GU & STI's- Med Surg

A 21-year-old male comes to you complaining of a fever, muscle pain, and lesions on his penis. Diagnostic tests confirm the diagnosis of herpes simplex virus, type 2. Which of these statements made by the client does not warrant further education on the client's recent diagnosis? "Medication will be prescribed to cure my herpes virus infection." "Prescribed medication will slow my herpes virus infection, but will not cure it." "Condoms can be used during sex when lesions are active." "The lesions will heal on their own, with no recurrence, after 14 days."

"Prescribed medication will slow my herpes virus infection, but will not cure it."

A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? "I'll have to stay in the hospital for about 3 to 4 days after the surgery." "I'll have a small incision on my lower abdomen after the procedure." "The surgeon is going to remove the entire prostate gland." "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

If a pregnant client has gonorrhea and is left untreated, which of these complications of gonorrhea may be seen? Select all that apply. 1. Infertility 2. Ectopic pregnancy 3. Genital warts 4. No complications 5. Herpetic lesions

1 2

A client, newly diagnosed with gonorrhea questions the nurse about when she and her male partner should have sex. What is the nurse's best response to the client? 1. "Avoid having sex with your partner until the completion of treatment." 2. " You may continue having sex but use a diaphragm for birth control." 3. "You can only have oral or anal sex, but not vaginal sex." 4. "Gonorrhea is not transferred sexually so you and your partner can continue having sex."

1. "Avoid having sex with your partner until the completion of treatment."

A client comes to the health department with suspected gonorrhea. What clinical method of monitoring for gonorrhea is recommended? 1. Vaginal culture 2. Papanicolaou test 3. Serum blood test 4. Urinalysis

1. Vaginal culture

What complications may occur in the fetus if the mother is diagnosed with gonorrhea in the first trimester? Select all that apply. 1. Pneumonia 2. Blindness 3. Sepsis 4. Conjunctivitis 5. Low birth weight

1235

What postoperative complications can occur after a client has a prostatectomy? Select all that apply. a. Obstruction of the Foley catheter from blood clots. b. Large amount of bloody urine in the Foley catheter. c. Client's fluid intake is more than Foley catheter output. d. Severe pain at the insertion site of the Foley catheter. e. Client's Foley catheter output is more than fluid intake.

A B C D

Which of these instructions for treatment should the nurse educate a client with type 2 herpes simplex infection? Select all that apply. a. Take prescribed acyclovir medication daily. b. Avoid sexual intercourse when lesions are active and present. c. Use condoms when lesions are active and present . d. Drink at least 2 liters of fluid per day. e. Genital herpes cannot be spread when lesions are not present.

A B D

In a client with prostate cancer, which of these factors are the cause of difficult and painful urination? A tumor travelling from the prostate to the urinary bladder. A tumor compressing the urethra or the urinary bladder. Bacterial infection causing acute inflammation to the prostate gland. Prostate cancer is a silent pathology that does not cause painful urination.

A tumor compressing the urethra or the urinary bladder.

A client is undergoing treatment for prostate cancer. He has chemotherapy sessions regularly. However, of late he is showing symptoms of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation? Ensure greater fluid intake. Ask the client to keep a diet diary. Include fruits in the client's diet. Administer serotonin blockers.

Ask the client to keep a diet diary.

A client with prostate cancer underwent a transurethral resection of the prostate 2 days ago. He is currently complaining of severe pain upon postoperative continuous bladder irrigation of the Foley catheter. Which of these would be the nurse's priority intervention? Assess the amount of urine output and color of urine. Increase the flow rate of fluids administered to the client. Administer pain medication since the pain is a result of surgery. Assess the abdomen for problems at the incision site.

Assess the amount of urine output and color of urine.

A client is being treated for chlamydia. What instructions should be given to the client? Select all that apply. a. Since treatment has begun, clients are free to continue having sexual intercourse. b. Sex partner(s) will need antibiotic treatment concurrently with the client. c. The chance of developing pelvic inflammatory disease increases if left untreated. d. The client should be tested for chlamydia every 3-6 months after treatment. e. Chlamydia is sexually spread only if the client is symptomatic.

B C

The nursing instructor is presenting a powerpoint to a class of nursing students. The instructor is teaching the key areas of concern regarding chlamydia. Which of these key areas should be included in the powerpoint on chlamydia? Select all that apply. a. Chlamydia can be transferred by kissing a person positive for chlamydia. b. If infected with chlamydia, reproductive organs may be damaged. c. Treatment for chlamydia includes azithromycin and doxycycline. d. Condoms should be used to protect sexual partners from chlamydia. e. Chlamydia is the least common sexually transmitted infection.

