sexually transmitted infections
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? "The lumps on your cervix can be cured by cryosurgery." "There is currently no medical treatment to cure HPV." "This can be cured with medications such as the recombinant human papillomavirus quadrivalent vaccine." "The health care provider will prescribe antibiotics to cure this infection."
"There is currently no medical treatment to cure HPV."
female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching? "If I use this drug, I will be cured of the infection." "This drug will help reduce my risk for a recurrence after discontinuing it." "The severity of future attacks will be much less after using this drug." "This drug will help to suppress any symptoms of the infection."
"This drug will help to suppress any symptoms of the infection."
A woman is being treated for human immunodeficiency virus (HIV) at an inpatient health clinic. Which statement made by the woman shows she understands the progression of the infections? "I won't be contagious unless the infection turns to AIDS." "I will never get a break from the symptoms of this infections." "When my symptoms go away I know the disease has too." "When my T-cell count drops below 200 cells, the HIV turns to AIDS."
"When my T-cell count drops below 200 cells, the HIV turns to AIDS."
A school health nurse is providing education to a group of adolescents regarding the proper procedure for male condom use. The nurse knows the teaching has been effective when which statement is made by a student? "Ensure your condom is always available, so store condoms in your wallet." "It is important to put the condom on just before the penis is erect." "Use only petroleum-based lubricants, such as body lotion or massage oil." "Withdraw the penis erect, holding the condom firmly against the penis."
"Withdraw the penis erect, holding the condom firmly against the penis."
A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client? Taking the drug on an empty stomach Using a sunscreen when outside Avoiding alcohol consumption Reporting signs of an oral yeast infection
Avoiding alcohol consumption
A pregnant client has been diagnosed with gonorrhea. Which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby? Administer cephalosporins to mother during pregnancy. Instill a prophylactic agent in the eyes of the newborn. Perform cesarean birth to prevent infection. Administer an antiretroviral syrup to the newborn.
Instill a prophylactic agent in the eyes of the newborn.
Which instruction should be given to a woman newly diagnosed with genital herpes? Obtain a Papanicolaou test every 3 years. Have your partner use a condom when lesions are present. Use a water-soluble lubricant for relief of pruritus. Limit stress and emotional upset as much as possible.
Limit stress and emotional upset as much as possible.
A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis? Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy. Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease. Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection. Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism.
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease.
At a health education class for teenagers, the nurse discusses the sexually transmitted infection chlamydia trachomatis. Which information would the nurse most likely include? This infection is the most common infectious cause of infertility. This infection is lifelong as it cannot be treated with medication. Antiviral drug regimes will cure this infection. The new recombinant human papillomavirus vaccine will prevent the infection.
This infection is the most common infectious cause of infertility.
A nurse is caring for a client positive for human immunodeficiency virus. The client is on triple-combination highly active antiretroviral therapy (HAART). What should the nurse include in the teaching plan when educating the client about the treatment? (Select all that apply.) Exposure of fetus to antiretroviral agents is completely safe. Successful antiretroviral therapy may prevent acquired immunodeficiency syndrome (AIDS). Unpleasant side effects such as nausea and diarrhea are common. Provide written materials describing diet, exercise, and medications. Ensure that the client understands the dosing regimen and schedule.
Unpleasant side effects such as nausea and diarrhea are common. Provide written materials describing diet, exercise, and medications. Ensure that the client understands the dosing regimen and schedule.
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? a painless genital ulcer that appeared about 3 weeks after unprotected sex copper-colored macules on the palms and soles that appeared after a brief fever patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas one or more flat, wartlike papules in the genital area that are sensitive to touch
a painless genital ulcer that appeared about 3 weeks after unprotected sex
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? a painless genital ulcer that appeared about 3 weeks after unprotected sex copper-colored macules on the palms and soles that appeared after a brief fever patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas one or more flat, wartlike papules in the genital area that are sensitive to touch
a painless genital ulcer that appeared about 3 weeks after unprotected sex
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 six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms? an azole antifungal agent a penicillin antibiotic a quinolone antibiotic an antiviral agent
an azole antifungal agent
A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? foul-smelling discharge vaginal bleeding vesicles on the labia chancres at the vaginal site
chancres at the vaginal site
he nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which most common STI in the United States would the nurse expect to include? gonorrhea chlamydia syphilis genital herpes
chlamydia
The school nurse is leading a discussion with a group of adolescents on the various sexually transmitted infections (STIs). The nurse determines the session is successful when the students correctly choose which STIs as considered curable with proper treatment? Select all that apply. chlamydia gonorrhea trichomoniasis condylomata acuminata herpes type II virus
chlamydia gonorrhea trichomoniasis
The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection (STI). What would the nurse expect to assess if the adolescent has trichomoniasis? green vaginal discharge urinary incontinence flu-like symptoms lesions on the vulva
green vaginal discharge
The nurse in a sexual health clinic is reviewing the history of a 30-year-old homosexual client who is an IV drug addict and diagnosed with a sexually transmitted infection. Which therapy would the nurse expect to include in his care? hepatitis A and hepatitis B recombinant vaccine HIV vaccine recombinant human papillomavirus vaccine acyclovir
hepatitis A and hepatitis B recombinant vaccine
A male client appears in the walk-in clinic and requests treatment for trichomoniasis as his girlfriend was recently diagnosed with it. What medication would the health care provider mostlikely prescribe? metronidazole acyclovir clotrimazole penicillin G
metronidazole
Pelvic infection is most commonly caused by: sexual transmission. surgical abortion. hysteroscopy. insertion of intrauterine device.
