OB ch. 5
a
A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis? a. sore throat and flu-like symptoms b. pain-free crusty genital lesions c. yellow vaginal discharge d. painful dysurea
d
A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? a. foul-smelling discharge b. vaginal bleeding c. vesicles on the labia d. chancres at the vaginal site
a
An adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would also receive treatment for: a. chlamydia. b. syphilis. c. genital herpes. d. trichomoniasis.
a
Clients who have had PID are prone to which complication? a. ectopic pregnancy b. multiple gestation c. ovarian cancer d. inguinal lymphadenopathy
a
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? a. trichomoniasis b. herpes simplex II c. human papillomavirus d. syphilis
a
What is the medication of choice for early syphilis? a. penicillin G benzathine b. doxycycline c. tetracycline d. ceftriaxone
a
Which medication is the most effective treatment for trichomoniasis? a. metronidazole b. penicillin G benzathine c. doxycycline d. azithromycin
a, b
Which medications are appropriate to treat vaginal candidiasis? Select all that apply. a. miconazole b. fluconazole c. azithromycin d. gentamicin e. penicillin G benzathine
d
A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent? a. acyclovir b. ceftriaxone c. podophyllum resin d. doxycycline
b
A 20-year-old female comes to the sexual health clinic for follow up related to a positive test for the human papillomavirus (HPV). The client asks the nurse, "Is there anything I can do to get rid of this?" What is the nurse's best response? a. "The lumps on your cervix can be cured by cryosurgery." b. "There is currently no medical treatment to cure HPV." c. "This can be cured with medications such as the recombinant human papillomavirus quadrivalent vaccine." d. "The health care provider will prescribe antibiotics to cure this infection."
d
A 20-year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which statement by the client demonstrates understanding of his health problem? a. "Either me or a partner could end up with an eye infection from chlamydia that could make us blind." b. "Even though I couldn't end up sterile, a woman that I give it to certainly could." c. "Each of the 3 stages of the disease seems to be worse than the previous one." d. "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."
c
A 40-year-old woman with gray, runny vaginal discharge that has a foul, fishy odor has been told that she most likely has vaginosis. What most likely contributed to her present condition? a. unprotected sex with a new partner who is a carrier of the relevant bacteria b. autoinoculation from a cold sore, wart, or oral fungal infection c. a sharp reduction in the number of lactobacilli in the client's vaginal flora d. proliferation of sexually-transmitted protozoa
d
A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe? a. penicillin b. tetracycline c. levofloxacin d. ceftriaxone
b, c, d
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. a. 29 years of age b. intrauterine contraceptive device inserted 3 weeks ago c. multiple sex partners d. vaginal douching approximately once a week e. residence in a suburban area
a, d, e
A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply. a. "The virus remains quiet until a stressful event occurs to reactivate it." b. "Your baby is protected from this infection by the placenta." c. "Many recognize they have the infection and seek treatment immediately." d. "Infections may be transmitted by individuals unaware that they have it." e. "Transmission is through contact of infected mucous membranes."
d
A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventive measure for which sexually transmitted infection (STI)? a. genital herpes b. hepatitis B c. syphilis d. gonorrhea
c
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 diagnosis? a. genital herpes b. gonorrhea c. condylomata acuminata d. candidiasis
a, c, d, e
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. a. The management of genital herpes includes antiviral therapy. b. Little can be done to control the occurrences of infection. c. The need to use good hand washing technique to prevent spread. d. Educate the client to abstain from sexual activity until HSV lesions resolve. e. The goal is for recurrences to be less frequent over time. f. The management of genital herpes includes antibiotic therapy.
b
When developing a teaching plan for a community group about HIV infection, which group would the nurse identify as an emerging risk group for HIV infection? a. Native Americans b. heterosexual women c. new health care workers d. Asian immigrants
b
Which finding would the nurse expect in a client with bacterial vaginosis? a. vaginal pH of 3 b. fish-like odor of discharge c. yellowish-green discharge d. cervical bleeding on contact