BCD

A client is scheduled for a transurethral resection of the prostate (TURP). What urine output will the nurse assess immediately postoperatively? Bloody urine Urine is light red and pink Small blood clots No changes expected

Bloody urine

Which of the following would the nurse expect to be done to assess the size of the prostate? Bladder percussion Digital rectal examination Pelvic examination Transillumination

Digital rectal examination

A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take? Administer a unit of packed red blood cells. Prepare the patient for an ECG. Increase the rate of the IV fluids. Discontinue the irrigations.

Discontinue the irrigations.

A concerned mother comes to the nurse with her sexually active 15-year-old daughter. She worries that her daughter has a high risk of developing cervical cancer, since her maternal aunt recently died from cervical cancer due to the human papillomavirus (HPV) infection. Which of these prevention methods should the nurse recommend? Advise the mother that she should emphasize condom use. Educate the mother about the HPV vaccine and annual papanicolaou (pap) smears. Recommend oral contraceptive pills (OCPs). Advise the client to stop having sex and wait until she is 18-years-old.

Educate the mother about the HPV vaccine and annual papanicolaou (pap) smears.

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention? Frequency Urgency Dribbling Hesitancy

Frequency

A 25-year-old pregnant G1P1 woman comes to the emergency department complaining of creamy discharge from her vagina, urinary frequency, and lower abdominal pain. Which of these diagnoses are suspected? 1. Human papillomavirus 2. Gonorrhea 3. Trichomoniasis 4. Vaginal candidiasis

Gonorrhea

A nurse is teaching a client who is older than 50 years about prostate cancer. What teaching should be included by the nurse? Have a digital rectal examination. Have a transrectal ultrasound every 5 years. Perform monthly testicular self-examinations, especially after age 50. Have a complete blood count, blood urea nitrogen, and creatinine levels checked yearly.

Have a digital rectal examination.

A nurse is teaching a client who is older than 50 years about prostate cancer. What teaching should be included by the nurse? Perform monthly testicular self-examinations, especially after age 50. Have a digital rectal examination. Have a transrectal ultrasound every 5 years. Have a complete blood count, blood urea nitrogen, and creatinine levels checked yearly.

Have a digital rectal examination.

Which of the following may result if prostate cancer invades the urethra or bladder? Hematuria Backache Hip pain Rectal discomfort

Hematuria

The diagnosis of prostate cancer is confirmed by which of the following? Magnetic resonance imaging Bone scan Histologic exam of tissue Computed tomography

Histologic exam of tissue

What is the most common sexually transmitted disease (STD) associated with cervical cancer and genital warts? Herpes simplex virus (HSV) Chlamydia Human papillomavirus (HPV) Cytomegalovirus

Human papillomavirus (HPV)

A 40-year-old woman comes to the women's clinic with pain and bleeding from her vagina after sexual intercourse. A Papanicolaou (Pap) smear shows abnormal cells related to cervical carcinoma. Which of these infections is associated with this disorder? Human papillomavirus (HPV) infection Herpes simplex virus (HSV) infection Syphilis infection Chlamydia infection

Human papillomavirus (HPV) infection

When assessing a client with benign prostatic hyperplasia, which of the following would the nurse expect the client to report as the initial complaint? Increased effort to void Dark brown urine Narrowing of urinary stream Nocturia

Increased effort to void

After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first? Kegel exercises Fluid restriction Artificial sphincter use Self-catheterization

Kegel exercises

The nurse is providing care to a client who has had a transurethral resection of the prostate. The client has a three-way catheter drainage system in place for continuous bladder irrigation. The nurse anticipates that the catheter may be removed when the urine appears as which of the following? Light yellow and clear Dark amber with copious mucous Reddish-pink with numerous clots Light pink with few red streaks

Light yellow and clear

The nurse is preparing a presentation for an older adult group of males at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system? The volume and viscosity of seminal fluid increase with age. Men retain the ability to fertilize ova irrespective of age. There is a gradual increase in sperm and testosterone production. The scrotum becomes less pendulous and becomes firm.

Men retain the ability to fertilize ova irrespective of age.

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique? Palpate both testicles simultaneously for comparison. Palpate each testicle separately, following a warm shower. Palpate the front of the testicle first, where most tumors are found. Palpate for a soft, round shape with normal ridges on the testicles.

Palpate each testicle separately, following a warm shower.

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique? Palpate both testicles simultaneously for comparison. Palpate each testicle separately, following a warm shower. Palpate the front of the testicle first, where most tumors are found. Palpate for a soft, round shape with normal ridges on the testicles.

Palpate each testicle separately, following a warm shower.

