Chapter 5: Sexually Transmitted Infections

The nurse is assessing a 68-year-old female client. The client presents with mild lower abdominal pain, greenish-yellow vaginal discharge, and pain during urination. Which question is appropriate for the nurse to ask the client next?

"Are you currently sexually active?"

A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem?

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or knows she has it."

The nurse is teaching a client about sexually transmitted infections. The nurse determines the teaching was successful when the client makes which statement?

"Genital ulcers are a sign of genital herpes simplex."

A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct?

"Human papillomavirus is the cause of essentially all cases of cervical cancer."

A woman with candidiasis is prescribed fluconazole. When teaching the woman about this medication, which instruction would the nurse include?

"Take 1 dose of the drug by mouth."

During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply?

"When you turn 21 years old."

A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. The health care provider has diagnosed it as the primary episode of genital herpes simplex virus (HSV), for which antiviral therapy is recommended. Which information should the nurse offer the client when educating her about managing the infection?

Safety of antiviral therapy during pregnancy has not been established.

A nurse is caring for clients who have a history of genital herpes infection. The client most at risk for an outbreak of genital herpes is the client who reports:

genital pruritus and paresthesia.

The community health nurse is teaching sexually transmitted infections to a high school health class. The nurse determines that the teaching was successful when the group identifies what potential cause for intellectual disability in the newborn?

herpes type 2 (genital herpes)

What is the most common viral infection?

human papillomavirus (HPV)

Which medications are appropriate to treat vaginal candidiasis? Select all that apply.

miconazole fluconazole

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

painful joints

A pregnant client has been diagnosed with gonorrhea. Which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby?

Instill a prophylactic agent in the eyes of the newborn.

The nurse is caring for a male client diagnosed with gonorrhea and chlamydia. Which health care provider order will the nurse question?

acyclovir 400 mg orally BID

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?

burning on urination

A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?

ceftriaxone

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding?

yeast infections

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which information will the nurse include?

Leave space at the tip of the condom.

During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk for developing which diagnosis?

condylomata acuminata

A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment?

fluconazole

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

heart disease and inflammation of the aorta, eyes, brain, central nervous system, and skin

The nurse in the sexual health clinic is obtaining a health history of a client who suffers form heroin use disorder. The client reports chronic flulike symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect?

hepatitis A

The nurse is caring for clients who have STIs. Which client is most at risk for becoming infertile due to the infection?

a woman diagnosed with chlamydia

A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent?

doxycycline

A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission?

sharing contaminated needles

A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis?

sore throat and flu-like symptoms

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) 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 pregnant client is diagnosed with chlamydia and is to receive antimicrobial therapy. Which drug would the nurse least likely expect to be prescribed?

doxycycline

The clinic nurse is assessing an adult female client and notes the following: Blood pressure 102/64 mm Hg; pulse 72 beats/min; axillary temperature 99.0° F (37.2° C); and pale, warm skin. The client reports vaginal itching and soreness, burning sensation during intercourse, and thick, white, odorless vaginal discharge. The nurse will anticipate preparing the client for which procedure first?

pelvic examination