chapter 5- STIs prep U

The nurse is caring for a female client newly diagnosed with gonorrhea. The client's current male sexual partner tested negative. The client asked the nurse how this is possible. Which response by the nurse is most appropriate?

"The moist, warm vaginal environment is a perfect breeding ground for microbes."

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 nurse is engaged in primary prevention activities for human papillomavirus (HPV). The nurse would be most likely involved with which activity?

administering the hpv vaccine

Trichomoniasis

an STD caused by a microscopic protozoan that results in infections of the vagina, urethra, and bladder malodorous vaginal discharge pain during intercourse painful menstruation

foul smelling is the clinical sign of which STI

bacterial vaginosis

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

ceftriaxone

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

clients who have PID are prone to which complication

ectopic pregnancy

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

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

The nurse in a sexual health clinic is reviewing the history of a 30-year-old client who is an IV drug addict and diagnosed with a sexually transmitted infection. Which therapy would the nurse expect to include in this client's care?

hep A and hep B recombinant vaccine

what sti can be transmitted perinatally

herpes

Miconazole clotrimazole terconazole

intravaginal suppositories used to treat candidiasis

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 sti

The nurse is developing a teaching plan for a client diagnosed with genital herpes simplex (HSV). Which would the nurse include? Select all that apply.

management of genital herpes includes antiviral therapy the need to use good handwashing to prevent spread educate the client to abstain from sex until HSV lesions resolve goal is for recurrences to be less frequent over time

What treats vaginal candidiasis

miconazole fluconazole

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 PID

Genital herpes

pain during intercourse painful menstruation

PID

pelvic inflammatory disease malodorous vaginal discharge pain in pelvic and abdomen pain during intercourse high temp high WBC count

A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. The health care provider has diagnosed it as the primary episode of genital herpes simplex virus (HSV), for which antiviral therapy is recommended. Which information should the nurse offer the client when educating her about managing the infection?

safety of antiviral therapy during pregnancy has not been established

Flucanazole

used to treat candidiasis PO

During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply?

21 years of age

The nurse is educating a female client with a history of human papillomavirus (HPV). Which information would the nurse include in the education plan regarding reproductive health?

you should be sure to receive consistent testing for cervical cancer

A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings?

possibility of a chlamydial infection

A client at 32 weeks' gestation has recently been diagnosed with acute herpes type 2. The client asks what can happen to the baby as a result of this infection. How should the nurse best respond?

there is a chance your baby may have a form of intellectual disability

Which recommendation would the nurse give to a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection?

participate in early prenatal care