Chapter 5 Prep U

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

doxycycline

Clients who have had PID are prone to which complication?

ectopic pregnancy

Working at the local health clinic, the nurse recognizes that STIs can often result in pelvic inflammatory disease. When a client with a history of repeat STIs presents to the clinic reporting severe abdominal cramping and bleeding, the immediate concern is to ensure the client does not have:

ectopic pregnancy

A nurse is conducting a class for high school students on preventing sexually transmitted infections (STIs). Which information would the nurse emphasize as the sole method for not contracting STIs?

engaging in abstinence

A woman comes into the health clinic complaining of thick, cottage cheese-like vaginal discharge, with white patches on her labia that worsens before her menses. She complains of intense pruritus and dyspareunia. The health care provider would order which preparation for treatment?

fluconazole

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

gonorrhea

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis?

green vaginal discharge

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which symptoms would the nurse expect the client to exhibit?

heart disease and inflammation of the aorta, eyes, brain, central nervous system, and skin

When educating a client about the dangers of STIs, the nurse emphasizes the risk of damage to other organs if the infection is left untreated. The nurse identifies possible liver damage that may result from which infection?

hepatitis B virus

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

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

latency

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

latency

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

A pregnant client has been prescribed a quinolone medication to treat gonorrhea. What is most important for the nurse to do before administering the medication?

notify the health care provider

A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis?

sore throat and flu-like symptoms

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

The nurse is assessing a 15-year-old female who reports extreme itching in the genital area, dysuria, and foul-smelling, yellow, foamy, vaginal discharge. What would most likely be responsible for these symptoms?

trichomoniasis

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

use of corticosteroids

A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection?

viral culture of vesicular fluid

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

vulvovaginal candidiasis

Which medications are appropriate to treat vaginal candidiasis? Select all that apply.

-Miconazole -Fluconazole

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which information will the nurse include?

Leave space at the tip of the condom

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 cares for multiple female clients. Which client is at the highest risk for developing cervical cancer?

client who smokes 2 packs of cigarettes a day and birthed a newborn at 39 weeks' gestation when 15 years of age

A school health nurse is presenting information on sexually transmitted infections (STIs) to a high school class. The nurse feels confident that learning has taken place when the students report:

female adolescents are more susceptible to STIs due to their anatomy

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

human papillomavirus

The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use?

"I will put the condom on just before orgasm."

The nurse is caring for a client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client?

"Avoid alcohol consumption for at least 24 hours after you take this medication."

A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct?

"Human papillomavirus is the cause of essentially all cases of cervical cancer."

The nurse is educating a client newly diagnosed with genital herpes. Which statement by the client indicates teaching has been successful?

"I can spread this infection if I have unprotected anal, vaginal, or oral sex."

After teaching a client diagnosed with candidiasis about preventive measures, the nurse determines additional teaching is needed when the client makes which statement?

"I can wear any style of pants as long as I wear cotton underwear."

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?

"I'm temporarily not contagious once the warts are destroyed."

The nurse is caring for a female client diagnosed with vulvovaginal candidiasis. Which instruction will the nurse include in the teaching session with the client?

"It is best for you to wear cotton underwear."

After teaching a group of college-aged students about condom use, the nurse determines that additional teaching is needed when the students make which statement?

"It's okay to use petroleum jelly with a latex condom."

A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infections. What is the nurse's best response?

"This STI is characterized by an infection of your cervix."

A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?

"This drug will help to suppress any symptoms of the infection."

A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student?

"Withdraw the penis erect, holding the condom firmly against the penis."

A client with genital herpes asks the nurse about what to expect with the infection. Which response by the nurse is appropriate?

"You have to be extremely careful in the future. Even if you do not have symptoms, you could still spread the infection to others."

A public health nurse is teaching a class on sexually transmitted infections (STIs). Which statements would the nurse include in the discussion? Select all that apply.

-"After a single exposure, women are twice as likely as men to acquire a STI." -"STIs contribute to cervical cancer." -"65 million people live with incurable STIs."

