Chapter 5

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?

Chlamydia

A client with a family history of cervical cancer is to undergo a Pap test. During the client education, what group should the nurse include as at risk for cervical cancer?

Clients who have genital warts

Patients who have had PID are prone to which of the following complications?

Ectopic pregnancy

When developing the teaching plan for a client who is HIV positive, which of the following would the nurse include?

Practicing rigid adherence to drug schedule and dosage

A nurse is caring for the following clients who have a history of genital herpes infection. Which client is most at risk for an outbreak of genital herpes?

A client who complains of genital pruritus and paresthesia

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

Which of the following medications are used to suppress viral load of the HSV-2 infection?

Acyclovir (Zovirax)

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

An azole antifungal agent

During unprotected sex, a 17 year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which of the following diagnoses?

Condylomata acuminata

A client complaining of genital warts has been diagnosed with human papillomavirus (HPV). The genital warts have been treated, and they have disappeared. Which of the following should the nurse include in the teaching plan when educating the client about the condition?

Even after warts are removed, HPV still remains

A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection?

Gonorrhea

A physician tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This order would be appropriate for a woman with which condition?

Gonorrhea

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

Human papilloma virus

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 instruction should be given to a woman newly diagnosed with genital herpes?

Limit stress and emotional upset as much as possible.

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 six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?

Metronidazole

Which of the following would be most appropriate for detecting a yeast infection in a client with irritation of the vagina and vulva?

Microscopic examination of a swab sampling

A 24 year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis?

Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease

The nurse is teaching a class about sexually transmitted diseases to a middle school class. Which of the following is a misconception about condom use that needs to be clarified?

Put the condom on just before orgasm

An HIV-positive client who is on antiretroviral therapy complains of anorexia, nausea, and vomiting. Which of the following suggestions should the nurse offer the client to cope with this condition?

Use high-protein supplements.

Which factor in a client's history indicates she's at risk for candidiasis?

Use of corticosteroids

A nurse is assessing a client diagnosed with bacterial vaginosis. Which of the following is a symptom of bacterial vaginosis?

Vaginal odor smelling of fish

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate?

"Even though you don't have symptoms, you could still spread the infection."

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."

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

"Inform all potential sexual partners about the infection, even if it is inactive."

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

Abandon biases that older adults are sexually inactive

Primary prevention for HPV includes which of the following?

Administering HPV vaccine

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which of the following nursing interventions may help foster the client's self-esteem?

Affirm the client's good judgment in seeking treatment

A client is receiving ceftriaxone as treatment for gonorrhea. Which of the following would be most important for the nurse to emphasize to the client?

Avoiding alcohol consumption

A pregnant client is diagnosed with Chlamydia and is to receive antimicrobial therapy. Which drug would the nurse expect to be least likely prescribed?

Azithromycin

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?

Burning on urination

A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which of the following would the nurse recommend?

Condom

Which of the following measures would be most effective in preventing STIs?

Education to promote sexual health

A client is admitted in the healthcare facility with pelvic inflammatory disease (PID). When reviewing the client's history, which of the following would the nurse identify as a risk factor?

Frequent douching

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

A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. Which of the following symptoms related to this condition should the nurse assess for?

Genital vesicular lesions

Which of the following STIs could be transmitted perinatally?

Herpes simplex

A pregnant client has been diagnosed with gonorrhea. Which of the following nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby?

Instill a prophylactic agent in the eyes of the newborn.

The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis?

Irritation of vaginal walls

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI)

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis?

Latency

Which of the following is the most effective treatment for trichominiasis?

Metronidazole (Flagyl)

Which of the following would the nurse recommend to a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection?

Participate in early prenatal care

Which of the following is the medication of choice for early syphilis?

Penicillin G benzathine

A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which of the following instructions should the nurse give the client to prevent recurrence of bacterial vaginosis?

Practice monogamy

Pelvic infection is most commonly caused by which of the following?

Sexual transmission

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Syphilis

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?

Trichomoniasis

A nurse is caring for a client who has just delivered a baby. Which of the following information should the nurse give the client regarding hepatitis B vaccination for the baby?

Vaccine consists of a series of three injections given within 6 months.

Which of the following would alert the nurse to suspect that a client has a yeast infection?

Vulvar burning and itching

A woman comes to the clinic complaining of intense pruritus and a thick curd-like vaginal discharge. On examination white plaques on observed on the vaginal wall. The nurse suspects which of the following?

Vulvovaginal candidiasis

A nurse is caring for a female client who has a history of recurring vulvovaginal candidiasis. Which of the following instructions should the nurse include in the teaching session with the client?

Wear white, 100% cotton underpants.

A client complaining of genital ulcers has been diagnosed with syphilis. Which of the following nursing interventions should the nurse implement when caring for the client? Select all that apply.

• Have the client urinate in water if urination is painful. • Instruct the client to wash her hands with soap and water after touching lesions. • Instruct the client to wear nonconstricting, comfortable clothes.

A nurse is caring for a human immunodeficiency virus (HIV)-positive client who is on triple-combination highly active antiretroviral therapy (HAART). Which of the following should the nurse include in the teaching plan when educating the client about the treatment? Select all that apply.

• Unpleasant side effects such as nausea and diarrhea are common. • Provide written materials describing diet, exercise, and medications. • Ensure that the client understands the dosing regimen and schedul

Which of the following is the gold standard for HSV diagnosis?

Culture

Which woman is at greatest risk for developing cervical cancer?

A client whose high-risk HPV infection persists in genital skin cells

A nurse is required to assess a client complaining of unusual vaginal discharge for bacterial vaginosis. Which of the following is a classic manifestation of this condition that the nurse should assess for?

Characteristic "stale fish" odor

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 nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) in a particular community discovers that there is a very high incidence of hepatitis B in the community. Which of the following measures should she take to ensure the prevention of the disease?

Instruct people to get vaccinated for hepatitis B.