Which of these medications are used for the treatment of syphilis during pregnancy? Doxycycline Penicillin Tetracycline Rocephin

Penicillin

The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include? Using a bearing down motion to promote complete bladder emptying when voiding Performing perineal exercises frequently throughout the day Engaging in strenuous exercise to strengthen abdominal muscles Waiting to urinate for 5 to 10 minutes after feeling the initial urge

Performing perineal exercises frequently throughout the day

A 19-year-old pregnant woman in her third trimester comes to the nurse with active lesions on her genitals. She had no prenatal care throughout her pregnancy. What risk factors will the suspected infection have on her unborn fetus, if left untreated? Permanent neurological damage. Lesions on the newborn's genitals. Hearing loss. No risk factors since herpes virus cannot pass from mother to fetus.

Permanent neurological damage.

Which is an age-related change affecting the reproductive system? Prostate secretion increases. Plasma testosterone levels decrease. Testes become soft. Patency increases.

Plasma testosterone levels decrease.

An 80-year-old man comes to the emergency department complaining of worsening symptoms of his diagnosed prostate cancer. His symptoms include nocturia, inability to urinate at times, and incontinence. Which part of the client's prostate is affected? Median Lobe Posterior Lobe Lateral Lobe Anterior Lobe

Posterior Lobe

A 64-year-old African American man comes into the clinic complaining of unintentional weight loss, fatigue, difficulty and painful urination, and lower hip and back pain for the past 2 weeks. Which diagnosis does the nurse suspect? Benign prostatic hyperplasia Prostate infection Bladder infection Prostate cancer

Prostate cancer

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded? The urine in the drainage bag appears red to pink. The client reports bladder spasms and the urge to void. The normal saline irrigant is infusing at a rate of 50 drops/minute. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.

The client reports bladder spasms and the urge to void.

When developing an educational program for a group of adolescents about sexually transmitted infections (STIs), what should the nurse inform the group about the single greatest risk factor for contracting an STI? The type of contraception used The number of times the person has contact with a partner The number of sexual partners Where the patient lives

The number of sexual partners

Which is the most common type of prostate surgery?

Transurethral resection of the prostate (TURP)

A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client? Need for daily treatments over a 7- to 8-week period Surgical castration to decrease the level of circulating testosterone Use of radioactive seeds implanted into the prostate Use of probes inserted using ultrasound to freeze the tissue

Use of radioactive seeds implanted into the prostate

A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate? Tell the client to try to urinate around the catheter to remove blood clots. Restrict fluids to prevent the client's bladder from becoming distended. Prepare to remove the catheter. Use sterile technique when irrigating the catheter.

Use sterile technique when irrigating the catheter.

Which of these methods should the nurse include in her education on the prevention of the human papillomavirus infection? Select all that apply. Human papillomavirus vaccine. Annual papanicolaou (Pap) test. Condom use. Abstinence from sex. Oral contraception.

a b d

Testicular cancer risk is highest for clients younger than age 35. To specifically address testicular cancer risk, a nurse should modify client teaching for clients to include: physician visits. testicular self-examination. risk factors. family history.

testicular self-examination.

A 55-year-old African American man comes into the clinic complaining of weakness, fatigue, trouble urinating, and lower back pain for the past week. The client says he has not been to the health care provider (HCP)s in 10 years. Upon examination, the nurse also notices that the client's skin is pale. The health care provider (HCP) suspects cancer. What type of diagnostic tests would be ordered to confirm the client's diagnosis? Select all that apply. a. Blood sample. b. Transrectal ultrasound. c. Digital rectal examination. d. Stool sample. e. Semen sample.

A, B, C

Which of these clinical syndromes are associated with herpes simplex virus, type 1? Select all that apply. a. Gingivostomatitis b. Eczema herpeticum c. Keratoconjunctivitis d. Meningoencephalitis e. Genital lesions

ABCD

You are taking care of a 77-year-old client in an assisted living facility. The client appears to be losing her sight and use of her lower extremities. Which of these symptoms are seen in the latent stage of syphilis? Select all that apply. a. Deafness b. Blindness c. COPD d. Bone cancer e. Paralysis f. Headache

ABEF

A 25-year-old client who completed her antibiotic treatment for chlamydia comes back to the clinic one month later complaining of pelvic discomfort and vaginal spotting since her last menstrual cycle. What other statements made by the client indicate a concern of chlamydia recurrence? Select all that apply. a. "I have two new sexual partners who I see a few times a week." b. "My previous partner, who I am still seeing sexually, uses a condom." c. "I completed my antibiotic treatment for chlamydia that was prescribed." d. "I have developed redness and inflammation in my eyes lately." e. "I have noticed a yellowish smelly discharge from my vagina."