At a sexual health workshop for older teenagers, the nurse discusses the human papillomavirus (HPV). Which statement(s) made by the participants lead the nurse to believe teaching was successful? Select all that apply.

-"By getting the HPV vaccine, this infection can be prevented." -"The HPV vaccine can be given to girls and boys as young as 9 years old." -"Women between the ages of 13 and 26 can receive the vaccination series." -"The HPV vaccines will help prevent cervical cancer."

A nurse is reviewing the history of a client diagnosed with pelvic inflammatory disease. Which factors would the nurse identify as placing the client at increased risk for this condition? Select all that apply.

-multiple sex partners -intrauterine contraceptive device inserted 3 weeks ago -vaginal douching approximately once a week

A nurse is teaching a local community group about STIs. When discussing syphilis, the nurse would identify which stages as being most infectious? Select all that apply.

-primary -secondary -early latent

In preparing a talk about sexually transmitted infections (STIs) of chlamydia and gonorrhea for high school students, the nurse should emphasize which group(s) as being at high risk? Select all that apply.

-women under the age of 25 years -individuals with multiple sex partners -women who are single

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?

25

The nurse is providing education on the prevention of sexually transmitted infections (STIs) to clients. The nurse understands which client is at the highest risk of contracting an STI?

A 30-year-old client who consumes alcohol multiple times per week, uses cocaine, and has a history of prostitution.

Which medication is used to suppress viral load of the HSV-2 infection?

Acyclovir

A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?

Adolescents and young adults are the largest age group diagnosed with an STI.

A female client is prescribed metronidazole for the treatment of trichomoniasis. Which instruction should the nurse give the client undergoing treatment?

Avoid alcohol

Which instruction should the nurse give to a client with genital herpes to help control the infection?

Avoid sexual contact until sores heal.

Working at the college health care clinic, the nurse recognizes the importance of educating students that the human papillomavirus has been confirmed to be the cause of essentially all cases of which type of cancer?

Cervical

A nurse is conducting a presentation for a local community group on sexually transmitted infections. The nurse determines that the group has understood the information when they identify which infection as the most commonly reported bacterial STI in the United States?

Chlamydia

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

Clients who have genital warts

A client is being discharged from the gynecological unit after treatment for acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?

Discuss the necessity of completing the antibiotic therapy.

Which STI could be transmitted perinatally?

Herpes simplex

What is the most common viral infection?

Human papillomavirus (HPV)

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response?

It is recommended to formula-feed your newborn as it is transmitted through your breast

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

Limit stress and emotional upset as much as possible.

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.

What is the medication of choice for early syphilis?

Penicillin G benzathine

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

Practice monogamy.

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding?

Yeast infections

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 nurse is presenting a program for a local women's group about STIs. When describing the information, the nurse would identify which infection as the most common cause of vaginal discharge?

candidiasis

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely?

chancres at the vaginal site

A client has presented reporting symptoms that suggest a gonorrheal infection. After laboratory testing confirms this diagnosis, the nurse anticipates that the client will also be treated for which infection?

chlamydia

A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? Select all that apply.

-"Your newborn can be infected during birth." -"Your newborn may have eye infections from this infection." -"Your membranes may rupture earlier than normal."

A 19-year-old female client has been diagnosed with pelvic inflammatory disease (PID) caused by untreated gonorrhea. Which instructions should the nurse offer when caring for the client? Select all that apply.

-Avoid douching vaginal area. -Complete the antibiotic therapy. -Limit the number of sex partners.

A nurse is caring for a female client who is undergoing treatment for genital warts due to human papillomavirus (HPV). Which information should the nurse include when educating the client about the risk for cervical cancer? Select all that apply.

-Obtaining a Papanicolaou test routinely helps early detection of cervical cancer. -Recurrence of genital warts increases risk of cervical cancer.

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

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 client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe?

ceftriaxone

A parent at an educational session on sexually transmitted infections (STIs) asks the nurse if there are vaccines available to prevent STIs. How should the nurse respond?

"A vaccine has been approved to prevent the human papillomavirus."