Sexuality

The nurse presents a seminar on sexually transmitted infections. Which information about syphilis would the nurse include in this presentation? Select all that apply. 1 A blood test will confirm the diagnosis. 2 Syphilis signs and symptoms are divided into stages. 3 Syphilis can be spread through vaginal, anal, or oral sex. 4 Having syphilis once provides lifelong immunity from repeat infection. 5 Syphilis will always be present in a chronic state, as there is no cure for this illness.

1 A blood test will confirm the diagnosis. 2 Syphilis signs and symptoms are divided into stages. 3 Syphilis can be spread through vaginal, anal, or oral sex.

The nurse is instructing a client on how to perform a testicular self-examination (TSE). The nurse would explain that which is the best time to perform this exam? 1 After a shower or bath 2 While standing to void 3 After having a bowel movement 4 While lying in bed before Arising

1 After a shower or bath

In the prenatal clinic, the nurse is interviewing a new client and obtaining health history information. Which action would the nurse plan to elicit the most accurate responses to the questions that refer to sexually transmitted infections? 1 Establish a therapeutic relationship 2 Use specific closed- ended questions 3 Omit these types of questions because they are highly personal 4 Apologize for the embarrassment that these questions will cause the client

1 Establish a therapeutic relationship

A client has been prescribed pindolol for hypertension. The nurse provides anticipatory guidance, knowing that which common side effect of this medication may decrease client compliance? 1 Impotence 2 Mood swings 3 Increased appetite 4 Difficulty swallowing

1 Impotence

A female client seen in the ambulatory care clinic has a history of syphilis infection. The nurse assessing the client for reinfection would expect to observe a lesion on the labia that has which characteristic? 1 Is painless and indurated 2 Has a cauliflower like appearance 3 Is erythematous and papular in appearance 4 Appears as one or more vesicles that then rupture

1 Is painless and indurated

A nursing student is doing a presentation on human papillomavirus (HPV) for a young adult group aged 18 to 20 years old. What information would the nursing student include in this presentation? Select all that apply. 1 Some forms of HPV can lead to cervical cancer. 2 "You cannot get HPV if you have had only one sex partner." 3 "There are no vaccinations available to protect against HPV. 4 HPV is most commonly spread during vaginal or anal sexual contact 5 In some types, HPV will go away on its own and does not cause health issues

1 Some forms of HPV can lead to cervical cancer. 4 HPV is most commonly spread during vaginal or anal sexual contact 5 In some types, HPV will go away on its own and does not cause health issues

A pregnant client tells the clinic nurse about wanting to know the sex of the baby as soon as it can be determined. The nurse informs the client that the sex of the baby could be determined at 12 weeks' gestation because of which factor? 1 The appearance of the fetal external genitalia 2 The beginning of differentiation in the fetal groin 3 The fetal testes are descended into the scrotal sac 4 The differences in external genitalia are apparent

1 The appearance of the fetal external genitalia

A pregnant client tells the clinic nurse that they want to know the sex of the baby as soon as it can be determined. The nurse plans to inform the client that they will be able to find out the sex at 16 weeks' gestation because of which factor? 1 The appearance of the fetal external genitalia 2 The beginning of differentiation in the fetal groin 3 The fetal testes are descended into the scrotal sac 4 The internal differences in different genders become apparent

1 The appearance of the fetal external genitalia

The clinic nurse is performing a psychosocial assessment of a client who has been told that they are pregnant. Which assessment findings indicate to the nurse that the client is at risk for contracting human immunodeficiency virus (HIV)? Select all that apply. 1 The client has a history of intravenous drug use 2 The client has a significant other who is heterosexual 3 The client has a history of sexually transmitted infections 4 The client has had one sexual partner for the past 10 years 5 The client has a previous history of gestational diabetes mellitus

1 The client has a history of intravenous drug use 3 The client has a history of sexually transmitted infections

The nurse is planning to teach a group of adolescents about the use of condoms as part of a risk reduction program for sexually transmitted infections (STIs). The nurse would plan to include which recommendation in the teaching plan? 1 Condoms should not be lubricated 2 Use condoms whenever the partner seems risky 3 Always apply the condom before inserting the penis into the vagina 4 Natural membrane condoms can be used because they are just as effective as latex

