Patho Final - Ch 46
Which client is at highest risk of developing trichomoniasis?
A client who is sexually active
The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that:
A large percentage (70%) of those infected experience no symptoms of the disease
A client develops Reiter's syndrome. Which symptoms will the nurse assess? Select all that apply.
Conjunctivitis, Pain in the joints
A female client is diagnosed with chlamydia during a routine pelvic examination. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective?
"My partner will need to take antibiotics at the same time I do"
In teaching a client about genital warts, which statement is correct for the nurse to say?
"The incubation period is 6 weeks to 3 months"
A female client presents to the clinic with a rash on the palms of her hands, symptoms of hair loss, and the development of elevated, red-brown lesions that have begun to ulcerate and produce a foul discharge. Based on these symptoms, the nurse plans to test the client for which sexually transmitted infection?
Syphilis
A client comes to the clinic and is diagnosed with genital herpes. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective?
"I will take the acyclovir every 8 hours for the next week"
A pregnant 23-year-old with a diagnosis of herpes simplex virus (HSV) is receiving prenatal care from her family physician. This care includes precautions to prevent transmission of the virus to her baby. What should the physician tell the client about their effects?
"If there aren't any visible lesions when you enter labor, a vaginal delivery will be safe to go ahead with"
In a client suspected of having gonorrhea with active symptoms, what does the nurse tell the client about confirming the diagnosis?
"Since you have discharge, we can perform a culture"
Which instruction is essential for the nurse to include in the care plan for a client with herpes simplex virus-1 (HSV-1)?
"This disease is transmitted by oral secretions"
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 6 months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of medication is most likely to resolve her symptoms?
An azole antifungal agent
A 30-year-old male has contracted an STI caused by Treponema pallidum. Which symptom did he most likely notice first?
Painless chancres on the man's scrotum
A client is diagnosed with granuloma inguinale. Which question should the nurse ask the client?
"Have you traveled outside of the country recently?"
A client asks how his condition, Condylomata acuminata, is caused. What is the nurse's best response?
"HPV is the cause of your condition"
Which assessment question is most likely to address the causation of a woman's new case of candidiasis?
"Have you been on antibiotics recently?"
After inoculation with HPV, genital warts may begin to grow. They usually manifest as soft, raised fleshy lesions on the external genitalia of either male or female. What is the incubation period for HPV-induced genital warts?
6 weeks to 8 months
A client presents to the outpatient clinic complaining of gray discharge that has a fishy odor. The health care provider sees "clue cells" on wet-mount microscopic exam. This would most likely lead to the diagnosis of:
Bacterial vaginosis
Which phenomena is thought to underlie the decreased reported incidence of some sexually transmitted infections (STIs)?
Decreased reporting of cases of certain STIs
Which assessment finding correlates to advanced (tertiary) syphilis?
Dementia
Which statement about gonorrhea is correct?
Gonorrhea is a reportable sexually transmitted infection
Bacterial vaginosis is the most common vaginal infection seen by health care providers. What is the predominant symptom of bacterial vaginosis?
Greyish white discharge with a fishy odor
A female client is found to have genital warts during a routine pelvic examination. Which sexually transmitted infection will the nurse prepare to test for?
Human papillomavirus
Which assessment finding is most clearly suggestive of initial genital herpes (herpes simplex virus, HSV) in a male client?
Itching, pain, and the emergence of pustules on the penis
Select the treatment of choice for syphilis.
Long-acting penicillin in a single injection
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 6 months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms?
Metronidazole
A nurse is educating a group of students about the spread of sexually transmitted infections. Which is a potential portal of entry for most sexually transmitted infections?
Mouth
A client with herpes simplex virus (HSV) states, "I can stop taking my drugs because I'm cured. My lesions are gone." Knowing the pathophysiology behind the disappearance of HSV symptoms, the health care provider suspects the client is experiencing which phase of infection?
Periods of latency in the nervous system
A nurse is assessing a male who is reporting nonspecific symptoms of prostate and periurethral gland pain. Which characteristic discharge makes the nurse suspect gonorrhea?
Purulent exudates
A client presents with a rash on the palms of his hands, mucous membranes, and stomach. He is reporting a sore throat and nausea. Which conditions is the nurse concerned about?
Syphilis
A client is receiving metronidazole for treatment of trichomoniasis. Which assessment finding presents the most cause for concern?
The client states he drinks three beers a day
Which symptoms would a nurse assess in a male client with gonorrhea? Select all that apply.
Urethral pain, creamy yellow discharge, bloody discharge
A client asks "How could I have chlamydia? I feel fine!" What is the nurse's best response?
