Sexually Transmitted Infections EAQ
Which statement indicates that a client with genital herpes understands the nurse's teaching of how to limit transmission of the virus to her newborn? 1 "I should avoid kissing the baby on the lips." 2 "I have to wear gloves when I'm holding the baby." 3 "I should wash my clothes and my baby's clothes separately." 4 "I have to wash my hands with soap and water before handling the baby."
"I have to wash my hands with soap and water before handling the baby."
Which statement helps the nurse determine that a woman with genital herpes (HSV-2) infection understands her self-care? 1 "When I have a baby, I don't want a cesarean." 2 "I can have sex as soon as the herpes sores have healed." 3 "When I finish the acyclovir prescription I will be cured." 4 "I must be careful when I have sex because herpes is a lifelong problem."
"I must be careful when I have sex because herpes is a lifelong problem."
Which statement by an adolescent indicates the need for additional teaching regarding sexually transmitted infections (STIs)? 1 "We use condoms with nonoxynol-9." 2 "I use spermicide as contraception." 3 "My partner uses a female condom." 4 "I have never used drugs or alcohol."
"I use spermicide as contraception."
The nurse is teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STIs). Which statement by the client indicates effective learning? 1 "I will use condoms when having sex with an infected partner." 2 "I will perform a genital self-examination every month before bathing." 3 "I will refrain from getting the human papilloma virus vaccine (HPV) before the age of 27 years." 4 "I will consult with my primary health care provider when there is a rash or ulcer on my genitalia."
"I will consult with my primary health care provider when there is a rash or ulcer on my genitalia."
A sexually active female client is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" Which practical response would the nurse provide? 1 "Douche after every sexual intercourse." 2 "Avoid engaging in sexual behaviors." 3 "Insist that your partner uses a condom." 4 "Use a spermicidal cream with sexual intercourse."
"Insist that your partner uses a condom."
Which statement by the female client with a diagnosis of gonorrhea indicates she has understood the teaching by the nurse on how to avoid future infection? 1 "I'll douche after each time I have sex." 2 "Having sex is a thing of the past for me." 3 "My partner has to use a condom all the time." 4 "I'll be using a spermicidal cream from now on."
"My partner has to use a condom all the time."
Which instructions would the nurse give to an adolescent to prevent sexually transmitted infections? Select all that apply. One, some, or all responses may be correct. 1 "Remember to use condoms properly." 2 "Abstain from any kind of sexual activity." 3 "Make sure you are up-to-date with your vaccinations." 4 "Have sexual contact only if you and your partner are monogamous." 5 "Remember to have regular screenings for sexually transmitted infections."
"Remember to use condoms properly" "Make sure you are up-to-date with your vaccination" "Have sexual contact only if you and your partner are monogamous"
The nurse is teaching a client with chlamydia about medication compliance and preventing recurrence. Which statement by the client indicates the need for further instruction? 1 "If there is more drainage or I have pain, I will call the office." 2 "The full regimen of prescribed oral antibiotics needs to be taken." 3 "Sexual intercourse should be avoided for 3 days after treatment." 4 "I will notify all my sexual partners of the infection so they can get treated."
"Sexual intercourse should be avoided for 3 days after treatment."
A client who is at 33 weeks' gestation has contracted gonorrhea and is prescribed probenecid and penicillin. Which instructions would the nurse give the client regarding the reason for dual therapy? 1 "Your allergy to penicillin is minimized." 2 "The side effects of the disease are reduced." 3 "The amount of penicillin in your blood is increased." 4 "Your immune defense mechanisms are more active."
"The amount of penicillin in your blood is increased."
Which response would the nurse provide to a client who has been diagnosed with genital herpes at her annual examination and asks how the health care provider knew that she had herpes? 1 "There's a sore in your vagina." 2 "There's a rash near your vagina." 3 "You have a typical discharge from your vagina." 4 "You have blisters on the skin around your vagina."
"You have blisters on the skin around your vagina."
