WEEK 12 COMBINE

On the figure, which point is the site for salpingitis in a client with gonorrhea? 1. A 2. B 3. C 4. D

1. A

Which of the following is an example of incidence of communicable disease? New diagnoses of gonorrhea in the community. Number of individuals in the county with hepatitis C. Sexual partners exposed to an individual infected with HIV. Individuals with chlamydia who test positive when re-tested.

A

A cardiothoracic surgeon is consulted and recommends deferring surgery for the client until after antibiotic treatment is complete. The client asks why she should wait if the valve is already damaged. Which response is best for the nurse to provide? The damaged valve can be removed after the infection is treated with antibiotic. Antibiotics completely inhibit embolization from valvular vegetations. Surgery is used in the event antibiotic is ineffective in treating the disease. The client can choose either surgery or antibiotics to treat infective endocarditis.

C

Testing for pregnancy and sexually transmitted infections at a school-based health center is an example of which level of prevention? Prodromal prevention Primary prevention Secondary prevention Tertiary prevention

C

A patient comes to the clinic after being informed by a sexual partner of possible recent exposure to syphilis. The nurse will examine the patient for what characteristic finding of syphilis in the primary clinical stage? Chancre Alopecia Condylomata lata Regional adenopathy

Chancre

The nurse is performing an assessment on a female patient. What assessment finding should be documented and reported to the primary health care provider? Dimpling of breast Dark pink genitalia Watery cervical mucus Triangular hair distribution

Dimpling of breast Dimpling of the breast is highly suspicious for carcinoma of the breast. Dark pink genitalia, watery cervical mucus, and triangular pubic hair distribution are all normal female reproductive system assessment findings.

A 30-yr-old woman reports the recent appearance of itchy, slightly painful lesions on her vulva, some of which have recently burst. Which STI should the nurse suspect first? Gonorrhea Chlamydia Genial warts Genital herpes

Genital herpes

Which complication would the nurse suspect in a client with genital herpes disease? a. Infertility b. Cold sores c. Reactive arthritis d. Bartholin abscess

b. Cold sores

To implement primary prevention of sexually transmitted infections (STIs) the nurse is counseling an adolescent. Which would be the priority nursing action? a. Help the adolescent recognize the risk. b. Provide complete information about STIs. c. Assess the adolescent's sexual risk behaviors. d. Educate the adolescent about proper preventive measures.

c. Assess the adolescent's sexual risk behaviors.

Which manifestation indicates tertiary syphilis? a. Chancre b. Alopecia c. Gummas d. Condylomata lata

c. Gummas

A primary health care provider suspects a chlamydial infection and orders a highly sensitive diagnostic test. Which diagnostic test would be ordered? a. DNA probe b. Culture test c. Enzyme immunoassay d. Nucleic acid amplification test

d. Nucleic acid amplification test

The nurse in the clinic is obtaining the health history of a 16-year-old boy with a complaint of a thick urethral discharge. Which is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea? a. Assessing the temperature for fever b. Collecting a urine sample for a urinalysis c. Drawing blood for a complete blood count d. Obtaining a urethral specimen for a culture

d. Obtaining a urethral specimen for a culture

Which of the following are components of a comprehensive sexual education program?(Select all that apply. One, some, or all options may be correct.) Select all that apply Abstinence. Sexually transmitted diseases/infections. Religious views about sexuality. Pregnancy prevention. Healthy communication and healthy relationships.

ABDE

The nurse administers a Gardasil vaccine to an 18-yr-old female patient. After the injection, which patient instruction is priority? Avoid sexual activity for 24-48 hrs Remain lying down for at least 15 minutes Return to the clinic in 6 months for a second dose Use two methods of birth control to avoid pregnancy

Remain lying down for at least 15 minutes

The nurse is obtaining a sexual history from a woman who is a new patient in the primary care clinic. It would be most appropriate for the nurse to ask which question first? "Have you ever had a sexually transmitted infection?" "Have you ever been in a relationship with anyone who hurt you?" "Have you ever been forced into sexual acts as a child or an adult?" "Are you satisfied with your sexual relationship with your partner?"

"Are you satisfied with your sexual relationship with your partner?" When taking a sexual health history, the nurse should begin with the least sensitive area of questioning and then move to more sensitive areas.

A woman is scheduled for her first Pap test. The nurse should provide which instructions? "A full bladder is needed for more accurate results." "You should rest for 2 to 3 hours after the procedure." "Do not douche for at least 24 hours before the procedure." "A Pap test will screen for sexually transmitted infections."

"Do not douche for at least 24 hours before the procedure." The patient should be told to not douche for at least 24 hours before a Pap test. The patient should empty the bladder before a Pap test. There are no activity restrictions after a Pap test. The patient should rest for 2 to 3 days after a conization. A culture or a smear tests for sexually transmitted infections. A Pap test is a cytologic study used to detect abnormal cells.

While summarizing teaching about genital herpes, which patient statement indicates a need for further instruction? "No cure is available for my genital herpes." "I will utilize my medication when I begin to have symptoms" "Genital herpes may be caused by herpes simplex virus type 1 or 2" "I am not able to infect a sexual partner unless I have active lesions"

"I am not able to infect a sexual partner unless I have active lesions"

Which of the following is a process measure the nurse might use to evaluate the sexual education program? Class attendance for students who were enrolled in the curriculum during the last school year. Percentage of students who reported satisfaction with the content of the class after completion. Number of students who correctly answered questions about contraception after completing the class. Proportion of students who reported they knew where to obtain reproductive health services after completing the class.

A

A man with a primary infection of genital herpes was prescribed acyclovir (Zovirax) orally for 10 days. The patient returns to the clinic for a follow-up visit. Which finding indicates that treatment is effective? Negative bacterial culture Absence of genital lesions Reduction of genital warts No drainage from chancre sore

Absence of genital lesions

The nurse is admitting a new patient to the psychiatric unit. Which factors will most likely contribute to a positive outcome of the interaction? (Select all that apply.) Select all that apply. A The patient states that he or she is in pain. B The patient is awake, alert, and oriented to person, place, and time. C The patient is in a bad mood. D There are various interactive sessions going on in the unit today. E The patient has been admitted to the facility in the past. F The unit is quiet.

B, E, F

The client asks the nurse why it is necessary to have additional testing when she already took the prescribed antibiotic to cure the disease. Which responses by the nurse are likely to be the most helpful in explaining the need for further testing? (Select all that apply. One, some, or all options may be correct.) Select all that apply Complications need to be identified and treated, but they cannot be cured. Delay in initial treatment increased the risk for complications. Gonorrhea symptoms can be asymptomatic in women, which delays treatment. Further testing will ensure the bacteria are not resistant to treatments. Additional diagnostic tests will identify any existing complications.

