coursepoint STI chapter 5
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 parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. How should the nurse respond?
"A vaccine has been approved to prevent the human papillomavirus.
The nurse is caring for a client diagnosed with candida vaginitis. The nurse knows additional teaching is needed when the client makes which statement?
"Douching is an effective way to cleanse the vaginal area after intercourse."
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."
The nurse is educating a client newly diagnosed with genital herpes. Which statement by the client indicates teaching has been successful?
"I can spread this infection if I have unprotected anal, vaginal, or oral sex."
The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use?
"I will put the condom on just before orgasm."
A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective?
"I will wear loose cotton underwear."
The clinic nurse is treating a client diagnosed with HIV. Which statement made by the client indicates an understanding of the diagnosis?
"If my T-cell count drops below 200 cells/mm3 (0.2 × 109/l), my HIV has progressed to AIDS.
The nurse is developing a teaching plan for a client who is HIV positive and prescribed lamivudine. The nurse will include which statement in the teaching?
"If you develop a dry mouth or rash while taking lamivudine, call your health care provider."
The nurse is caring for a female client diagnosed with vulvovaginal candidiasis. Which instruction will the nurse include in the teaching session with the client?
"It is best for you to wear cotton underwear.
After teaching a group of college-aged students about condom use, the nurse determines that additional teaching is needed when the students make which statement?
"It's okay to use petroleum jelly with a latex condom."
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.
A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?
"This drug will help to suppress any symptoms of the infection."
The nurse is educating a female client diagnosed with human papillomavirus (HPV). Which information will the nurse include in the client's education plan?
"You should be sure to receive consistent testing for cervical cancer."
The nurse is educating a female client with a history of human papillomavirus (HPV). Which information would the nurse include in the education plan regarding reproductive health?
"You should be sure to receive consistent testing for cervical cancer."
A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. How should the nurse respond?
A vaccine has been approved to prevent the human papillomavirus."
A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?
Adolescents and young adults are the largest age group diagnosed with an STI.
A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which nursing intervention may help foster the client's self-esteem?
Affirm the client's good judgment in seeking treatment.
A female client is prescribed metronidazole for the treatment of trichomoniasis. Which instruction should the nurse give the client undergoing treatment?
Avoid alcohol.
A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which nursing strategy should be adopted to prevent the spread of STIs in the community?
Discuss limiting the number of sex partners
A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which nursing strategy should be adopted to prevent the spread of STIs in the community?
Discuss limiting the number of sex partners.
The nurse is caring for a client diagnosed with candida vaginitis. The nurse knows additional teaching is needed when the client makes which statement?
Douching is an effective way to cleanse the vaginal area after intercourse."
The sexual health nurse is presenting to a group of adolescents the government initiative that proposes to reduce the numbers of adolescents with sexually transmitted infections (STIs). What is the name of this initiative?
Healthy People 2030
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."
The nurse is educating a client newly diagnosed with genital herpes. Which statement by the client indicates teaching has been successful?
I can spread this infection if I have unprotected anal, vaginal, or oral sex."
A client presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole. What is the paramount nursing intervention in discharge planning?
Instruct the client not to drink alcohol with this treatment.
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
A nurse is caring for a client positive for human immunodeficiency virus (HIV). The client is on triple-combination highly active antiretroviral therapy (HAART). What should the nurse include in the teaching plan when educating the client about the treatment? Select all that apply. Exposure of fetus to antiretroviral agents is completely safe. Successful antiretroviral therapy may prevent acquired immunodeficiency syndrome (AIDS). Unpleasant side effects such as nausea and diarrhea are common. Provide written materials describing diet, exercise, and medications. Ensure that the client understands the dosing regimen and schedule.
Unpleasant side effects such as nausea and diarrhea are common. Provide written materials describing diet, exercise, and medications. Ensure that the client understands the dosing regimen and schedule.
