STIs (nursing academy questions)

A nurse is educating middle school students on sexually transmitted infections and knows that which of the following is true regarding syphilis and HPV infection?

Both STIs are contagious even when symptoms are not present

While working in the reproductive clinic, the nurse receives the following orders for the treatment of a client with chlamydia. Which of the following orders should the nurse seek clarification of?

Notify client's sexual partners of risk for infection

A nurse is educating a group of middle school students on the location of human papilloma virus(HPV). The nurse is correct in explaining that in addition to the cervix, cancer related to HPV are most commonly found in which of the following sites?

Oral Cavity

An 18-year-old client is seen at a clinic for treatment of a sexually transmitted infection. It is her second time receiving treatment for an STI within the past year. Despite the recent infections, the client tells the nurse that she is being safer than most of her friends. Which of the following responses from the nurse is most appropriate?

Repeated sexually transmitted infections can put you at risk of other health problems. Let's talk about how you can prevent this from happening again

A nurse is talking with a client and knows that which of the following statements regarding secondary syphilis is true?

Some clients never realize they have had secondary syphilis Infection

Which best describes the recommendations from the American Cancer Society regarding the initial screening for cervical cancer?

Starting at age 21 and then every 3 years

A client tells the nurse, "I am afraid to tell my partner I have HPV because I might be broken up with." Which of the following is the best response from the nurse?

"I understand the conversation might be difficult. Would you like to practice?"

A client with chlamydia was prescribed an antibiotic and at a routine follow up, it was determined that the client was not taking the antibiotic. The nurse explains to the client that without treatment this infection could cause which of the following?

Blindness

While a nurse is educating students at a middle school health fair, the nurse is approached by a student who shares there are some bumps that look like the pictures of herpes simplex virus. Which of the following responses by the nurse is most appropriate?

Asking the student if she would be comfortable speaking in a more private place about her concerns

A nurse is providing discharge education to a client with human papiloma virus (HPV). The nurse know that the client has a good understanding when which of the following statements is made?

"My healthcare provider might want me to get the gardasil shot even though i already have HPV"

While educating a client at a 30 week pre-natal appointment, which of the following statements by the client regarding a primary syphilis infection represents a need for further education?

"Congenital syphilis has been eradicated in the United States, so I do not need to worry about getting tested"

A nurse is caring for a client with chlamydia. The nurse knows that which of the following statements by the client with Chlamydia demonstrate an understanding of the plan of care?

I will return in 3 months for a follow-up visit.

A nurse is caring for a client with herpes simplex virus. Which of the follow statements by the client regarding herpes simplex virus represents a need for further teaching by the nurse?

"Once more sores heal up, I don't need to use a condom anymore"

A nurse is providing education to a client diagnosed with gonorrhea. Which of the following statements by the client demonstrates a need for further education by the nurse?

"I will notify my partners from the last 6 months to come in, as I may have given them this infection" (it is likely that this infection has only been there for 7-10 days)

A pregnant client is talking to the nurse about a current gonorrhea infection. Which of the following statements by the client demonstrates an understanding of the prevention of transmission to the neonate?

"My baby will receive a dose of IV antibiotics after birth to treat the infection"

The nurse is performing an admission assessment on a client who claims to have multiple sexual partners. The client denies any signs or symptoms of a sexually transmitted infection. Which of the following teaching points is true for this client?

"The most common STI is contagious before any symptoms are present so you need routine STI testing"

After receiving a diagnosis of herpes simplex virus (HSV), the client tells the nurse "I can't possibly tell my partner I have Herpes." Which of the following responses by the nurse is the most appropriate?

"This conversation is a tough one to have. What concerns you the most about telling your partner?"

A client presents to the emergency departments complaining of pelvic and lower back pain. The client was recently diagnosed with chlamydia and gonorrhea infections and underwent treatment with the primary healthcare provider. The nurse suspects the client may have pelvic inflammatory disease (PID). The client asks the nurse "Does this mean I won't be able to have children?" Which of the following therapeutic responses by the nurse is most appropriate?

"We won't know for certain until we treat this infection, but you did the right thing by coming in today"

While completing an intake assessment for a 25-year-old client for a routine exam, the client tells the nurse about being treated for a chlamydia infection 3 months prior. The nurse anticipates which of the following interventions?

-Pelvic exam -Chlamydia and gonorrhea screening

A nurse is assessing a client and asking about symptoms. The nurse knows that which of the following symptoms would lead the nurse to suspect disseminated gonococcal infection (DGI)?

-Swollen joints -Purulent vaginal discharge -Fever

The client's mother asks the nurse for more information on the gardasil 9 vaccine. The nurse is providing information and knows that which of the following statements is true?

1) "Gardasil 9 will protect your child from the 9 most common strains of HPV" 2) "Gardasil 9 is delivered across 3 doses, with at least 6 months in between each dose"

A nurse is caring for a client with herpes simplex virus. Which of the following statements by the client regarding herpes simplex virus represents an understanding of the plan of care? Select all that apply.

1) "I am most contagious when I have open sores" 2) "My healthcare provider told me I am only required to take acyclovir if I experience an outbreak"

A nurse is giving education to middle schoolers on preventing human papilloma virus (HPV) and knows that which of the following statements are true?

1) Condoms can help to prevent the spread of HPV, but are not 100% effective 2) An individual might be contagious even if they have not had warts for a few weeks 3) Getting the gardasil vaccine helps prevent precancerous growths

A client is being treated for syphilis and the nurse knows that which of the following statements regarding tertiary syphilis infection are true? Select all that apply.

1) Once in the tertiary stage, the client is no longer contagious 2) Detecting and treating syphilis in the first two stages of infection prevents late-stage infection 3) Tertiary syphilis can cause aortic aneurysm and seizures if untreated 4) Intramuscular pencillin G halts the progression of tertiary syphillis

A nurse working in a reproductive clinic is caring for a client with gonorrhea. The nurse knows that which of the following sexually transmitted infection is most often found to co-exist with this infection?

Chlamydia

A nurse if providing client education on various sexually transmitted infections and knows that which of the following is true of both human papillomavirus (HPV) and herpes simplex virus (HSV)?

Clients are contagious even when no symptoms are present

During a head-to-toe assessment, the nurse knows which of the following findings is suggestive of a gonorrhea infection?

Creamy, white exudate from client's penis

A nurse working in a reproductive health clinic is speaking to clients. The nurse knows that which of the following statements by the client demonstrates an understanding of a syphilis Infection?

Syphilis is reportable to the health department, so they can help me notify my sexual partners"

The nurse is caring for a 35-year-old client who reports a history of syphilis infection discovered at age 25. The nurse knows that which of the following is true regarding syphilis at this stage?

The client is no longer contagious through sexual contact