BCE

A patient comes to the outpatient clinic for treatment of uncomplicated gonorrhea. Which patient statement requires immediate clarification by the nurse? "I should avoid alcohol use for at least 2 weeks" "I will have my sexual partner come in for treatment" "After I start the antibiotic therapy, it is safe to have sex again" "After treatment, I do not need to return to the clinic for retesting"

"After I start the antibiotic therapy, it is safe to have sex again"

Infection with chlamydia trachomatis is of particular concern for which of the following reasons? (Select all that apply. One, some, or all options may be correct.) Select all that apply The infection is often asymptomatic, especially among females. Chlamydia is the most prevalence sexually transmitted infection worldwide. There is no effective treatment for the infection. Untreated infection can lead to endometriosis and pelvic peritonitis.

ABD

Which population group has the highest rate of infection with chlamydia? Older adults. Midlife adults. Young teens. Young adults.

D

Which information about genital herpes would the nurse teach the students in the high school sex education class? a. A healthy lifestyle will prevent exacerbations. b. Once the infection is effectively treated, exacerbations are rare. c. Although exacerbations occur, they are not as severe as the initial episode. d. The most effective way to prevent exacerbations is to abstain from sexual activity.

c. Although exacerbations occur, they are not as severe as the initial episode.

Which would be the medication of choice for a client who is diagnosed with chlamydia? a. Imiquimod b. Ceftriaxone c. Azithromycin d. Benzathine penicillin

c. Azithromycin

Which statement helps the nurse determine that a woman with genital herpes (HSV-2) infection understands her self-care? a. "When I have a baby, I don't want a cesarean." b. "I can have sex as soon as the herpes sores have healed." c. "When I finish the acyclovir prescription I will be cured." d. "I must be careful when I have sex because herpes is a lifelong problem."

d. "I must be careful when I have sex because herpes is a lifelong problem."

Which population would the nurse include in a community education session on sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. 1 Adolescents 2 Homosexual men 3 Transgender clients 4 Multiple sex partners 5 Intravenous drug users

1 Adolescents 2 Homosexual men 3 Transgender clients 4 Multiple sex partners 5 Intravenous drug users

Which treatment strategies would benefit a client diagnosed with chlamydia? Select all that apply. One, some, or all responses may be correct. 1 Penicillin G 2 Ceftriaxone 3 Clotrimazole 4 Doxycycline 5 Azithromycin

4 Doxycycline 5 Azithromycin

A young male patient is seeking treatment for recurrence of genital tingling, burning, and itching. The nurse will expect a prescription for which class of medications? Antivirals Antibiotics Vaccination Contraceptives

Antivirals

Once the client goes home, she will continue the antibiotics and follow up with the HCP for regular blood tests. Which is the most important instruction the nurse should give the client to maintain a positive outcome? Floss teeth every day to remove bacteria from the mouth. Monitor and record temperature daily for up to 6 weeks. Stop taking the antibiotic when you feel better and call the HCP. It is not necessary to remind the HCP or dentist of the clients endocarditis.

B

Which is an example of a nurse applying community as client? Counseling a client who is having trouble managing their asthma. Planning for a peer mentorship program for youth with serious mental illness. Assisting parents to prepare for the birth of their first child. Assessing the fall risk of an older adult couple living in subsidized housing.

B

Which of the following is an outcome measure the nurse might use to evaluate the sexual education program? Class attendance for students who were enrolled in the curriculum during the last school year. Number of students who correctly answered questions about contraception after completing the class. Proportion of students who participated in large group discussions during class sessions. Classroom teachers' responses to weekly evaluation of delivery of the curriculum as designed.

B

The embryonic period is critical because external and internal structures in the fetus are forming. When is it most important for the pregnant patient to avoid all teratogens? 8-12 weeks 4-8 weeks 12-16 weeks 16-20 weeks

B 4-8 week

To prepare the client for the TEE, which explanation by the nurse is accurate? No special preparation is necessary prior to this procedure. Signing a consent form is not needed for the TEE procedure. The client's throat will be anesthetized throughout this procedure. Gel is applied to the skin to ease movement of the transducer.

C

A married couple present to the preconceptual clinic with questions about how a fetus's chromosomal sex is established. What is the best response by the nurse? A At climax, chromosomal sex is established. B At ejaculation, chromosomal sex is established. C At fertilization, chromosomal sex is established. D At ovulation, chromosomal sex is established.

C At fertilization, chromosomal sex is established.

Five students arrive at the school nurse's office and sign in to be seen by the school nurse. Each identifies the reason for their visit. The nurse can see a student during the instructional period, write a pass for the student to leave during another instructional period, or refer the student to the high school staff who can assist the student to go home. Which of the following students would the nurse prioritize visiting with during the current instructional period? (Select all that apply. One, some, or all options may be correct.) Select all that apply A student who writes 'My coach told me to sign up for the brain injury prevention training.' A student who writes 'My stomach hurts and I think I am going to vomit. My brother is home sick with the same thing. My history teacher wants me to take a test but I think I should go home.' A student who writes 'I need to talk about something confidential.' A student who writes 'I have another migraine. I already took my medicine and it's getting worse. My gym teacher says I need a pass to leave class or I'll get a failing grade. I have to go home and sleep.' A student who writes 'My girlfriend just told me she is pregnant.'

CE

The student is angry with her boyfriend and says she is breaking up with him. Which is a priority nursing intervention? Focus on the interest of the community and general public. Urge the student to think about her boyfriend's interests. Take measures to decrease incidences of HSV among the high school population. Establish trust and maintain client confidentiality.

D

Which of the following is the priority component of health program planning? Determining realistic budgets. Prioritizing the nurse's objectives. Establishing clear timelines Involving the community

D

A male patient with a history of transient ischemic attacks (TIAs) is undergoing rehabilitation following an ischemic stroke. The patient's medical history is likely to be related to what health problems? Inguinal hernia Erectile dysfunction Testosterone deficiency Benign prostatic hyperplasia (BPH)

Erectile dysfunction Stroke is a common cause of erectile dysfunction. A stroke and underlying cardiovascular disease is unlikely to be related to an inguinal hernia, testosterone deficiency, or BPH.

The history and physical of a 29-year-old female patient are indicative of human papillomavirus (HPV) infection. What treatment option should be discussed with the patient? Gardasil Antibiotic therapy Wart removal options Treatment with antiviral drugs

Wart removal options

At 6 weeks' gestation a client is found to have gonorrhea. For which medication would the nurse anticipate preparing a teaching plan? a. Ceftriaxone b. Levofloxacin c. Sulfasalazine d. Trimethoprim/sulfamethoxazole

a. Ceftriaxone

Which sexually transmitted infection is caused by Chlamydia trachomatis? a. Cervicitis b. Gonorrhea c. Genital warts d. Genital herpes

a. Cervicitis

Thr nurse is teaching a client about medication therapy for gonorrhea. Which fact about medication therapy will the nurse emphasize? a. Cures the infection b. Prevents complications c. Controls its transmission d. Reverses pathologic changes

a. Cures the infection

Which education is appropriate to give a client at 16 weeks' gestation whose partner has just informed her that he has genital herpes? a. Latex or polyurethane condoms must be used when the couple is having intercourse. b. Mutual monogamy must be practiced. c. It will be necessary to refrain from sexual contact during pregnancy. d. Meticulous cleaning of the vaginal area after intercourse is essential

a. Latex or polyurethane condoms must be used when the couple is having intercourse.