3 Always apply the condom before inserting the penis into the vagina

The home health care nurse is preparing to provide instructions to a client after a vulvectomy. Which instruction would the nurse provide to the client? 1 You can engage in sexual activity in 2 weeks. 2 It is all right to begin to drive a car as long as you do not drive long distances. 3 Resume activities slowly, keeping in mind that walking is a beneficial activity. 4 It is important to rest and sit in a chair with your legs elevated as much as possible."

3 Resume activities slowly, keeping in mind that walking is a beneficial activity.

The clinic nurse has conducted a health screening clinic to identify clients who are at risk for cervical cancer. The nurse is reviewing the assessment findings in the records of the clients who attended the clinic. Which client is at lowest risk for developing this type of cancer? 1. A multiparity client 2. A single white client 3. A client with a history of chronic cervicitis 4. A client who had early, frequent intercourse with multiple sexual partners

2 A single while client

The client seen in the health care clinic has tested positive for gonorrhea. The nurse anticipates that which medication will be prescribed based on this finding? 1 Acyclovir 2 Ceftriaxone 3 Azithromycin 4 Penicillin G benzathine

2 Ceftriaxone

The nurse is providing teaching to a transgender female to male client who will be started on testosterone therapy. Which information would the nurse include in the teaching session? Select all that apply. 1 Weight loss can be expected 2 Expect the clitoris to enlarge 3 papanicolaou tests are no longer necessary 4 Menses will stop after the first dose of testosterone 5 Liver enzymes and cholesterol levels will need to be monitored

2 Expect the clitoris to enlarge 5 Liver enzymes and cholesterol levels will need to be monitored

The community health nurse is preparing an educational class on ovarian cancer for a group of clients. Which signs and symptoms would the nurse include in the presentation? Select all that apply. 1 Feeling hungry all the time 2 Having urinary urgency or frequency 3 Experiencing pelvic or abdominal swelling 4 Sense of feeling that something is falling out 5 Developing a macular- papular rash over the abdomen

2 Having urinary urgency or frequency 3 Experiencing pelvic or abdominal swelling

A 55-year-old client confides in the nurse about being concerned about sexual function. What is the nurse's best response? 1 How often do you have sexual relations? 2 Please share with me more about your concerns 3 You are still young and have nothing to be concerned about 4 You would not have a decline in testosterone until your 80s

2 Please share with me more about your concerns

A 55-year-old client confides in the nurse they are concerned about sexual function. What is the nurse's best response? 1 How often do you have sexual relations? 2 Please share with me more about your concerns 3 You are still young and have nothing to be concerned about 4 You would not have a decline in testosterone until your 80s

2 Please share with me more about your concerns

The nursing student is asked to discuss information related to the uterus with high school students. Which statements by the nursing student are accurate? Select all that apply. 1 The uterus consists of mostly skeletal muscle 2 the uterus is an organ located in the pelvic region 3 the uterus weighs approximately 2.2 lb (1000 g) at term pregnancy 4 the uterus weighs approximately 2 oz (60 g) in non pregnant state 5 the uterus is composed of three layers: endometrium, myometrium, and perimetrium

2 the uterus is an organ located in the pelvic region 3 the uterus weighs approximately 2.2 lb (1000 g) at term pregnancy 4 the uterus weighs approximately 2 oz (60 g) in non pregnant state 5 the uterus is composed of three layers: endometrium, myometrium, and perimetrium

The clinic nurse is performing a psychosocial assessment of a client who is pregnant. Which assessment findings indicate to the nurse that the client is at risk for contracting human immunodeficiency virus (HIV)? Select all that apply. 1 The client has a history of intravenous drug use 2 The client has a significant other who is heterosexual 3 The client has a history of sexually transmitted infections 4 The client has had one sexual partner for the past 10 years 5 The client has a previous history of gestational diabetes mellitus

