Porth Patho CH 41

A 40 year-old woman with gray, runny vaginal discharge that has a foul, fishy odor has been told that she most likely has vaginosis. Which of the following phenomena most likely contributed to her present condition?

A sharp reduction in the number of lactobacilli in the client's vaginal flora.

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 patient was diagnosed with human immunodeficiency virus (HIV), which causes acquired immunodeficiency syndrome (AIDS). The nurse realizes that the patient needs further teaching about the disease process based on which of the following statements made by the patient?

"HIV only infects B cells."

A patient develops Reiter's syndrome. Which of the following symptoms will the nurse assess? Select all that apply.

Conjunctivitis Pain in the joints

Bacterial vaginosis is the most common vaginal infection seen by health care providers. What is the predominant symptom of bacterial vaginosis?

Grayish white discharge with a fishy odor

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

A client has been diagnosed with a chlamydial infection. Select the pharmacological treatment of choice.

Azithromycin

A woman and her male partner both have contracted gonorrhea. The nurse should monitor both clients for signs and symptoms of what complication?

Bacteremic heart valves

A female client is infected with human papillomaviruses (HPV) following unprotected sexual intercourse. The nurse prepares to teach the client about the risk of developing which of the following cancers?

Cervical

The nurse determines that teaching was effective when a client who has been treated for Chlamydia states the importance of:

No follow-up is needed

A nurse is caring for a patient in whom genital herpes is being ruled out. Which of the following information helps to confirm the diagnosis? Select all that apply.

Painful lesions Pustules Pain on urination Itching

Select the most reliable test to diagnose syphilis.

Serology

Select the treatment of choice for syphilis.

Serology

A client presents with copious, frothy, malodorous green/yellow vaginal discharge. A diagnosis of Trichomoniasis is made. The client tells the nurse that she has not been sexually active and is concerned. Select the possible modes of transmission. Select all that apply.

Sexual contact Fomites Swimming pools Hot tubs

For a woman, what is the most serious long-term outcome of an infection resulting from exposure to the N. gonorrhoeae bacteria?

Sterility

Which of the following patients will the nurse determine is a candidate for continuous antiviral suppressive therapy for genital herpes?

The patient with more than six outbreaks this year

A patient has been diagnosed with candidiasis. Which of the following symptoms were present to diagnose this condition?

Thick white secretions.

A nurse is interviewing a patient about issues with infertility. Which condition contributes to the risk of infertility in both men and women?

Trichomoniasis

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

Trichomoniasis

A client's presentation and recent sexual history are suggestive of gonorrhea. This suspected diagnosis can best be confirmed by:

culturing a sample of the client's penile discharge.

A young woman has contracted the human papillomavirus (HPV) and has developed genital warts. The client is eager to receive an HPV vaccine, citing the large number of television advertisements she has seen. How should the nurse best respond?

"Unfortunately, these vaccines may be less effective once you have HPV."