A nurse is teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STI). Which statement of the client indicates effective learning? a. "I will use condoms when having sex with an infected partner." b. "I will perform a genital self-examination every month before bathing." c. "I will refrain from getting the human papilloma virus vaccine (HPV) before the age of 27 years." d. "I will consult with my primary healthcare provider when there is a rash or ulcer on my genitalia."

d. "I will consult with my primary healthcare provider when there is a rash or ulcer on my genitalia."

A breast-feeding teenage mother is diagnosed with syphilis. Which would be the medication of choice for this client? a. Doxycycline b. Tetracycline c. Azithromycin d. Benzathine penicillin

d. Benzathine penicillin

Which topics will the school nurse include in adolescent education on sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. 1 Condom use 2 Sexual identity 3 Types of contraception 4 Number of sexual partners 5 Alcohol and drug consumption

1 Condom use 3 Types of contraception 4 Number of sexual partners

The nurse is caring for an adolescent who is pregnant and reports a past history of gonorrhea. Which intervention will the nurse perform before delivery to decrease perinatal exposure? Select all that apply. One, some, or all responses may be correct. 1 Screen at 36 weeks' gestation 2 Plan to use standard precautions 3 Administer intramuscular ceftriaxone 4 Recommend bottle feeding after birth 5 Report any greenish-yellow purulent discharge

1 Screen at 36 weeks' gestation 3 Administer intramuscular ceftriaxone

Which information would the nurse obtain in a health history for a sexually active 16-year-old to determine the client's risk for sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. 1 Sexual practices 2 Barrier protection use 3 Gender of sexual partners 4 Number of sexual partners 5 Use of illicit drugs before sex

1 Sexual practices 2 Barrier protection use 3 Gender of sexual partners 4 Number of sexual partners 5 Use of illicit drugs before sex

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct. 1 Sterility 2 Ectopic pregnancy 3 Blocked Fallopian tubes 4 Pelvic inflammatory disease 5 Increased likelihood of HIV infection

1 Sterility 2 Ectopic pregnancy 3 Blocked Fallopian tubes 4 Pelvic inflammatory disease 5 Increased likelihood of HIV infection

An adolescent reports genital warts. Which suggestions would the nurse provide to reduce the discomfort? Select all that apply. One, some, or all responses may be correct. 1 Try out cryotherapy if needed. 2 Wear loose-fitted cotton clothes. 3 Take a bath with oatmeal solution. 4 Use less water for cleaning the genitals. 5 Anticipate a prescription of imiquimod.

1 Try out cryotherapy if needed. 2 Wear loose-fitted cotton clothes. 3 Take a bath with oatmeal solution.

The HCP prescribes azithromycin 1 gm orally once for chlamydia. The medication on hand is 500 mg per tablet. How many tablets will the nurse administer to the client? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

2

The client's prescription is for ceftriaxone 1 g in 100 mL sterile normal saline IV every 12 hrs to infuse over 30 minutes. The nurse should set the infusion pump to deliver how many mL per hour? (Enter numeric value only. If rounding is required, round to the whole number.)

200

The nurse is working with a college student who is planning to become sexually active. She is requesting a reliable method of birth control that could be easily discontinued if necessary. Which is the best option for this college student? A Coitus interruptus B Natural family planning C Oral contraceptive pills D Intrauterine device (IUD)

C. Oral contraceptive pills

An older adult female patient reports hair growing on her chin. How should the nurse explain this occurrence to this patient? There is too much estrogen in your body. There is not enough testosterone in your body. The estrogen in your body is decreased since menopause. The negative feedback system for your hormones is working.

The estrogen in your body is decreased since menopause. Many of the reproductive changes associated with aging for women occur related to the decrease in estrogen associated with menopause. After menopause there may be increased androgens. Estrogen stimulation is related to negative feedback, and GnRH would stimulate greater follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which results in a higher level of estrogen production by the ovaries. The negative feedback mechanism is not active because this system occurs when there is decreased level of circulating estrogen, which increases the level of GnRH production by the hypothalamus, leading to increased FSH and LH from the pituitary, which results in higher estrogen production.

Which is the medication of choice in a pregnant adolescent diagnosed with syphilis during the first trimester? a. Penicillin G b. Doxycycline c. Tetracycline d. Erythromycin

a. Penicillin G

Which statement by an adolescent indicates the need for additional teaching regarding sexually transmitted infections (STIs)? a. "We use condoms with nonoxynol-9." b. "I use spermicide as contraception." c. "My partner uses a female condom." d. "I have never used drugs or alcohol."

b. "I use spermicide as contraception."

A woman has sought care because of urinary incontinence. She states that running or jumping often precipitates leakage of urine, an event that has been occurring with increasing regularity in recent months. Which assessment question is most relevant to try to determine the cause of the patient's problem? "Do you know if your mother or sisters have had similar problems?" "Do you find that you are prone to frequent urinary tract infections?" "Did you have any muscle damage when giving birth to your children?" "Do you take part in a regular program of physical exercise and stretching?"

"Did you have any muscle damage when giving birth to your children?" Trauma to the pelvic musculature during birth is often the cause of urge and stress incontinence in female patients. UTIs, family history, and exercise are less likely to contribute to an ongoing pattern of incontinence.

A 22-yr-old man is being treated at a college health care clinic for gonorrhea. What should the nurse include in patient teaching? "While being treated for the infection, you will not be able to pass this infection on to your sexual partner." "While you're taking the antibiotics, you will need to abstain from participating in sexual activity and drinking alcohol." "It's important to complete your full course of antibiotics in order to ensure that you become resistant to reinfection." "The symptoms of gonorrhea will resolve on their own, but it is important for you to abstain from sexual activity while this is occurring."

"While you're taking the antibiotics, you will need to abstain from participating in sexual activity and drinking alcohol."

The HCP prescribes ceftriaxone 125 mg IM once for gonorrhea infection. The medication on hand when reconstituted with sterile water is equivalent to 250 mg/2.4 mL. How many milliliters of medication should the nurse draw up and administer intramuscularly to the client? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

1.2

Which medication would the nurse administer to prevent maternal transmission of infection to the newborn of a client with gonorrhea? Select all that apply. One, some, or all responses may be correct. 1 Penicillin 2 Acyclovir 3 Ceftriaxone 4 Doxycycline 5 Levofloxacin

3 Ceftriaxone

Gonorrhea infection can coexist with other infections. As a result of the client testing positive for gonorrhea, the nurse should prepare her for which treatments? Antimicrobial treatment of gonorrhea and chlamydia. Antiviral treatment of human papillomavirus and syphilis. Antimicrobial treatment of gonorrhea and syphilis. Antiviral treatment of trichomonas and chlamydia.