Which medication is used to suppress viral load of the HSV-2 infection?
acyclovir
The nurse cares for a client recently diagnosed with syphilis who has no known drug allergies. Which medication will the nurse expect the health care provider to prescribe?
benzathine penicillin G
A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess?
characteristic "stale fish" odor
A client has presented reporting symptoms that suggest a gonorrheal infection. After laboratory testing confirms this diagnosis, the nurse anticipates that the client will also be treated for which infection?
chlamydia
A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States?
chlamydia
The nurse assesses multiple clients in the clinic. Which client is at highest risk for cervical cancer?
client positive for human papillomavirus virus (HPV)
A client with a family history of cervical cancer is to undergo a Papanicolaou test. During the client education, what group should the nurse include as at risk for cervical cancer?
clients who have genital warts
Working at the local health clinic, the nurse recognizes that STIs can often result in pelvic inflammatory disease. When a client with a history of repeat STIs presents to the clinic reporting severe abdominal cramping and bleeding, the immediate concern is to ensure the client does not have:
ectopic pregnancy.
When developing a program for STI prevention, which action would need to be done first?
educating on how to promote sexual health
A school health nurse is presenting information on sexually transmitted infections (STIs) to a high school class. The nurse feels confident that learning has taken place when the students report:
female adolescents are more susceptible to STIs due to their anatomy.
A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata?
human papillomavirus
A nurse in the sexual health clinic assesses a female client and notes wart-like lesions on the genital area and rectum. Which diagnosis best correlates with these findings?
human papillomavirus
What is the most common viral infection?
human papillomavirus (HPV)
Which medication is the most effective treatment for trichomoniasis?
metronidazole
What is the medication of choice for early syphilis?
penicillin G benzathine
Pelvic infection is most commonly caused by:
sexual transmission.
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?
trichomoniasis
The nurse is assessing a 15-year-old female who reports extreme itching in the genital area, dysuria, and foul-smelling, yellow, foamy, vaginal discharge. What would most likely be responsible for these symptoms?
trichomoniasis
The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis?
irritation of vaginal walls
A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?
burning on urination
The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis?
green vaginal discharge
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 developing a teaching plan for a client diagnosed with genital herpes simplex (HSV). Which would the nurse include? Select all that apply. The management of genital herpes includes antiviral therapy. Little can be done to control the occurrences of infection. The need to use good handwashing technique to prevent spread. Educate the client to abstain from sexual activity until HSV lesions resolve. The goal is for recurrences to be less frequent over time. The management of genital herpes includes antibiotic therapy.
The management of genital herpes includes antiviral therapy. The need to use good handwashing technique to prevent spread. Educate the client to abstain from sexual activity until HSV lesions resolve. The goal is for recurrences to be less frequent over time.
A nurse is engaged in primary prevention activities for human papillomavirus (HPV). The nurse would be most likely involved with which activity?
administering HPV vaccine
When educating a client about the dangers of STIs, the nurse emphasizes the risk of damage to other organs if the infection is left untreated. The nurse identifies possible liver damage that may result from which infection?
hepatitis B virus
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 in all sexually active women younger than which age?
25
Which factor in a client's history indicates she is at risk for candidiasis?
use of corticosteroids
A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis?
vaginal odor smelling of fish
A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings?
the possibility of a chlamydia infection
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 six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms?
an azole antifungal agent
The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common bacterial STI in the United States would the nurse expect to include?
chlamydia
A 40-year-old woman is being discharged from the walk-in health care clinic after a diagnosis of pelvic inflammatory disease (PID). Which health teaching topic should the nurse address?
sexually transmitted infections (STIs)
A sexual health public health nurse is presenting information on sexually transmitted infections (STIs) to adolescent girls and is asked, "Why are females more at risk for STIs?" Which statements by the nurse would best answer this question? Select all that apply. Teenage females have sex as they feel they have power to control the sex act." "Teenage females lack communication skills to negotiate for safer sex." "The teenage female anatomy is mature, leaving them more susceptible to STIs." "The female genital tract makes you more sensitive to specific STI organisms." "Teenage girls are more susceptible to STIs due to their genital anatomy."
"Teenage females lack communication skills to negotiate for safer sex." "The female genital tract makes you more sensitive to specific STI organisms." "Teenage girls are more susceptible to STIs due to their genital anatomy."
A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection?
gonorrhea
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.
A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student?
Withdraw the penis erect, holding the condom firmly against the penis.
A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student?
Withdraw the penis erect, holding the condom firmly against the penis."
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?
a painless genital ulcer that appeared about 3 weeks after unprotected sex
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
What is the gold standard for herpes simplex virus (HSV) diagnosis?
culture
Which finding would alert the nurse to suspect that a client has a yeast infection?
vulvar burning and itching
