Bacterial STDs & PID
When caring for a patient with an STD, it is most important that the nurse teach the patient to? a. use a barrier contraceptive during sex b. advise all sexual partners of the need for treatment c. take the full course of antibiotics d. return to clinic for retesting
Answer: B Rational: It is MOST IMPORTANT to advise to stop the spread.
The nurse is establishing a plan of care for a client with newly diagnosed PID. Which problem does the nurse place as the client's highest priority? A. Infection B. Infertility C. Reduced sexual drive D. Reduced self-esteem
A. Stop infection to avoid infertility
The nurse is assessing a male client diagnosed with gonorrhea. Which symptom would prompted the client to seek medical attention? A. Rashes on the palms of the hands and soles of the feet. B. Cauliflower-like warts on the penis. C. Painful red papules on the shaft of the penis. D. Foul-smelling discharge from the penis.
Answer: D Rational: Symptoms of gonorrhea in men include purulent, foul-smelling drainage from the penis and painful urination. The most common clinical manifestations of gonococcal disease in males include penile purulent discharge, dysuria, and testicular discomfort.
A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding? a) Palmar rash b) Development of gummas c) Development of central nervous system lesions d) Genital chancres
Answer: D (chancres are developed in the primary stage after a papule is formed at the entry site)
The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which of the following would the nurse expect to include as the most common STI in the United States? a) Chlamydia b) Syphilis c) Genital herpes d) Gonorrhea
a) Chlamydia - several strains making it more contagious