A

Which action would the nurse take when administering azithromycin to treat sexually transmitted infections (STIs). Select all that apply. One, some, or all responses may be correct. 1 Observing clients for hypertension and diaphoresis 2 For allergic clients, administering the antibiotic with diphenhydramine 3 Instructing clients to take the medication until they feel better 4 Treating sexual partners after the course of antibiotics has been completed 5 Obtaining specimens for culture before administering the first dose of the antibiotic

5 Obtaining specimens for culture before administering the first dose of the antibiotic

A nurse examines records for flu vaccination among older adults attending an adult day health center. The nurse is applying which step in the nursing process? Assessment. Diagnosis. Planning. Intervention. Evaluation

A

The client is instructed to return for a follow-up examination if symptoms persist after treatment. The nurse explains to the client that recent research shows that strains of gonorrhea bacteria have emerged that are resistant to penicillin, tetracycline, ciprofloxacin, and cefixime. Which instructions are the most important for the nurse to provide to the client prior to discharge? (Select all that apply. One, some, or all options may be correct.) Select all that apply Direct the client to take medication to her sexual partner. Advise the client to take the antibiotic until symptoms subside. Counsel the client about reinfection from a new or untreated partner. Emphasize compliance with completion of the antibiotic regimen. Recommend abstinence from sexual intercourse until treatment completion.

ACDE

The patient is being treated for a recurrent episode of Chlamydia. What should the nurse include in patient teaching? If you are treated, your sexual partner will not need to be treated. Abstain from sexual intercourse for seven days after finishing the treatment. You will probably get gonorrhea if you have another recurrence of chlamydia. Because you have been treated before, you do not need to take a full course of medication this time.

Abstain from sexual intercourse for seven days after finishing the treatment.

Which event discovered during pregnancy would alert the nurse that a cesarean section delivery is indicated? Contact with a person with syphillis 2 weeks ago Treatment for gonococcal pharyngitis before conception Treatment for C. trachomatis at her 20th week of gestation Active herpes simplex virus type 2 vesicles on her cervix at the time of delivery

Active herpes simplex virus type 2 vesicles on her cervix at the time of delivery

A nurse is assessing a menopausal female and discussing sexuality. Which statement is accurate regarding physiological effects of menopause on sexual health? A. Decreased lubrication is frequently cited as the cause for sexual problems. B. Women who have undergone hysterectomy no longer desire to be sexually active. C. Hot flashes are often bothersome and lead to decreased sexual interest. D. Women taking hormone replacement therapy may not experience climax during sex.

B

Although sexual activity is considered a normative process, some individuals place themselves at increased risk for negative consequences related to this process. Which nonsexual behavior is likely to increase risk-taking activities? A. Having multiple sexual partners B. Using alcohol, marijuana, or illicit substances C. Having gay, lesbian, or bisexual partners D. Refraining from safe-sex practices such as condom use

B

Clear communication between professional caregivers is most important for avoiding medical errors and minimizing client safety risks. Which would be the best method for the nurse to use to report the discharge plans to the home health nurse? Subjective, Background, Application, Requirement (SBAR). Situation, Background, Assessment, Recommendation (SBAR). Simple, Object, Access, Protocol (SOAP). Subjective, Objective, Assessment, Plan (SOAP).

B

The client continues to be upset, and she expresses fear that she may contract other sexually transmitted diseases (STDs). Which intervention should the nurse implement first to address the client's fear of contracting other STDs? Teach the client about practicing safe sex. Determine when the client will be ready to date again. Convince the client that she will have to be more careful in the future. Establish a trusting, non-judgmental method to gather complete information.

D

An older adult male patient with hypertension is prescribed amlodipine. The nurse should assess for which possible adverse effect? Gynecomastia Increased sex drive Erectile dysfunction Prostate gland enlargement

Erectile dysfunction Some antihypertensive medications (e.g., amlodipine) may cause erectile dysfunction (or impotence), decreased sex drive, and difficulty achieving orgasm.

The nurse performs a breast examination on a female patient who has never been pregnant, 1 week after her menstrual period. Which finding, if made by the nurse, would indicate a normal breast examination? Nipples are soft without retractions. Unilateral breast dimpling is present. Milky fluid is expressed from the nipples. Axillary lymph nodes are fixed and palpable.

Nipples are soft without retractions. Normal breasts are symmetric without dimpling. Nipples are soft with no drainage, retraction, or lesions noted. No masses, tenderness, or lymphadenopathy is present.

The patient who has been told she will have blood drawn for a prolactin assay asks the nurse, "What is this test for? " What is the best response by the nurse? "It will tell you if you are pregnant." "It is used to detect a cause of amenorrhea." "It will tell us if you have a reproductive cancer." "It can indicate if you have a sexually transmitted infection."

"It is used to detect a cause of amenorrhea." A prolactin assay will detect pituitary dysfunction that can cause amenorrhea. Human chorionic gonadotropin (hCG) is used to detect pregnancy. The biologic tumor markers α-fetoprotein, hCG, and CA 125 may be used to assess for reproductive cancers and to monitor therapy. The assay does not screen for a sexually transmitted infection.

The nurse obtains a history from a 34-year-old man diagnosed with chlamydia. Which patient statement indicates additional teaching is required? "This infection can be cured by taking antibiotics." "It is important to use condoms for all sexual activity." "I will avoid sexual contact for 1 week after taking the antibiotics." "My sexual partner does not have symptoms and will not need treatment."

"My sexual partner does not have symptoms and will not need treatment."

Which factor that influences the spread of sexually transmitted infections (STIs) would the nurse include in a teaching session? Select all that apply. One, some, or all responses may be correct. 1 Age 2 Drug abuse 3 Lack of education 4 Multiple sex partners 5 Absent or subtle symptoms 6 Limited access to health care

1 Age 2 Drug abuse 3 Lack of education 4 Multiple sex partners 5 Absent or subtle symptoms 6 Limited access to health care

The nurse is caring for a new mother who has a chlamydial infection. For which complications would the nurse assess the client's neonate? Select all that apply. One, some, or all responses may be correct. 1 Pneumonia 2 Preterm birth 3 Microcephaly 4 Conjunctivitis 5 Congenital cataracts

1 Pneumonia 2 Preterm birth 4 Conjunctivitis

Which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? Select all that apply. One, some, or all responses may be correct. 1 Report worsening symptoms. 2 Refrain from sexual relations. 3 Use barrier protection devices. 4 Contact partners to be tested. 5 Take the entire course of antibiotics.

1 Report worsening symptoms. 2 Refrain from sexual relations. 3 Use barrier protection devices. 4 Contact partners to be tested. 5 Take the entire course of antibiotics.

Which of the following is an example of prevalence of communicable disease? Individuals with chlamydia who test positive when re-tested. Sexual partners exposed to an individual infected with HIV. New diagnoses of gonorrhea in the community. Number of individuals in the county with hepatitis C.

