Chapter 35
The nurse is seeing a client who came into the sexual health clinic after discovering condylomata along her labia. The client states, "This makes no sense, I don't even know who I got this from and I have been so careful!" What is the nurse's best response?
"It sounds like you are feeling angry. Let's talk more about human papillomavirus (HPV) and strategies to stay healthy while you are being treated."
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?
A painless genital ulcer that appeared about 3 weeks after unprotected sex
A patient with genital herpes is having an acute exacerbation. What medication would the nurse expect to be ordered to suppress the symptoms and shorten the course of the infection?
Acyclovir (Zovirax)
A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?
Burning on urination
After initially presenting to a campus medical clinic after the emergence of a wart on her vulva, a 21-year-old woman is distraught to receive a diagnosis of human papillomavirus (HPV). The woman states, "I know I'm supposed to, but I really have no idea how I'm going to break this to my boyfriend. What will happen if I don't tell him?" What nursing diagnosis should the clinic nurse identify in this woman's care?
Decisional conflict
Patients who have had pelvic inflammatory disease (PID) are prone to which of the following complications?
Ectopic pregnancy
A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?
Foul-smelling discharge from the penis
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?
Genital herpes
The nurse is assessing a client in the emergency department who grimaces and reports swelling of the testicles, burning on urination and a green discharge from the penis. The nurse suspects the client will be diagnosed with which infection?
Gonorrhea
A nurse practitioner assessed a patient's complaints about a vaginal discharge and prescribed Flagyl. The nurse was able to diagnose bacterial vaginosis because of this defining characteristic, a discharge that:
Has a fish-like odor.
A nurse provided health teaching to a patient with a STI. The nurse advised her patient that transmission of the organism was by three routes: sexual, percutaneous, and perinatal. Choose the STI that was diagnosed.
Herpes simplex
A 22-year-old woman is scheduled to begin radiotherapy for the treatment of invasive cervical cancer. The nurse should be aware that there is a high likelihood that the woman has a history of what sexually transmitted infection?
Human papillomavirus (HPV)
Which of the following describes host interaction with an organism?
Infection
Pelvic infection is most commonly caused by which of the following?
Sexual transmission
A 34-year-old man has been diagnosed with HSV-2 and is preparing to begin treatment with acyclovir (Zovirax). When providing health education about his new medication regimen, what information should the nurse provide to this patient?
The drug may relieve his symptoms but it will not cure him of herpes.
The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session?
The effect of the vaccination is optimized if it is administered before the child becomes sexually active.
A patient has herpes simplex 2 viral infection (HSV-2). The nurse recognizes that which of the following should be included in teaching the patient:
Treatment is aimed at relieving symptoms.
A gynecologist told a patient that she had chlamydia. The nurse expected the health care provider to prescribe a single dose of which of the following medications?
Zithromax
A client is diagnosed with latent syphilis. It is unknown when the client contracted the infection. When developing the plan of care for this client, the nurse would anticipate administering the prescribed medication using which regimen?
an injection of penicillin G weekly for 3 weeks
A 20-year-old male client comes to the clinic for an evaluation. During the visit, the client mentions that he wants to make sure that he is using condoms properly. When reviewing the steps, which client statement would warrant additional instruction?
"I should put the condom on my penis before it becomes erect."
A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective?
"I will wear loose cotton underwear."
The nurse is talking to a client who has come to the doctor's office to ensure that the client's sexually transmitted infection (STI) has been successfully treated. Which statement by the client requires further instruction?
"It's great that I don't have to worry about having this infection again because I'm now immune to it."
The nurse explained the difference between the herpes simplex viruses (HSV-1 and HSV-2). One characteristic of HSV-1 is that it:
Affects the mouth and lips
A male patient in his 20s has been diagnosed with a chlamydial infection and states that he is "terrified" at the prospect of having to inform his fiancée. In light of this patient's statement, what action should the nurse first perform?
Assess the specific reasons why the patient fears this discussion with his fiancée.
The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted disease would the nurse focus the client education on curative goals?
Chlamydia
In which group is it most important for the client to understand the importance of an annual Papanicolaou test?
Clients infected with the human papillomavirus (HPV)
A female client recently diagnosed with chlamydia comes to the clinic for a check-up. During the visit, the client says, "I had no idea I had chlamydia. I didn't have any symptoms." The nurse would incorporate knowledge of which information when responding to the client?
Clients with chlamydia frequently are asymptomatic.
A public health nurse is facilitating a health forum at a high school and has presented the deleterious effects of Chlamydia trachomatis and Neisseriae gonorrhoeae infection. Why are these sexually transmitted infections (STIs) associated with a high risk of pelvic inflammatory disease and infertility among infected females?
Infection is often not accompanied by recognizable signs and symptoms.
A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning?
Instruct the patient not to drink alcohol with this treatment.
Which of the following is the most effective treatment for trichomoniasis?
Metronidazole (Flagyl)
A nurse practitioner was preparing a health education program for freshmen college students. During orientation week, the nurse mentioned that C. trachomatis and N. gonorrhoeae are the two most common infections in sexually active young women under the age of 25. The nurse told the students that the most common finding for these infections is:
Mucopurulent cervicitis.
Which of the following is the medication of choice for early syphilis?
Penicillin G benzathine
The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?
Prepare for a cesarean section.
A patient comes to the clinic with complaints of a painless sore on her lip 2 weeks after she had oral sex with her boyfriend. The nurse observes a chancre on the lips and the physician orders testing for syphilis. If results are positive, what is the likely stage the patient is in?
Primary
A client is being tested for gonorrhea. Based on the nurse's understanding of this STI, the nurse would anticipate that the client will also be tested for:
chlamydia
A female client comes to the clinic because of painful blisters on her genitalia. The nurse suspects genital herpes. Which test would the nurse anticipate as being used to confirm the diagnosis?
culture of the lesion
SATA A nurse is reading a journal article about STIs and risk factors. The nurse demonstrates understanding of the article by identifying which factor as increasing the risk?
engagement in sex at an early age multiple sex partners use of illicit drugs
The nurse is presenting a community lecture about STIs, and emphasizes that some STIs are easily cured with early and adequate treatment. Which is not among these easily treated diseases?
genital herpes
Which statement holds true? Untreated genital warts:
may resolve on their own, remain unchanged, or increase in size or number.