1 The client has a history of intravenous drug use 3 The client has a history of sexually transmitted infections

The ambulatory care nurse is working with a 22-year-old client who has been diagnosed with pelvic inflammatory disease (PID). The nurse incorporates which item in a teaching plan for this client? 1 Avoid frequent douching 2 Undergarments made of nylon are best 3 Intrauterine deices are a good birth control method 4 It is necessary to change sanitary pads only every 8 hours

1. Avoid frequent douching

The home health care nurse is visiting a client who has undergone a mastectomy. The nurse determines that the client demonstrates the greatest adjustment to the loss of the breast if which behavior is noted? 1. the client looks at the surgical site 2. the client performs the prescribed arm exercises 3. the client takes the pain medication as prescribed 4. the client has read all of the postoperative materials provided by the hospital nurse

1. the client looks at the surgical site

The nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. Which instruction would the nurse provide to the client? 1 Sexual intercourse is acceptable up until 30 weeks 2 Antiviral medications need to be taken during the entire pregnancy 3 A vaginal delivery is allowed even if vaginal lesions are present at the time of labor 4 A cesarean section will be necessary if vaginal lesions are present and active at the time of labor

4 A cesarean section will be necessary if vaginal lesions are present and active at the time of labor

A client has a tentative diagnosis of urethritis. The nurse would assess the client for which manifestation of the disorder? 1 Hematuria and pyuria 2 Dysuria and proteinuria 3 hematuria and urgency 4 Dysuria and penile discharge

4 Dysuria and penile discharge

A 10-year-old referred for evaluation after drawing sexually explicit scenes says to the psychiatric nurse, "I just felt like it." Which response by the nurse is focused on assessing for abuse-related symptoms? 1 Well, a picture paints a thousand words 2 You just felt like destroying your textbooks? 3 Your parents and teachers are very concerned about your drawings 4 I am concerned about you. Are you now or have you ever been abused?

4 I am concerned about you. Are you now or have you ever been abused?

A pregnant client has been instructed on the prevention of genital tract infections. Which client statement indicates an understanding of these preventive measures? 1 I can douche anytime I want 2 I can wear my tight fitting jeans 3 I need to avoid the use of condoms 4 I need to wear underwear with a cotton panel liner

4 I need to wear underwear with a cotton panel liner

The nurse is caring for a pregnant client who has herpes genitalis. The nurse provides instructions to the client about treatment modalities that may be necessary for this condition. Which statement made by the client indicates an understanding of these treatment measures? 1 I do not need to abstain from sexual intercourse 2 I need to use vaginal creams after I douche everyday 3 I need to douche and perform a site bath 3 times a day 4 It may be necessary to have a cesarean section for delivery

4 It may be necessary to have a cesarean section for delivery

The client has undergone mastectomy. The nurse determines that the client is making the best adjustment to the loss of the breast if which behavior is observed? 1 Refusing to look at the wound 2 Reading the postoperative care booklet 3 Asking for pain medication when needed 4 Participating in the care of the surgical drain

4 Participating in the care of the surgical drain

A pregnant client has a positive history of genital herpes but has not had lesions during this pregnancy. What would the nurse plan to tell the client? 1 You will be isolated from your newborn infant after delivery 2 Vaginal deliveries can reduce neonatal infection risks, even if you have an active lesion at the time 3 There is little risk to your newborn infant during this pregnancy, during the birth, and after delivery 4 You will be evaluated at the time of delivery for genital lesions, and if any are present, a cesarean delivery will be needed

4 You will be evaluated at the time of delivery for genital lesions, and if any are present, a cesarean delivery will be needed

A client with epididymitis is upset about the extent of scrotal edema. Attempts to reassure the client that this condition is temporary have been ineffective. The nurse would plan to address which client problem? 1 Pain related to fluid accumulation in the scrotum 2 Uneasiness related to inability to reduce scrotal swelling 3 Guilt related to the possibility of sterility secondary to scrotal swelling 4 altered body appearance related to change in the appearance of the scrotum

4 altered body appearance related to change in the appearance of the scrotum