Which length of time would the nurse teach a client regarding the incubation period of syphilis? 1 1 week 2 4 months 3 2 to 6 weeks 4 48 to 72 hours
2 to 6 weeks
A primigravida in the first trimester of pregnancy is diagnosed with gonorrhea. Which dosage of ceftriaxone is recommended to prevent the transmission of gonorrhea? 1 250 mg given after delivery 2 125 mg given after delivery 3 250 mg started immediately 4 125 mg started immediately
250 mg started immediately
The clinic nurse is planning care for a client with chlamydia. Which treatment would the nurse anticipate implementing? 1 Administration of 250 mg of acyclovir orally in a single dose 2 Administration of 1 g of azithromycin orally in a single dose 3 Administration of 250 mg of ceftriaxone intramuscularly in a single dose 4 Administration of 2.4 million units of benzathine penicillin G intramuscularly in a single dose
Administration of 1 g of azithromycin orally in a single dose
A woman in active labor arrives at the birthing unit. She tells the nurse that she was told that she had a chlamydial infection the last time she visited the clinic; however, she stopped taking the antibiotic after 3 days because she "felt better." In light of this history, which would the nurse anticipate as part of the plan of care? 1 Administration of antibiotics before delivery 2 Oxytocin infusion to augment labor 3 Epidural anesthesia to relieve difficult labor discomfort 4 Magnesium sulfate infusion to prevent a precipitous birth
Administration of antibiotics before delivery
Which factor that influences the spread of sexually transmitted infections (STIs) would the nurse include in a teaching session? Select all that apply. One, some, or all responses may be correct. 1 Age 2 Drug abuse 3 Lack of education 4 Multiple sex partners 5 Absent or subtle symptoms 6 Limited access to health care
All of them
Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct. 1 Sterility 2 Ectopic pregnancy 3 Blocked Fallopian tubes 4 Pelvic inflammatory disease 5 Increased likelihood of HIV infection
All of them
Which information would the nurse obtain in a health history for a sexually active 16-year-old to determine the client's risk for sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. 1 Sexual practices 2 Barrier protection use 3 Gender of sexual partners 4 Number of sexual partners 5 Use of illicit drugs before sex
All of them
Which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? Select all that apply. One, some, or all responses may be correct. 1 Report worsening symptoms. 2 Refrain from sexual relations. 3 Use barrier protection devices. 4 Contact partners to be tested. 5 Take the entire course of antibiotics
All of them
Which population would the nurse include in a community education session on sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. 1 Adolescents 2 Homosexual men 3 Transgender clients 4 Multiple sex partners 5 Intravenous drug users
All of them
Which information about genital herpes would the nurse teach the students in the high school sex education class? 1 A healthy lifestyle will prevent exacerbations. 2 Once the infection is effectively treated, exacerbations are rare. 3 Although exacerbations occur, they are not as severe as the initial episode. 4 The most effective way to prevent exacerbations is to abstain from sexual activity.
Although exacerbations occur, they are not as severe as the initial episode.
A client reports to a health clinic because a sexual partner recently was diagnosed as having gonorrhea. The health history reveals that the client has engaged in receptive anal intercourse. Which finding would the nurse assess for in this client? 1 Melena 2 Anal itching 3 Constipation 4 Ribbon-shaped stools
Anal itching
To implement primary prevention of sexually transmitted infections (STIs) the nurse is counseling an adolescent. Which would be the priority nursing action? 1 Help the adolescent recognize the risk. 2 Provide complete information about STIs. 3 Assess the adolescent's sexual risk behaviors. 4 Educate the adolescent about proper preventive measures.
Assess the adolescent's sexual risk behaviors.
Which would be the medication of choice for a client who is diagnosed with chlamydia? 1 Imiquimod 2 Ceftriaxone 3 Azithromycin 4 Benzathine penicillin
Azithromycin
A breast-feeding teenage mother is diagnosed with syphilis. Which would be the medication of choice for this client? 1 Doxycycline 2 Tetracycline 3 Azithromycin 4 Benzathine penicillin
Benzathine penicillin
In addition to being highly infectious, which additional fact would the nurse teach the client with gonorrhea? 1 Easily cured 2 Occurs very rarely 3 Can produce sterility 4 Limited to the external genitalia
Can produce sterility
At 6 weeks' gestation a client is found to have gonorrhea. For which medication would the nurse anticipate preparing a teaching plan? 1 Ceftriaxone 2 Levofloxacin 3 Sulfasalazine 4 Trimethoprim/sulfamethoxazole
Ceftriaxone
Which medication would the nurse administer to prevent maternal transmission of infection to the newborn of a client with gonorrhea? Select all that apply. One, some, or all responses may be correct. 1 Penicillin 2 Acyclovir 3 Ceftriaxone 4 Doxycycline
Ceftriaxone
Which would be the medication of choice in an adolescent who is diagnosed with gonorrhea and wishes to continue breast-feeding? 1 Azithromycin 1 g 2 Amoxicillin 500 mg 3 Ceftriaxone 250 mg 4 Ceftriaxone 125 mg
Ceftriaxone 250 mg
Which sexually transmitted infection is caused by Chlamydia trachomatis? 1 Cervicitis 2 Gonorrhea 3 Genital warts 4 Genital herpes
Cervicitis
Which complication would the nurse suspect in a client with genital herpes disease? 1 Infertility 2 Cold sores 3 Reactive arthritis 4 Bartholin abscess
Cold sores
Which topics will the school nurse include in adolescent education on sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. 1 Condom use 2 Sexual identity 3 Types of contraception 4 Number of sexual partners 5 Alcohol and drug consumption
Condom use Types of contraception Number of sexual partners
An adolescent reports uncomfortable genital warts. Which interventions would reduce the discomfort? Select all that apply. One, some, or all responses may be correct. 1 Take imiquimod. 2 Consider cryotherapy. 3 Bathe with an oatmeal solution. 4 Wear loose-fitting cotton clothes. 5 Use less water to clean the genitals
Consider cryotherapy. Bathe with an oatmeal solution. Wear loose-fitting cotton clothes.