D

A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed? A message filter Social skills A cultural barrier Nonverbal communication

Nonverbal communication

A 24-yr-old patient is at the clinic with symptoms of purulent vaginal discharge, dysuria, and dyspareunia. She is sexually active and has multiple partners. What should the nurse explain as the rationale for Chlamydia screening? Chlamydia is frequently comorbid with HIV Untreated chlamydia infections can lead to sepsis Untreated chlamydia infections may cause infertility Chlamydia infections are treaatable only in the early stages

Untreated chlamydia infections may cause infertility The nurse obtains a history from a 34-year-old man diagnosed with chlamydia. Which patient statement indicates additional teaching is required?

During interviews with a select group of students, the nurse is questioned about sexual and reproductive health. One student reports that they have several open and painful sores in their genital area. Which priority action should the nurse take? Assist the student to obtain an appointment with a reproductive healthcare provider. Ask the student if they have been having unprotected sex. Discuss the treatment of viral sexually transmitted diseases. Counsel about the risk for pregnancy/paternity.

A

Which explanations would the nurse provide to the students in a sex education course regarding the etiology for an increase in gonorrhea prevalence? Select all that apply. One, some, or all responses may be correct. 1 Symptoms of the disease are vague. 2 Screening blood tests are expensive. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment. 5 Diagnostic tests for the causative organism are not yet available

1 Symptoms of the disease are vague. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment.

The client agrees to undergo the Transesophageal Echocardiogram (TEE) but inquires as to the purpose of the test. The nurse explains that the results of this procedure should provide which information? Show the presence of a heart valve infection. Identify scar tissue from a heart attack. Create detailed images of the blood vessels and the blood flow within them. Examine the electrical activity of the heart.

A

The client asks about the risks and preventions of becoming infected again with endocarditis. It is most important for the nurse to include which instruction in the healthcare teaching of a client diagnosed with infective endocarditis? Remind HCPs and dentists of the client's history of endocarditis. Daily vigorous brushing and flossing teeth reduces risk of reinfection. Reduce risk of antibiotic resistance by not applying antibiotic ointments to open skin. Once the first dose of antibiotic is administered and completed at home, there is no need to continue to monitor your temperature.

A

The client becomes tearful as she expresses concern about how she will explain her hospitalization to her two teenage daughters. Which approach by the nurse is most helpful in reducing the client's fear? Offer professional resources to assist the client in understanding her diagnosis and treatment. Provide the family with information about the client's diagnosis and treatment. Volunteer to discuss the diagnosis and treatment with the client's daughters on her behalf. Advise the client that the HCP is responsible for informing family members.

A

The client begins to cry and she angrily asks if she will ever be cured of this disease. The client states that she has no idea where her ex-husband is or if he will ever be back. The client is angry and says this is his fault. Which therapeutic approach should the nurse use to try to immediately reduce the the client's stress? Acknowledge to the client that she has the right to feel stressed. Advisethe client that getting upset only makes matters worse. Encourage the client to not be so angry because it only hurts her. Listen attentively to the client, but set barriers to angry outbursts.

A

The nurse conducts a review of the literature about sex education curricula and finds information about the specific curriculum provided to the middle school students. Which of the following articles would be a priority to read? (Select all that apply. One, some, or all options may be correct.) Select all that apply The effectiveness of sex education booster sessions during high school to reduce the transmission of chlamydia trachomatis. What works in preventing bullying on social media among middle school students: A review of the literature. Sex education program to reduce sexually transmitted infections among high school youth: A report from Finland. The effectiveness of school nurse counseling of high school students to reduce the transmission of colds and flu. A peer support program to reduce unwanted pregnancy and sexually transmitted infection: A feasibility study in Chicago public high schools.

A

The nurse removes the old dressing carefully to avoid dislodging the catheter. After removing the dressing, which information should the nurse communicate immediately to the HCP? External catheter length has changed. A brisk blood return aspirated from the catheter lumen. Both lumens are patent when flushed with 5 mL normal saline. The external catheter length is 60 cm.

A

The client asks if she can continue her daily exercise routine with the PICC line in place when she returns home. Which activities should the nurse instruct the client to continue upon discharge? (Select all that apply. One, some, or all options may be correct.) Select all that apply Perform usual activities of daily living. Keep dressing clean, dry, and intact. Lift light weights as tolerated. Avoid excessive physical activity. Cover with plastic when swimming.

ABD

Data about infection with chlamydia trachomatis are obtained by the health department in order to do which of the following? (Select all that apply. One, some, or all options may be correct.) Select all that apply Report to the Centers for Disease Control and Prevention (CDC). Follow up with individuals after they have received treatment. Notify others who may have contracted the infectious disease. Identify trends in the incidence of communicable diseases. Plan and implement prevention and disease control programs.

ADE

In working with teenagers, what should the nurse include when teaching about prevention of STIs? Spermicidal jellies reduce the risk of getting STIs. Douches for women and cleaning the penis will prevent STIs Abstinence and then latex barriers, such as condoms, are the best prevention Getting an STI is embarrassing so you will want to use preventive measures.

Abstinence and then latex barriers, such as condoms, are the best prevention

The nurse explains that even though the student's sexual partner will be wearing a condom, it is important for the student to understand the application of a latex condom to protect herself and her partner. Which instruction should the nurse include about condom application? Put on the condom before the penis is erect. Ensure no air is trapped in the tip of the condom. Avoid the use of water-based lubricants when using a condom. Use oil-based lubricants when using a condom.

B

The nurse reviews the PICC line x-ray report for placement confirmation and prepares to administer the ceftriaxone per the HCP's prescription. To detect any untoward effects of ceftriaxone, it is most important for the nurse to assess the client for which symptoms throughout the duration of the infusion? Discoloration of bilateral extremities. Snoring sounds or stridor. Painful urination. Weak bilateral hand grasp.

B

The ceftriaxone infusion is complete. It is most important for the nurse to implement which intervention for maintaining patency of the PICC line? Use 5 mL syringe and flush the line with 10 mL of sterile saline. Flush the line with 10 mL of sterile saline using a 10 mL syringe. Slide plastic clamp to close off line and flushing is not necessary. Keep plastic clamp open at all times and flush with a 5 mL or 10 mL syringe.

C

The client says she has taken penicillin in the past and experienced no allergies to the medication. Which statement indicates that the nurse understands the importance of confirming this information prior to administering penicillin or cephalosporin? Based on the client's history, she will never experience an allergic reaction to penicillin or cephalosporin. A penicillin sensitivity reaction that occurs once inoculates the client from future allergic responses. Despite the client's history, she could experience an allergic reaction to penicillin or cephalosporin. Based on the client's history, she is not likely to react to penicillin but could definitely experience an allergic reaction to cephalosporin.

