data.

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?

Painful joints May manifest a skin rash, fever, and painful joints.

Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted disease?

Perform thorough hand washing Autoinoculation means to self infect. The nurse is most helpful to stress that hand washing helps prevent the spread of infection to others and also to other parts of ones own body.

The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 appears in active labor. Which adjustment in the plan of care will the nurse prepare for?

Prepare for a C section

An instructor is teaching a group of students about the incidence of sexually transmitted infections and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Syphilis

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?

Tabes dorsalis, ataxia, and Charcot's joints Client is non infectious in tertiary stage, because it has invaded the CNS as well as other organs. Tabes dorsalis (degenerative condition of the CNS that results in loss of peripheral reflexes and of vibratory and position senses) ataxia, and neuropathic joint disease also called Charcots joints.

The nurse is instructing an adolescent on ways to prevent STIs. When evaluating the options, which is best when the client states being sexually active?

Use a latex condom with a spermicide

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

What do you do to prevent sexually transmitted infections Obtain clients feedback in a nonjudgmental way to open communication.

Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV2 diagnosis?

You must inform all sexual partners

The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?

Are you allergic to penicillin?

The nurse is discussing information regarding the HPV infection. Which statement made by the client requires clarification?

HPV is spread during sexual intercourse Sexual penetration is not necessary to transmit HPV. The warts can also be spread by autoinoculation.

Which type of sexually transmitted disease is the nurse most accurate to highlight in the clients history as it remains dormant in the body and can reoccur at any time?

Herpes infection

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

Human papilloma virus

The nurse has just obtained a newborn for admission and assessment in the newborn nursery. Which of the following nursing actions is done as a result of potential contamination of the neonate when descending down the birth canal?

Instilling erythromycin ointment in the eyes Immediately after birth. Antibiotic to prevent the occurrence of blindness in newborns born to a mother w a STI

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphillus at the same time for which reason?

It is not unsual for clients to have concurrent infections with more than one sexually transmitted infection STI

The client states a history of lymphogranuloma venereum diagnosed 6 months ago. When completing the head to toe assessment which area should be a focus?

Lymph nodes on the genital area Caused by C. Trachoma this bacteria and is characterized by an erosion or papule and enlargement of adjacent lymph nodes, which can be necrotic.

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point would the nurse place in bold letters?

Many people are asymptomatic and show no symptoms contributing to the spread of the disease.

The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?

The client has dementia and cannot care for themselves CNS complications including dementia

The nurse is caring for a female diagnosed with an STI. The client states that her sister also has an STI. Which instruction by the nurse provides the rationale for females obtaining infections more frequently than males?

The vagina is more conducive to microbial growth Due to the warm and moist nature. Also is a receptive orifice where the bacteria are deposited. Menstrual flow is cleansing to the area as debris is removed from the tract.