Which type of isolation precautions would the postpartum nurse plan to institute for a client who has delivered her infant by cesarean birth because of active genital herpes? 1 Enteric 2 Droplet 3 Contact 4 Airborne
Contact
The nurse is teaching a client about medication therapy for gonorrhea. Which fact about medication therapy will the nurse emphasize? 1 Cures the infection 2 Prevents complications 3 Controls its transmission 4 Reverses pathologic changes
Cures the infection
Which treatment strategies would benefit a client diagnosed with chlamydia? Select all that apply. One, some, or all responses may be correct. 1 Penicillin G 2 Ceftriaxone 3 Clotrimazole 4 Doxycycline 5 Azithromycin
Doxycycline Azithromycin
Which manifestation indicates tertiary syphilis? 1 Chancre 2 Alopecia 3 Gummas 4 Condylomata lata
Gummas
Which action would the nurse implement regarding the public health implications of a 16-year-old adolescent diagnosed with gonorrhea? 1 Interviewing the adolescent's parents 2 Identifying and locating the client's sexual contacts 3 Instructing the client about birth control measures 4 Determining the reasons for the client's promiscuity
Identifying and locating the client's sexual contacts
Which education is appropriate to give a client at 16 weeks' gestation whose partner has just informed her that he has genital herpes? 1 Latex or polyurethane condoms must be used when the couple is having intercourse. 2 Mutual monogamy must be practiced. 3 It will be necessary to refrain from sexual contact during pregnancy. 4 Meticulous cleaning of the vaginal area after intercourse is essential.
Latex or polyurethane condoms must be used when the couple is having intercourse.
A primary health care provider suspects a chlamydial infection and orders a highly sensitive diagnostic test. Which diagnostic test would be ordered? 1 DNA probe 2 Culture test 3 Enzyme immunoassay 4 Nucleic acid amplification test
Nucleic acid amplification test
The nurse in the clinic is obtaining the health history of a 16-year-old boy with a complaint of a thick urethral discharge. Which is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea? 1 Assessing the temperature for fever 2 Collecting a urine sample for a urinalysis 3 Drawing blood for a complete blood count 4 Obtaining a urethral specimen for a culture
Obtaining a urethral specimen for a culture
Which action would the nurse take when administering azithromycin to treat sexually transmitted infections (STIs). Select all that apply. One, some, or all responses may be correct. 1 Observing clients for hypertension and diaphoresis 2 For allergic clients, administering the antibiotic with diphenhydramine 3 Instructing clients to take the medication until they feel better 4 Treating sexual partners after the course of antibiotics has been completed 5 Obtaining specimens for culture before administering the first dose of the antibiotic
Obtaining specimens for culture before administering the first dose of the antibiotic
Which is the medication of choice in a pregnant adolescent diagnosed with syphilis during the first trimester? 1 Penicillin G 2 Doxycycline 3 Tetracycline 4 Erythromycin
Penicillin G
The nurse is caring for a new mother who has a chlamydial infection. For which complications would the nurse assess the client's neonate? Select all that apply. One, some, or all responses may be correct. 1 Pneumonia 2 Preterm birth 3 Microcephaly 4 Conjunctivitis 5 Congenital cataracts
Pneumonia Preterm birth Conjunctivitis
The nurse is caring for an adolescent who is pregnant and reports a past history of gonorrhea. Which intervention will the nurse perform before delivery to decrease perinatal exposure? Select all that apply. One, some, or all responses may be correct. 1 Screen at 36 weeks' gestation 2 Plan to use standard precautions 3 Administer intramuscular ceftriaxone 4 Recommend bottle feeding after birth 5 Report any greenish-yellow purulent discharge
Screen at 36 weeks' gestation Administer intramuscular ceftriaxone
Which intervention would the nurse implement to prevent infection of the newborn in a pregnant client with gonorrhea? 1 Oral antibiotics for newborn 2 Schedule a cesarean section 3 Silver nitrate ophthalmic ointment 4 Intravenous antibiotic before delivery
Silver nitrate ophthalmic ointment
Which explanations would the nurse provide to the students in a sex education course regarding the etiology for an increase in gonorrhea prevalence? Select all that apply. One, some, or all responses may be correct. Correct1 Symptoms of the disease are vague. 2 Screening blood tests are expensive. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment. 5 Diagnostic tests for the causative organism are not yet available.
Symptoms of the disease are vague. The incubation period is relatively short. Causative organisms have become resistant to treatment.
Which sexually transmitted infections are caused by bacteria? Select all that apply. One, some, or all responses may be correct. 1 Syphilis 2 Hepatitis 3 Gonorrhea 4 Herpes simplex 5 Trichomoniasis
Syphilis Gonorrhea
An adolescent reports genital warts. Which suggestions would the nurse provide to reduce the discomfort? Select all that apply. One, some, or all responses may be correct. 1 Try out cryotherapy if needed. 2 Wear loose-fitted cotton clothes. 3 Take a bath with oatmeal solution. 4 Use less water for cleaning the genitals. 5 Anticipate a prescription of imiquimod.
Try out cryotherapy if needed. Wear loose-fitted cotton clothes. Take a bath with oatmeal solution.