Women with this condition are often asymptomatic
Laboratory analysis of vaginal discharge identifies hyphae on microscopic exam and pH of 4.2. The client most likely has:
C. albicans
Which statement is true concerning genital herpes?
Clients can have recurrent infections
A sexually active female presents to the clinic with white copious vaginal discharge, itch, swelling, and dysuria. The nurse anticipates the client will be treated for the overgrowth of which organism?
Candida albicans
A female client is infected with human papillomavirus (HPV) following unprotected sexual intercourse. The nurse prepares to teach the client about the risk of developing which cancer?
Cervical
When is syphilis highly contagious?
During its primary stage
During infertility workup, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation?
Fallopian tube damage
Which event is associated with the primary stage of syphilis?
Genital chancres
A 22-year-old female client states she has vaginal itching with pain and small vesicles that appear on the vagina when she is stressed. The health care provider suspects the client most likely is experiencing which condition?
Genital herpes
An male client presents with urethral itching, burning, pain, and a creamy, yellow discharge following unprotected sex with a new partner 3 days ago. The nurse anticipates the client to be diagnosed with which sexually transmitted infection?
Neisseria gonorrhoeae
Select the correct statement regarding herpes simplex virus.
Only two strains of the virus are considered sexually transmittable
A male client presents to the clinic with profuse, purulent urethral discharge with painful urination. Which information will be most important for the nurse to obtain?
Recent sexual contacts
A 23-year-old diagnosed with syphilis presents with palmar rash, sore throat, fever, and a red-brown lesion on the genital area. The symptoms have been present for 3 weeks. Select the stage of syphilis this client is currently in.
Secondary
For a woman, what is the most serious long-term outcome of an infection resulting from exposure to the N. gonorrhoeae bacteria?
Sterility
A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition?
Thick, white secretions
A client presents to the GYN clinic complaining of large amounts of frothy yellow-green discharge that smells very foul. Immediately, the health care provider is thinking this client most likely has:
Trichomoniasis
A nurse is interviewing a client about issues with infertility. Which condition contributes to the risk of infertility in both men and women?
Trichomoniasis
Select the condition that contributes to the risk of infertility in males.
Trichomoniasis
A female college student is distressed at the recent appearance of genital warts, an assessment finding that her health care provider has confirmed as attributable to human papillomavirus (HPV) infection. Which information should the health care provider give the client?
"There is a chance that these will clear up on their own without any treatment"
A client asks why his partners need to know that he was diagnosed with syphilis. What is the nurse's best response?
"They will have to be treated prophylactically"
A young woman has contracted the human papillomavirus (HPV) and has developed genital warts. The client is eager to receive an HPV vaccine, citing the large number of television advertisements she has seen. How should the nurse best respond?
"Unfortunately, these vaccines may be less effective once you have HPV"
It is important to test anyone who has had sex with an individual tests positive for gonorrhea within how many days of the diagnosis?
60
Within how many days it is important to test anyone who has had sex with an individual who tests positive for gonorrhea?
60
Which information is essential for a nurse to include in the teaching plan for a client receiving metronidazole for trichomoniasis?
Abstinence is recommended until the therapy is completed
A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be:
Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans
A client with painful genital herpes lesions relates pain as being a 7 out of 10. Which interventions should the nurse conduct? Select all that apply.
Apply cool compresses, call the health provider for oral analgesics, apply topical anesthetic cream
A nurse is attempting to culture a lesion to determine if a client has genital herpes. What is the nurse's best action?
Attempt to culture a lesion as soon as it develops
The nurse is reviewing the uses and side effects of azithromycin. For which infection is azithromycin the antibiotic of choice?
Chlamydial
A couple presents to an infertility clinic. The health care provider will focus testing on which sexually transmitted infection (STI) that is very damaging to the reproductive system but rarely exhibits symptoms of infection?
Chlamydial infection
While in its dormant state, what structure provides residence for herpes simplex virus to allow for replication?
Dorsal root ganglia
A 22-year-old client has presented to the primary health care provider for an annual Papanicolaou (Pap) test. Which infection will give abnormal results of this diagnostic test?
Human papillomavirus (HIV)
A client presents with gonorrhea. Which of the following is a primary nursing action?
Reporting the case to the Centers for Disease Control and Prevention
A client asks the nurse how he will know if he has syphilis after sexual contact. What is the nurse's best response?
"You will develop a sore on your penis or scrotum"
The nurse caring for a client with syphilis notes the Venereal Disease Research Laboratory (VDRL) test result is elevated. Which stage of syphilis is this client likely experiencing?
Secondary
Which assessment finding helps the nurse confirm that the client has genital warts?
Soft, raised lesion on external genitalia