C

The nurse and student continue to develop a trusting nurse-client relationship. The nurse schedules a follow-up visit to check in with the student. Follow-up after the diagnosis of a STD/STI is which level of prevention? Primary prevention. Secondary prevention. Tertiary prevention. Prodromal prevention.

C

The nurse decides to interview pediatricians, reproductive health providers, and several current students to find out what they know about chlamydia infections among the high school youth. This method of data collection is known as which of the following? Focus group interviews. Community forums. Key informant interviews. Client surveys

C

The nurse is aware that socioeconomic status impacts access to resources such as health services. Which of the following would be the most effective intervention to address healthcare disparities? Counsel students about the importance of completing high school. Provide parents with information about resources in the community. Collaborate with providers to offer free school-based health services. Discuss with colleagues the differences in funding for school services.

C

The nurse provides the student with instructions about ways to reduce the risk of HSV transmission. The nurse explains that a condom should always be worn between HSV outbreaks, and sexual activity should be avoided during the prodromal phase and when lesions are present. The nurse teaches the student how to recognize the prodromal stage of HSV. Which symptoms are indicative of the prodromal stage of genital HSV? Vesicular lesions on the genitals. Shallow moist ulcerations around the genitals. Tingling, burning, or itching at the site the lesions will eventually appear. Crusting and epithelialization of the erosions.

C

The nurse visits with the student who wanted to discuss a confidential concern. The student reports that she decided to have sex with her boyfriend of 9 months. The student reports that they had sex without a condom and now she has painful sores on her inner labia. The nurse suspects that the student has contracted herpes simplex virus (HSV). The nurse suspects that the student has contracted herpes simplex virus (HSV). What is the priority nursing action? Inform the student's parent/guardian. Consult with the student's healthcare provider. Refer the student for sexually transmitted disease testing and treatment Counsel the student about the importance of using condoms during sex.

C

The pelvic examination allows for the inspection and palpation of external and internal reproduction structures in order to identify deviations, inform medical diagnoses, and collect specimens for laboratory analysis. Which is the best approach for the nurse to position the client for the pelvic examination? Head flush with top of examination table, hips and knees flexed, feet in stirrups. Genupectoral position with weight of body supported by knees and chest. Buttocks at the edge of the examination table, hips and knees flexed, feet in stirrups. Sim's position on one side with knee and thigh drawn upward to chest.

C

A female patient comes to the clinic at 8 weeks' gestation. She lives in a house beneath electrical power lines, which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care? A Drinking alcohol should be avoided during pregnancy because of its teratogenic effects. B Living near an oil field may mean the water supply is polluted. C Eating sweets may cause gestational diabetes or miscarriage. D Electrical power lines are a potential hazard to the woman and her fetus.

C Eating sweets may cause gestational diabetes or miscarriage.

A 20-year-old woman comes for preconceptual counseling. She wants to get pregnant soon. Which health-promoting habit would have the highest priority at this time? A Getting daily exercise B Avoidance of sweets C Immediate tobacco cessation D Stopping all caffeine

C Immediate tobacco cessation

Human sexuality is interrelated with a variety of other nursing concepts that may affect sexuality or be affected by healthy sexual functioning. Prompt diagnosis and treatment of potential concerns related to concept overlap is an important nursing function. Which other concept is most likely to overlap with sexuality? A. Stress B. Gas exchange C. Pain D. Reproduction

D

The PICC nurse completes the placement procedure and records a length of 60 cm double-lumen peripherally inserted central catheter in the basilic vein of the left inner arm. After insertion of a PICC line, which action is the most important for the nurse to implement first? Use 10 mL of sterile saline to flush before and after medication administration. Flush with 5 mL of heparin (10 units/mL) in a 5 mL syringe daily. Begin infusion of ceftriaxone 1 g IV every 24 hrs. Contact the radiologist for a chest x-ray indicating placement.

D

The client asks where on her arm the PICC line will be inserted. Which explanation by the nurse is most helpful? The catheter will be inserted through a vein of the antecubital fossa. The tip of the catheter will reside in the superior vena cava (SVC). Catheters are ideally placed at the caval-atrial junction. The catheter will be inserted at the inner side of the bend of the arm.

D

A client reports to a health clinic because a sexual partner recently was diagnosed as having gonorrhea. The health history reveals that the client has engaged in receptive anal intercourse. Which finding would the nurse assess for in this client? a. Melena b. Anal itching c. Constipation d. Ribbon-shaped stools

b. Anal itching

A sexually active female client is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" Which practical response would the nurse provide? a. "Douche after every sexual intercourse." b. "Avoid engaging in sexual behaviors." c. "Insist that your partner uses a condom." d. "Use a spermicidal cream with sexual intercourse."

c. "Insist that your partner uses a condom."

Which statement by the female client with a diagnosis of gonorrhea indicates she has understood the teaching by the nurse on how to avoid future infection? a. "I'll douche after each time I have sex." b. "Having sex is a thing of the past for me." c. "My partner has to use a condom all the time." d. "I'll be using a spermicidal cream from now on."

c. "My partner has to use a condom all the time."

The nurse is teaching a client with chlamydia about medication compliance and preventing recurrence. Which statement by the client indicates the need for further instruction? a. "If there is more drainage or I have pain, I will call the office." b. "The full regimen of prescribed oral antibiotics needs to be taken." c. "Sexual intercourse should be avoided for 3 days after treatment." d. "I will notify all my sexual partners of the infection so they can get treated."

c. "Sexual intercourse should be avoided for 3 days after treatment."

A client who is at 33 weeks' gestation has contracted gonorrhea and is prescribed probenecid and penicillin. Which instructions would the nurse give the client regarding the reason for dual therapy? a. "Your allergy to penicillin is minimized." b. "The side effects of the disease are reduced." c. "The amount of penicillin in your blood is increased." d. "Your immune defense mechanisms are more active."

c. "The amount of penicillin in your blood is increased."

Which length of time would the nurse teach a client regarding the incubation period of syphilis? a. 1 week b. 4 months c. 2 to 6 weeks d. 48 to 72 hours

c. 2 to 6 weeks

A primigravida in the first trimester of pregnancy is diagnosed with gonorrhea. Which dosage of ceftriaxone is recommended to prevent the transmission of gonorrhea? a. 250 mg given after delivery b. 125 mg given after delivery c. 250 mg started immediately d. 125 mg started immediately

c. 250 mg started immediately

In addition to being highly infectious, which additional fact would the nurse teach the client with gonorrhea? a. Easily cured b. Occurs very rarely c. Can produce sterility d. Limited to the external genitalia

c. Can produce sterility

Which would be the medication of choice in an adolescent who is diagnosed with gonorrhea and wishes to continue breast-feeding? a. Azithromycin 1 g b. Amoxicillin 500 mg c. Ceftriaxone 250 mg d. Ceftriaxone 125 mg

c. Ceftriaxone 250 mg

Which type of isolation precautions would the postpartum nurse plan to institute for a client who has delivered her infant by cesarean birth because of active genital herpes? a. Enteric b. Droplet c. Contact d. Airborne

c. Contact

An adolescent reports uncomfortable genital warts. Which interventions would reduce the discomfort? Select all that apply. One, some, or all responses may be correct. 1 Take imiquimod. 2 Consider cryotherapy. 3 Bathe with an oatmeal solution. 4 Wear loose-fitting cotton clothes. 5 Use less water to clean the genitals

2 Consider cryotherapy. 3 Bathe with an oatmeal solution. 4 Wear loose-fitting cotton clothes.

The client says that she is still unclear about the placement of the PICC line and needs further explanation. Which is the best approach for the nurse to teach an adult learner? Contact the PICC line nurse to discuss placement with the client. Provide a pamphlet or video for the client to reinforce verbal instructions. Demonstrate simulation placement on a manikin for the client. Reiterate previous instructions given to the client.

