Ch 46

A female client is diagnosed with chlamydia during a routine pelvic examination. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective?

"My partner will need to take antibiotics at the same time I do."

A woman asks "Why do I have to tell my sexual partner about chlamydia? I thought this was a "female" disease." What is the nurse's best response?

"The condition is transmittable to men and may cause infertility."

In teaching a client about genital warts, which statement is correct for the nurse to say?

"The incubation period is 6 weeks to 3 months."

Which instruction is essential for the nurse to include in the care plan for a client with herpes simplex virus-1 (HSV-1)?

"This disease is transmitted by oral secretions."

Select the condition that contributes to the risk of infertility in males.

Trichomoniasis

A client asks how his condition, Condylomata acuminata, is caused. What is the nurse's best response?

"Human papillomavirus (HPV) is the cause of your condition."

A client has been diagnosed with syphilis after seeking care for a penile lesion. The nurse should anticipate which intervention?

Administration of injectable penicillin

A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last 6 months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of medication is most likely to resolve her symptoms?

An azole antifungal agent

What is the US Centers for Disease Control and Prevention's recommended treatment for a chlamydial infection in men?

Doxycycline

Which statement about gonorrhea is correct?

Gonorrhea is a reportable sexually transmitted infection.

Select the treatment of choice for syphilis.

Long-acting penicillin in a single injection

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last 6 months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?

Metronidazole

Select the most common symptom a female diagnosed with chlamydial infection will develop.

Mucopurulent cervical discharge

A client presents with a rash on the palms of his hands, mucous membranes, and stomach. He is reporting a sore throat and nausea. Which conditions is the nurse concerned about?

Syphilis

The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that:

a large percentage (70%) of those infected experience no symptoms of the disease.

Which event is associated with the primary stage of syphilis?

Genital chancres

Within how many days it is important to test anyone who has had sex with an individual who tests positive for gonorrhea?

60

There is no known cure for genital herpes, and methods of treatment are often symptomatic. Pharmacologic management of genital herpes includes which drugs?

Acyclovir

A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be:

Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans.

In assessing a client, the nurse notes a grayish discharge from the vaginal area accompanied by a foul odor. What is the nurse's best action?

Asking about other symptoms

During infertility workup, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation?

Fallopian tube damage

A 22-year-old client has presented to the primary health care provider for an annual Papanicolaou (Pap) test. Which infection will give abnormal results of this diagnostic test?

Human papillomavirus (HPV)

Select the correct statement regarding herpes simplex virus.

Only two strains of the virus are considered sexually transmittable.

A nurse is assessing a male who is reporting nonspecific symptoms of prostate and periurethral gland pain. Which characteristic discharge makes the nurse suspect gonorrhea?

Purulent exudates

A 23-year-old diagnosed with syphilis presents with palmar rash, sore throat, fever, and a red-brown lesion on the genital area. The symptoms have been present for 3 weeks. Select the stage of syphilis this client is currently in.

Secondary

Select the most reliable test to diagnose syphilis.

Serology

A female client presents to the clinic with a rash on the palms of her hands, symptoms of hair loss, and the development of elevated, red-brown lesions that have begun to ulcerate and produce a foul discharge. Based on these symptoms, the nurse plans to test the client for which sexually transmitted infection?

Syphilis

A client was diagnosed with herpes simplex virus (HSV) several months ago and has adapted his lifestyle to limit the frequency and severity of recurrences. Which actions help facilitate this goal? Select all that apply.

-Limiting stress -Getting adequate sleep

A client with herpes simplex virus (HSV) states, "I can stop taking my drugs because I'm cured. My lesions are gone." Knowing the pathophysiology behind the disappearance of HSV symptoms, the health care provider suspects the client is experiencing which phase of infection?

Periods of latency in the nervous system

A male client presents to the clinic with profuse, purulent urethral discharge with painful urination. Which information will be most important for the nurse to obtain?

Recent sexual contacts