ADE

A client was recently diagnosed with herpes simplex virus, type 2. Which of the following medications must immediately be started for the treatment of this infection? Metronidazole Penicillin Vancomycin Acyclovir

Acyclovir

After a transurethral resection of the prostate (TURP) and the client is complaining of severe pain at the Foley catheter site, what is the nurse's first intervention to implement? This is a normal finding after a TURP. Assess the client and urine output. Assess the client's vital signs. Administer pain medications.

Assess the client and urine output.

A client comes to the health department and wants to speak with a nurse. When a nurse arrives, the client asks the nurse about the signs and symptoms she or her husband may have if either have the chlamydia infection. What is the nurse's best response? Select all that apply. a. A generalized body rash. b. Very painful urination. c. Ulcers on the penis. d. Vaginal discharge. e. Penile discharge.

B D E

A client underwent a transurethral resection of the prostate. What education should be implemented after surgery? Select all that apply. a. Educate the client that urinary retention is a normal finding. b. Teach the client signs/symptoms of a urinary tract infection. c. Teach the client to reduce fluid intake to prevent kidney overflow. d. Teach the client to flush the catheter with normal saline. e. Teach the client to increase fluid intake to 2-3 liters/day.

B, E

What is the priority intervention for a pregnant client with a penicillin allergy who tested positive for syphilis? Tell your client that she will not be able to be treated since she has an allergy to penicillin. Inform your client that her health care provider (HCP) will be able to order her doxycycline for treatment due to her penicillin allergy. Educate your client that clients with penicillin allergies will be treated with much smaller doses of penicillin needed to treat the syphilis. Your client understands the need for penicillin but refuses treatment. You advise your client to be treated after her pregnancy with amoxicillin.

Educate your client that clients with penicillin allergies will be treated with much smaller doses of penicillin needed to treat the syphilis.

The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening? Monthly testicular self-examination (TSE) Annual digital rectal examination (DRE) after age 35 years Annual prostate-specific antigen (PSA) testing after age 40 years Transrectal ultrasound every 5 years after age 50 years

Monthly testicular self-examination (TSE)

The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? Transrectal ultrasonography Tissue biopsy Tumor marker studies Digital rectal exam

Tissue biopsy

A client diagnosed with benign prostatic hyperplasia (BPH) one year ago presents with worsening symptoms. He is compliant with his medication for management of symptoms yet he is still experiencing problems with BPH. What would the health care provider (HCP) recommend next? Transurethral resection of the prostate Total removal of the prostate (prostatectomy) Antibiotics to relieve worsening symptoms Decrease the dose of his medication

Transurethral resection of the prostate

Medical management of BPH includes pharmacologic therapy. Which of the following medications would the nurse expect the health care provider to prescribe for this diagnosis? Analgesic Diuretic Antispasmodic Alpha-adrenergic blocker

Alpha-adrenergic blocker

A mother with chlamydia delivered her newborn vaginally. What precautions must be taken to care for the newborn? Select all that apply. a. monitor the newborn's blood for an increased bilirubin level b. monitor the newborn's eyes for redness, swelling, and discharge c. assess the newborn's lungs for rapid breathing and a cough d. administer liquid oral antibiotic drops prophylactically for infection e. observe the newborn for skin lesions during the initial assessment

BC

A client with Stage IV prostate cancer is to receive hormone therapy. The nurse would inform the client about possible adverse effects including which of the following? Increased libido Breast tenderness Enhanced potency Deepening of voice

Breast tenderness

A 25-year-old pregnant woman, previously diagnosed with human papilloma (HPV) infection, goes into labor. The nurse assesses that the client has obstructing genital warts in the vaginal area. Which method of delivery should be indicated? Vaginal delivery Administer drugs to keep the mother from delivering until the warts are removed Cesarean delivery Hydrotherapy for labor

Cesarean delivery

The client is 7 weeks pregnant and was told that she would be tested for syphilis during pregnancy. When is the best time to test a pregnant client for syphilis? Once during the first trimester, once during the second trimester, and once during the third trimester. On the first prenatal visit during the third trimester. Once during the second trimester and at the time of delivery. The first prenatal visit, once during the third trimester, and at the time of delivery (if high risk).

The first prenatal visit, once during the third trimester, and at the time of delivery (if high risk).

An 18-year-old female client presents to the clinic and reports she has had unprotected sex with a male who was just diagnosed with syphilis. The nurse completed a head to toe assessment. Which of these findings was noted on the client's body? Select all that apply a. ance on client's neck b. painless small ulcar with drainage on cloients inside upper lip c. generalized light rash noted on client's body d. crusting noted behind client's ears e. wart on the client's index finger of the left hand

B C