B

The student meets again with the nurse and confirms the HSV diagnosis. The student is angry with her boyfriend because he told her that he had only been with one other girl in the past and that he did not have any sexually transmitted diseases. The student wants to know if her boyfriend could be telling the truth when he stated he does not have HSV. How should the nurse respond? Individuals can be infected with HSV and not have any symptoms. Anyone who is infected with HSV should have noticeable symptoms. Your boyfriend has most likely had more than one sexual partner. It sounds as if your boyfriend is not trustworthy.

A

Which male patient does the nurse identify is most susceptible to experiencing erectile dysfunction as a consequence of his drug regimen? A patient who takes a biguanide for type 2 diabetes. A patient who takes a β-adrenergic blocker for hypertension. A patient who uses a proton pump inhibitor to control acid reflux. A patient who is taking a cephalosporin antibiotic in order to treat cellulitis.

A patient who takes a β-adrenergic blocker for hypertension. Antihypertensives are commonly implicated in cases of erectile dysfunction. Antibiotics, PPIs, and biguanides are less likely to negatively impact men's sexual function.

The client is advised that infective endocarditis can damage the heart and become life threatening if not treated properly and completely. Which finding is most indicative of a life threatening complication of infective endocarditis that the nurse should discuss with the client prior to discharge? Sudden weight gain. Pruritus and rash. Nuchal rigidity. Blurred vision.

A

The client is to be discharged from the hospital with a prepared antibiotic, IV pump with tubing, alcohol wipes, IV access (PICC), normal saline solution and flushes. When planning the client's discharge, it is most important for the nurse to coordinate with which member of the healthcare team? Case Manager. Home Health Nurse. Pharmacist. Registered Dietician.

A

The nurse calculates incidence proportions for student pregnancies for the last three years. The calculation is based on the following information. There were 5,550 high school students enrolled each year. In year one, 6 of 2,900 10th, 11th, and 12th grade females were pregnant and 2 12th grade students were parents. In year two, 3 of 3,005 9thand 10th grade females were pregnant and 5 11th and 12th grade students were parents. In year three, 3 of 2,777 9th, 10th, and 12th grade females were pregnant and 2 11th grade students were parents. What was the incidence of pregnancy in year two? 1/1,000. 2/1,000. 3/1,000. 6/1,000.

A

The nurse is having a therapeutic conversation with a patient newly diagnosed with hypertension. Which communication techniques will most likely prove effective for this patient? (Select all that apply.) Select all that apply. A The nurse waits until the patient has been awake for a few hours before beginning the teaching plan. B The nurse helps the patient identify weight loss goals that are reasonable. C The nurse gives the patient a sheet full of information and asks the patient to read the information and let the nurse know if they have any questions. D The nurse and patient engage in a humorous conversation about the top ten "what not to eat when you are being treated for hypertension." E The nurse presents a laminated poster to the patient that depicts pictures of foods that would be on the low sodium diet. F The nurse states the risk factors and statistics of patients who do not take their medications as prescribed.

A, b, d, e

Which interventions can the nurse implement to decrease the the client's anxiety during this examination? (Select all that apply. One, some, or all options may be correct.) Select all that apply Explain each step of the procedure in advance using models. Talk to the client directing relaxation and breathing techniques. Warm a cold speculum between the folds of a heating pad before the exam. Tell the client the procedure is painless and she will feel nothing. Instruct the client that anxiety will make the exam more difficult.

ABC

The client describes the pain in her lower abdomen as sharp and cramping. The HCP prescribes hydrocodone bitartrate 5mg with acetaminophen 325 mg, two tabs PO prior to the client's pelvic exam. Before initiating the treatment, it is most important for the nurse to implement which interventions? (Select all that apply. One, some, or all options may be correct.) Select all that apply Perform a focused assessment on the upper and lower abdomen. Implement a numeric pain assessment on a scale of 1 to 10. Document a baseline of vital signs including a pulse oximetry. Use at least two client identifiers before administering the medication. Initiate the treatment without further delay because the client is in pain.

ABCD

Which instructions are most important for the nurse to include in the healthcare teaching for a client who is diagnosed with gonorrheal infections? (Select all that apply. One, some, or all options may be correct.) Select all that apply Sexual partners should be examined, cultured, and treated with appropriate regimens. Most treatment failures result from reinfections from untreated partners. Complications are consequences of reinfection. Gonorrhea infection can be spread by using public toilets. HCPs are legally responsible for reporting to the local health department.

ABCE

During the follow up meeting, the student asks the nurse, "Is it possible to transmit the infection when I do not have any symptoms?" How should the nurse respond? "The greatest risk for transmitting infection is when there are no visible lesions or symptoms." "It is possible to transmit the virus when no visible lesions or symptoms are present." "If you don't have a recurrence after the first year, you decrease the chance of transmitting the virus to others." "You do not need to worry about transmitting the virus if you use condoms during vaginal sex."

B

The nurse explains to the client that medications will be administered to obtain which expected outcome? The first treatment is one in a series of treatments that will cure the infection. Uncomplicated gonorrhea is cured with a single dose of antibiotic therapy. The infection cannot be cured completely, but medication will reduce the pain. Antiviral medication will cure the infection faster and minimize pain in one dose.

B

Despite the importance of sexual health to overall well-being, many nurses and patients are uncomfortable discussing issues related to sexuality. It is for this reason that the nurse must include questions regarding a sexual health history as part of a comprehensive health assessment. A 15-year-old female patient has come to the office for her annual physical and first pelvic examination. In this situation, which nursing action is most important? A. Encourage the patient to ask questions about sexuality. B. Screen for possible abuse. C. Excuse the parent. D. Ensure the patient that all information will be kept confidential.

C

During interviews with a select group of students, the nurse is questioned about sexual and reproductive health. One student asks the nurse if any of the sexually transmitted diseases can be transmitted through oral sex. Which of the following is the correct response? It is rare for a sexually transmitted infection to be transmitted through oral sex. Sexually transmitted infections are only transmitted through vaginal or anal sex. Sexually transmitted infections can be transmitted through oral, vaginal or anal sex. Only viral sexually transmitted infections can be transmitted through oral sex.

