ob exam #3 chapter 5

A woman who is HIV positive and receiving drug therapy comes to the clinic and says, "I have no appetite, and then when I do eat, I get sick to my stomach." Which suggestion would be least effective?

"Drink fluids with anything that you eat."

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."

During a routine examination, the nurse suspects a teenager is having unprotected sex. To encourage discussion, which action by the nurse would be best?

Be nonjudgmentally direct in the conversation

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?

HBV

Candidiasis

It is also referred to as yeast, monilia, and a fungal infection. It is not considered an STI because candida is a normal constituent in the vagina and becomes pathogenic only when the vaginal environment becomes altered.

After a discussion on the HPV vaccine with a mother and her 10-year-old daughter at a well-child visit, the nurse recognizes the discussion was successful when the mother makes which statement?

My daughter will need three injections over a 6-month period.

know this about screenings

Nurses should encourage women to undergo HBV screening at their first prenatal visit and repeat screening in the last trimester for women with highrisk behaviors to comply with the U.S. Preventive Services Task Force recommendations.

A client presents with the possible symptoms of herpes simplex virus (HSV). When assessing the client, the nurse would anticipate which assessment measure as being least likely to aid in confirming the diagnosis?

Pap smear

condoms

Putting the condom on just before orgasm may defeat the purpose of using one at all. Condoms should be placed on the penis before genital contact occurs. Latex condoms protect best against disease. Condoms should be stored in a cool, dry place away from direct sunlight, not in a wallet. Only water-based lubricants should be used with condoms.

Lack of personal hygiene is not considered a risk factor for

STIs.

The nurse is teaching a class about sexually transmitted infections to a group of high school students. Which statement from the group would the nurse identify as a misconception about condom use that needs to be clarified?

The condom should be put on just before orgasm.

HPv vaccine

The vaccine is administered intramuscularly in three separate 0.5 mL doses over a 6-month period. The first dose is given prior to infection with HPV. The second dose is administered 2 months later, and the third dose is given 4 months late

Trichomoniasis

a heavy yellow or green or gray frothy or bubbly discharge.

Symptoms of trichomoniasis include

a yellow, green, or gray vaginal discharge with a foul odor.

Assessment findings for gonorrhea may include:

abnormal vaginal discharge, dysuria, abnormal vaginal bleeding, enlarged lymph nodes locally, PID, mild sore throat (for pharyngeal gonorrhea), and rectal infection (itching, soreness, bleeding, discharge).

A nurse at the college health care clinic is developing a campaign to educate the students about HPV. She would emphasize that the primary prevention for HPV includes which measure?

administering HPV vaccine

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

administering HPV vaccine

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

Miconazole and fluconazole are used to treat

candidiasis

Miconazole is used to treat

candidiasis

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

HPV has been linked to

cervical cancer

Doxycycline or azithromycin is used to treat

chlamydia

A client is diagnosed with bacterial vaginosis and is prescribed medication therapy. The nurse would anticipate which drugs as being prescribed? Select all that apply.

clindamycin metronidazole

Diagnosis of HSV is often based on

clinical signs and symptoms and is confirmed by viral culture of fluid from the vesicles. The IgG/IgM antibody,testing is frequently done for screening purposes

Herpes simplex virus is transmitted primarily by

direct contact with an infected individual who is shedding the virus and may include kissing, sexual contact, and vaginal birth

The client is single, admits to not using condoms during sexual intercourse, and has had multiple partners over the past year. Which symptoms would alert the nurse to a possible gonorrheal infection? Select all that apply.

dysuria abnormal uterine bleeding mild sore throat abnormal vaginal discharge

Urinary incontinence is not a symptom of trichomoniasis, but

dysuria is

Working at the local health clinic, the nurse recognizes that STIs can often result in PID. 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

When developing a program for STI prevention, which action would need to be done first?

educating on how to promote sexual health

A nurse is developing a program for the community on preventing STIs. Which measure would be most effective for a nurse to utilize?

education to promote sexual health

just know this

for women over age 30, including an HPV test to determine whether the woman has a latent high-risk virus that could lead to precancerous cervical changes.

The CDC recommends that any client being treated for gonorrhea should also be treated for

gohonorrhea

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

gonorrhea

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection. Which assessment would be most indicative of trichomoniasis?

green vaginal discharge

A client comes to the prenatal clinic for her first visit. Which screening would be most appropriate for the nurse to encourage the client to undergo?

hbv

The newborn would develop congenital syphilis

if exposed in utero

Syphilis

may cause flu-like symptoms

A client is diagnosed with trichomoniasis infection. The nurse prepares to teach the client about which medication?

metronidazole

Gonorrhea can be transmitted to the newborn in the form of

ophthalmia neonatorum during birth by direct contact with gonococcal organisms in the cervix

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer:

penicillin G.

Penicillin G is used to treat

syphillis

Oral metronidazole or tinidazole is used to treat

trichomniasisas

Metronidazole

used to treat trichomoniasis

Chlamydia

usually manifested by a mucopurulent vagina discharge.

Lesions on the vulva are a sign of

venereal warts.

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

vulvovaginal candidiasis

Pruritus, a thick, curd-like vaginal discharge, and white plaques on the vaginal wall are characteristic of

vulvovaginal candidiasis

When teaching a woman diagnosed with genital ulcers, the nurse would include which measure?

washing hands with soap and water after touching lesions

If external lubricants are used, use only

water-based lubricants with latex condoms.

In preparing a talk about STIs for high school students, the nurse should emphasize which group 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

Exposure to Candida would cause

would cause thrush in the newborn

A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia?

70%

just know this for hiv sick patients who cant eat

Food and fluid intake should be separated to prevent overfilling. High-protein drinks and foods will provide quick and easy protein and calories. Dry crackers are helpful in alleviating nausea. Eating smaller meals spaced evenly throughout the day will prevent the client from feeling overfilled and bloated.

. Sharing contaminated needles is a means of transmitting

HIV

STIs may contribute to

cervical cancer, infertility, ectopic pregnancy, chronic pelvic pain, and death.

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 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

Doxycycline is used to treat

chlamydia.

A 24-year-old female client reports various issues. She admits to having unprotected sexual intercourse. Which findings would indicate a possible PID? Select all that apply.

lower abdominal tenderness adnexal tenderness cervical motion tenderness

HAV is usually

self-limiting and does not result in chronic infection

HCV is not transmitted

sexually

A nurse is conducting a program about genital herpes infection at a community clinic. The nurse determines that additional discussion is needed when the group identifies which activity as a means of transmission?

sharing contaminated needles

After teaching a group of college students about the modes of transmission for herpes simplex virus, the nurse determines that additional teaching is needed when the group identifies which mode of transmission?

sharing contaminated needles

High-risk groups include

single women, women younger than 25 years, African American women, women with a history of STIs, those with new or multiple sex partners, those with inconsistent use of barrier contraception, and women living in communities with high infection rates.

Exposure to HIV during gestation could lead to

the birth of an HIV-positive newborn.

Bacterial vaginosis

thin white homogeneous vaginal discharge.