Chapter 70:Sexuality, fertility, and STIS
The nurse at a fertility clinic determines the risk factors for clients using oral contraceptives. Which of the following clients would be at highest risk for heart attack or stoke related to use of these contraceptives?
38-year-old woman who smokes
The nurse is conducting a teaching session about HIV infection. Which information would the nurse include in the teaching plan?
A person who has an STI and is exposed to HIV is much more likely to acquire HIV.
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?
A regular check of threads must be done.
The nurse is caring for clients who have STIs. Which of the following clients is most at risk for becoming infertile due to the infection?
A woman diagnosed with chlamydia
A young couple having trouble getting pregnant ask their nurse practitioner for recommendations for assisted reproductive technology (ART). Their only concern is that they do not want a multiple pregnancy. Which of the following forms of ART would be the best procedure for this couple?
AI
A nurse is teaching a client about the various contraceptives on the market. Which of the following is a 100% effective method of birth control and protection against sexually transmitted infections (STIs)?
Abstenense
A male client visits a fertility clinic after one year of attempting unsuccessfully to impregnate his wife. Which of the following is a risk factor associated with male infertility?
Azospermia or oligospermia
An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which of the following should the nurse say is a mechanical barrier contraceptive?
Cervical cap
A client is being prepared for artificial insemination. Which finding is the most suggestive to determine if the client is ovulating?
Change in Cervical Mucous
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
A teenaged male client asks the nurse if there is any 100% effective method of birth control and protection against sexually transmitted infections. Which should the nurse mention to him?
Continual abstinence
An intrauterine device has been inserted into a client as a requested birth control method. Which of the following is an advantage of intrauterine devices (IUDs)?
Continuous protection without client's active participation
A woman is undergoing testing for infertility. Her healthcare provider orders Rubin's test. The nurse explains to the client that this test is ordered to:
Determine patency of the oviducts
A 20-year-old male client is diagnosed with genital herpes. What client teaching should the nurse give him?
Do not share food or engage in kissing.
The nurse is counseling a female college student at a rape crisis center who states that she was attacked by a male on campus. Which of the following is appropriate advice for this rape victim?
Encourage the victim to seek physical help and have a "rape kit" documented.
A nurse is teaching an adolescent client about sexually transmitted infections (STIs). Which would the nurse include in the teaching plan?
Females have the most reported cases of chlamydia and gonorrhea.
The nurse caring for clients with HIV infection knows that HIV infection can mimic many other illnesses. Which of the following are signs/symptoms of this disease? Select all answers that apply.
Fever, night sweats Severe diarrhea White spots on the tongue or mouth Purplish blotches under the skin
A 23-year-old sexually active male tells the nurse practitioner that he is worried because he has been having "burning sensation when urinating and a yellowish discharge from his penis." On assessment, the nurse notes that his testicles are swollen. What sexually transmitted infection would the nurse suspect?
Gonorrhea
A client reports repeated fever blisters on her lips. The nurse knows that which virus is the most likely cause of this condition?
Herpes simplex virus type 1 (HSV-1)
A 22-year-old male client says he is attracted to persons of the same sex only. How should the nurse document his stated sexual orientation?
Homosexual
A male client is undergoing testing for STIs at a community health clinic. What information regarding STIs should be given to this client?
Individuals infected with viral STIs are infected for life.
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
A nurse is providing a client with information on hormonal contraception. Which could the nurse use as a example of hormonal contraception?
Medroxyprogesterone injection
The nurse working in a free health clinic explains to a student nurse the risk factors for genital herpes infections. Which of the following accurately describes one of these factors?
Minority ethnic origin
A male client being treated for erectile dysfunction is prescribed sildenafil (Viagra). Which of the following drugs should the nurse warn the client could cause an adverse reaction when taken with Viagra?
Nitrates
An adult male client is receiving a medication for erectile dysfunction (ED). The nurse will need to teach the client about which possible side effect of this type of drug?
Priapism
The nurse is providing preoperative teaching for a woman who is undergoing a tubal sterilization. Which of the following teaching points accurately describes this procedure?
Referred pain to the shoulder may occur after abdominal distention with CO2
A homeless man is brought to the ER after falling in the street and hitting his head. On assessment, the nurse documents lack of muscle coordination, poor vision, and moderate dementia. Based on these data, what disease would the nurse suspect?
Syphilis
A client visits the healthcare facility for information on tubal ligation. Which of the following should the nurse inform the client?
The client needs only a minor dressing.
A young woman who is sexually active asks the nurse about using the vaginal sponge as a method of contraception. Which of the following is accurate information the nurse would include in the teaching plan?
The vaginal sponge must be removed within 30 hours of insertion.
The high school nurse is teaching a class of adolescents the characteristics of sexually transmitted infections (STIs). Which of the following are considerations related to STIs? Select all that apply.
They cause infections that lead to PID. They can cause infertility. They cause significant side effects and/or death in newborns.
A young adult female client asks about forms of chemical barrier contraception. Which is a form of a chemical barrier contraceptive?
Vaginal foam
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 female client visiting a woman's clinic tells the nurse that she can feel contractions in her vagina and that they prevent her husband's penis from entering her. What form of female sexual dysfunction would the nurse suspect?
Vaginismus
A client visits a healthcare facility for information on a vasectomy. Which of the following would best describe the initial information a nurse should provide?
Vasectomy is a relatively easy procedure with few complications.
A female client is diagnosed with a chlamydial infection. Which are signs and symptoms of this disorder? Select all that apply.
Vulvar itching and burning Spotting between menstrual periods Grayish-white vaginal discharge
The nurse who is teaching STI prevention to college students states the risks associated with human papillomavirus (HPV). What would the nurse state as being the greatest danger with this disease?
cervical cancer
A 26-year old mother of three children tells the nurse at her annual check-up that she does not want to have any more children; however, her religion forbids the use of contraceptive devices. Which of the following methods would be the best option for this client?
rhythm method
Which condition may be defined as the absolute inability to procreate?
sterility
A female client is interested in knowing the most effective procedure for permanent sterilization in women. The nurse would discuss which option with the client?
tubal ligation