C

In order to fully understand the concept of sexuality, it is necessary to become familiar with the terms used when discussing this topic. Which term best describes how one views oneself as masculine or feminine? A. Sexual identity B. Sexual orientation C. Gender identity D. Sexual behavior

C

The student wonders if she should tell her boyfriend about the diagnosis. Which response by the nurse is correct? According to federal law, nurses must report HSV, so the health department will contact your boyfriend. If your boyfriend does not have any symptoms, it is not necessary for him to know about the disease. It is ultimately your decision, but telling him may prevent the spread of the disease in the future. As long as you and your boyfriend do not have sex with anyone else, there is no need for him to know.

C

During interviews with a select group of students, the nurse is questioned about sexual and reproductive health. One student asks the nurse about the transmission of herpes. Which information regarding herpes simplex virus (HSV) transmission should the nurse present? Herpes can be cured with antiviral medications if diagnosed early. Herpes can only be transmitted through oral sex. With increased sex education, the prevalence of herpes has decreased in recent years. Herpes can cause painful sores in the mouth, anus, and genital area.

D

The nurse is aware that there is a concern about sex education in schools. The concern is not based on scientific evidence. What is the common concern? Sex education is responsible for declining marriage rates. Sex education has contributed to increased rates of suicide. Sex education causes a decline in academic achievement. Sex education promotes sexual activity during adolescence.

D

The nurse is asked to teach an adolescent female patient about menstruation. What is important for the nurse to include when teaching the adolescent? The length of the menstrual cycle should be 28 days. Menstrual cycles are often irregular for the first 1 to 2 years. The female loses around 1 cup of blood with each menstrual period. Follicle-stimulating hormone (FSH) causes maturity of the follicle for ovulation.

Menstrual cycles are often irregular for the first 1 to 2 years.

Which communication term can be applied to this statement: How messages are received and interpreted would include personal states such as mood disturbance, environmental stimuli related to the setting of the communication, and contextual variables? Internal noise Metacommunication Vigor communication Therapeutic communication

Metacommunication

When teaching nursing students about the male sexual response, what should the nurse call the phase that includes ejaculation? Plateau phase Orgasmic phase Resolution phase Excitement phase

Orgasmic phase The orgasmic phase is when ejaculation occurs from contraction of the penile and urethral musculature propelling the sperm outward through the meatus. The excitement phase is manifested by penile erection in response to sexual stimulation. The plateau phase is when the erection is maintained. There is a slight increase in vasocongestion and testicle size, and the glans penis may be more reddish-purple. The resolution phase is after ejaculation when the penis gradually returns to its unstimulated, flaccid state.

The nurse is performing an admission assessment of an older adult male patient prior to bladder resection surgery. What assessment finding of the patient's genitourinary system would be unexpected? The patient's left testicle hangs lower than his right. Pubic hair is absent from the patient's genital region. The patient's intestines are not palpable through the inguinal rings. The patient's foreskin can be manually retracted to expose the meatus.

Pubic hair is absent from the patient's genital region. An absence of pubic hair is an unexpected finding in an older male patient. It is common for the left testicle to hang lower than the right, and the intestines are often not palpable through the inguinal rings. The foreskin should be easily retractable.

What should general teaching for patients with a sexually transmitted infection (STI) include? (Select all that apply.) Treatment of sexual partners Douching will help to provide relief of itching Importance of retesting after treatment to confirm cure Cotton undergarments are preferred over synthetic materials Sexual abstinence is needed during the communicable phase of a disease Condoms should be used during and after treatment during sexual activity

Treatment of sexual partners Importance of retesting after treatment to confirm cure Cotton undergarments are preferred over synthetic materials Sexual abstinence is needed during the communicable phase of a disease Condoms should be used during and after treatment during sexual activity

A woman in active labor arrives at the birthing unit. She tells the nurse that she was told that she had a chlamydial infection the last time she visited the clinic; however, she stopped taking the antibiotic after 3 days because she "felt better." In light of this history, which would the nurse anticipate as part of the plan of care? a. Administration of antibiotics before delivery b. Oxytocin infusion to augment labor c. Epidural anesthesia to relieve difficult labor discomfort d. Magnesium sulfate infusion to prevent a precipitous birth

a. Administration of antibiotics before delivery

What instructions should the nurse give to an adolescent to prevent sexually transmitted infections? Select all that apply. a. Remember to use condoms properly. b. Abstain from any kind of sexual activity c. Make sure you are up-to-date with your vaccinations. d. Have sexual contact only if you and your partner are monogamous. e. Remember to have regular screening from STI's

a. Remember to use condoms properly. c. Make sure you are up-to-date with your vaccinations. d. Have sexual contact only if you and your partner are monogamous.

Which sexually transmitted infections are caused by bacteria? Select all that apply. One, some, or all responses may be correct. a. syphilis b. hepatitis c. gonorrhea d. herpes simplex e. trichomoniasis

a. syphilis c. gonorrhea

The clinic nurse is planning care for a client with chlamydia. Which treatment would the nurse anticipate implementing? a. Administration of 250 mg of acyclovir orally in a single dose b. Administration of 1 g of azithromycin orally in a single dose c. Administration of 250 mg of ceftriaxone intramuscularly in a single dose d. Administration of 2.4 million units of benzathine penicillin G intramuscularly in a single dose

b. Administration of 1 g of azithromycin orally in a single dose

The nurse reviews the prescriptions of multiple adolescents with genital herpes simplex infections. Which client's medication regimen would require correction? a. Client A b. Client B c. Client C d. Client D

b. Client B

Which action would the nurse implement regarding the public health implications of a 16-year-old adolescent diagnosed with gonorrhea? a. Interviewing the adolescent's parents b. Identifying and locating the client's sexual contacts c. Instructing the client about birth control measures d. Determining the reasons for the client's promiscuity

b. Identifying and locating the client's sexual contacts

Which intervention would the nurse implement to prevent infection of the newborn in a pregnant client with gonorrhea? a. Oral antibiotics for newborn b. Schedule a cesarean section c. Silver nitrate ophthalmic ointment d. Intravenous antibiotic before delivery

c. Silver nitrate ophthalmic ointment

Which statement indicates that a client with genital herpes understands the nurse's teaching of how to limit transmission of the virus to her newborn? a. "I should avoid kissing the baby on the lips." b. "I have to wear gloves when I'm holding the baby." c. "I should wash my clothes and my baby's clothes separately." d. "I have to wash my hands with soap and water before handling the baby."

d. "I have to wash my hands with soap and water before handling the baby."

Which response would the nurse provide to a client who has been diagnosed with genital herpes at her annual examination and asks how the health care provider knew that she had herpes? a. "There's a sore in your vagina." b. "There's a rash near your vagina." c. "You have a typical discharge from your vagina." d. "You have blisters on the skin around your vagina."

d. "You have blisters on the skin around your vagina."