CH 46 PREP U

A nurse suspects a client has trichomoniasis based on which assessed vaginal discharge?

Frothy green

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last 6 months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?

metronidazole

A nurse is educating a group of students about the spread of sexually transmitted infections. Which is a potential portal of entry for most sexually transmitted infections?

mouth

Which assessment question is most likely to address the causation of a woman's new case of candidiasis?

"Have you been on antibiotics recently?"

A client is diagnosed with granuloma inguinale. Which question should the nurse ask the client?

"Have you traveled outside of the country recently?"

A client asks how his condition, Condylomata acuminata, is caused. What is the nurse's best response?

"Human papillomavirus (HPV) is the cause of your condition."

A female client is diagnosed with chlamydia during a routine pelvic examination. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective?

"My partner will need to take antibiotics at the same time I do."

In a client suspected of having gonorrhea with active symptoms, what does the nurse tell the client about confirming the diagnosis?

"Since you have discharge, we can perform a culture."

In teaching a client about genital warts, which statement is correct for the nurse to say?

"The incubation period is 6 weeks to 3 months."

A client asks why his partners need to know that he was diagnosed with syphilis. What is the nurse's best response?

"They will have to be treated prophylactically."

Which instruction is essential for the nurse to include in the care plan for a client with herpes simplex virus-1 (HSV-1)?

"This disease is transmitted by oral secretions."

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."

A male client is diagnosed with gonococcal urethritis. He tells the nurse he had recent sexual contact with a woman but states she did not appear to have any disease. What is the nurse's best response to the client?

"Women may not know they have gonorrhea because they may not have symptoms."

Which client is at highest risk of developing trichomoniasis?

A client who is sexually active

Which information is essential for a nurse to include in the teaching plan for a client receiving metronidazole for trichomoniasis?

Abstinence is recommended until the therapy is completed.

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 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 6 months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of medication is most likely to resolve her symptoms?

An azole antifungal agent

A nurse is attempting to culture a lesion to determine if a client has genital herpes. What is the nurse's best action?

Attempt to culture a lesion as soon as it develops.

A sexually active female presents to the clinic with white copious vaginal discharge, itch, swelling, and dysuria. The nurse anticipates the client will be treated for the overgrowth of which organism?

Candida albicans

A female receives a Papanicolaou (Pap) test result indicating she has human papillomavirus (HPV) infection. As part of her education, the nurse would emphasize the need for continued follow-up to monitor for which potential complication?

Cervical dysplasia

A couple presents to an infertility clinic. The health care provider will focus testing on which sexually transmitted infection (STI) that is very damaging to the reproductive system but rarely exhibits symptoms of infection?

Chlamydial infection

Which assessment finding correlates to advanced (tertiary) syphilis?

Dementia

A adolescent asks the nurse if there is anything that would greatly increase her risk of acquiring herpes simplex virus (HSV). Which response would be the most accurate for the nurse to reply?

Engaging in oral-genital sex

A 22-year-old female client states she has vaginal itching with pain and small vesicles that appear on the vagina when she is stressed. The health care provider suspects the client most likely is experiencing which condition?

Genital herpes

A client who has been diagnosed with gonorrhea asks the nurse if anyone has to know about it. The best response by the nurse is:

Gonorrhea is a reportable sexually transmitted infection.

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 female client is found to have genital warts during a routine pelvic examination. Which sexually transmitted infection will the nurse prepare to test for?

HPV

Which assessment finding is most clearly suggestive of initial genital herpes (herpes simplex virus, HSV) in a male client?

Itching, pain, and the emergence of pustules on the penis

Select the treatment of choice for syphilis.

Long-acting penicillin in a single injection

When screening for a sexually transmitted disease (STD), a microscopic evaluation of a discharge culture reveals hyphae and a pH level of 4.2. Which conditions are not likely to present based on these findings? Select all that apply.

N. gonorrhoeae C. trachomatis T. vaginalis

An male client presents with urethral itching, burning, pain, and a creamy, yellow discharge following unprotected sex with a new partner 3 days ago. The nurse anticipates the client to be diagnosed with which sexually transmitted infection?

Neisseria gonorrhoeae

A client with herpes simplex virus (HSV) states, "I can stop taking my drugs because I'm cured. My lesions are gone." Knowing the pathophysiology behind the disappearance of HSV symptoms, the health care provider suspects the client is experiencing which phase of infection?

Periods of latency in the nervous system

A woman who has developed vulvovaginal candidiasis will likely report which clinical manifestations to her health care provider? Select all that apply.

Redness Edema Painful urination

A client presents with gonorrhea. Which of the following is a primary nursing action?

Reporting the case to the Centers for Disease Control and Prevention

The public health nurse is presenting a program on the prevalence of STIs. Which information should be included in the presentation? Select all that apply.

STIs may be asymptomatic. Drugs can manage infections but do not control the spread.

A female client presents to the clinic with a rash on the palms of her hands, symptoms of hair loss, and the development of elevated, red-brown lesions that have begun to ulcerate and produce a foul discharge. Based on these symptoms, the nurse plans to test the client for which sexually transmitted infection?

Syphillis

Which clients would the nurse determine are at increased risk of infection with gonorrhea? Select all that apply.

The client who is younger than 25 years of age The client who does not use condoms The client with multiple sexual partners

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

The client with more than six outbreaks this year

A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition?

Thick white secretions

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

Trichomoniasis

Which symptoms would a nurse assess in a male client with gonorrhea? Select all that apply.

Urethral pain Creamy, yellow discharge Bloody discharge

The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that:

a large percentage (70%) of those infected experience no symptoms of the disease.

The physiologic reasoning behind giving acyclovir, an antiviral medication, to a client diagnosed with genital herpes would include the fact that these drugs:

interfere with viral DNA replication, which can decrease the frequency of recurrences.

Select the most reliable test to diagnose syphilis.

serology

A client is diagnosed with trichomoniasis. Which findings likely helped to confirm this diagnosis?

sexual activity

Which event is associated with the primary stage of syphilis?

Genital chancres

A woman asks "Why do I have to tell my sexual partner about chlamydia? I thought this was a "female" disease." What is the nurse's best response?

"The condition is transmittable to men and may cause infertility."

A client presents to the outpatient clinic complaining of gray discharge that has a fishy odor. The health care provider sees "clue cells" on wet-mount microscopic exam. This would most likely lead to the diagnosis of:

Bacterial vaginosis

During infertility workup, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation?

Fallopian tube damage