sexual transmission
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? Genital herpes Hepatitis B Syphilis Condylomata acuminata
syphilis
Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection? candidasis Gardnerella vaginalis vaginitis gonorrhea trichomoniasis
trichomoniasis
Which factor in a client's history indicates she is at risk for candidiasis? nulliparity menopause use of corticosteroids use of spermicidal jelly
use of corticosteroids
A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis? cottage cheese-like discharge intense itching of the vulva warts in the vulva and labia vaginal odor smelling of fish
vaginal odor smelling of fish
Which medication is used to suppress viral load of the HSV-2 infection? acyclovir penicillin metronidiazole clindamycin
acyclovir
A client is being treated for gonorrhea. Which agent would the nurse expect the primary care provider to prescribe? penicillin tetracycline levofloxacin ceftriaxone
ceftriaxone
Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? erectile dysfunction dysuria painful ejaculation hematuria
dysuria
Clients who have had PID are prone to which complication? ectopic pregnancy multiple gestation ovarian cancer inguinal lymphadenopathy
ectopic pregnancy
A young woman comes to the walk-in clinic seeking treatment for chronic chlamydia trachomatis. Which finding is most likely because it often correlates with this diagnosis? gonorrhea anemic disorder liver disease central nervous system disorder
gonorrhea
The nurse in the sexual health clinic is obtaining a health history of a client who is addicted to heroin, reporting chronic flu-like symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect? hepatitis A herpes simplex trichomoniasis syphilis
hepatitis A
A group of students is reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which cause of condylomata? herpes virus human papillomavirus Treponema pallidum Haemophilus ducreyi bacillus
human papillomavirus
What is the most common viral infection? human papillomavirus (HPV) gonorrhea chlamydia trichomoniasis
human papillomavirus (HPV)
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 six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms? azithromycin valacyclovir penicillin metronidazole
metronidazole
Which medications are appropriate to treat vaginal candidiasis? Select all that apply. miconazole fluconazole azithromycin gentamicin penicillin G benzathine
miconazole fluconazole
When teaching a woman diagnosed with genital herpes lesions, the nurse would include which measure? applying ice packs to the area for comfort drying lesions with a hair dryer set on high refraining from using condoms during sexual intercourse washing hands with soap and water after touching lesions
washing hands with soap and water after touching lesions
The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use? "Put the condom on just before orgasm." "Latex condoms provide the best protection against STIs." "Putting the condom on just before insertion defeats the purpose." "Don't store condoms in your wallet."
"Put the condom on just before orgasm."
Which instruction should the nurse give to a client with genital herpes to help control the infection? Avoid sexual contact until sores heal. Apply antibacterial medication. Avoid people with upper respiratory infections. Apply imiquimod cream.
Avoid sexual contact until sores heal.
The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: miconazole. azithromycin metronidazole. doxycycline.
azithromycin
In which clients is it most important to understand the importance of an annual Papanicolaou test? clients with a history of recurrent candidiasis clients with a pregnancy before age 20 clients infected with the human papillomavirus (HPV) clients with a long history of hormonal contraceptive use
clients infected with the human papillomavirus (HPV)
A client with a family history of cervical cancer is to undergo a Papanicolau test. During the client education, what group should the nurse include as at risk for cervical cancer? clients with irregular menstrual cycles clients who have not had babies clients who have genital warts clients with fibrocystic breast disease
clients who have genital warts
The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis? trauma to the bladder being postmenopausal irritation of vaginal walls spontaneous abortion
irritation of vaginal walls
Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis? latency secondary primary tertiary
latency
A woman comes to the clinic reporting intense pruritus and a thick curd-like vaginal discharge. On examination, white plaques on observed on the vaginal wall. The nurse suspects which condition? trichomoniasis bacterial vaginosis vulvovaginal candidiasis chlamydia
vulvovaginal candidiasis
A client is suspected of having herpes simplex viral infection. The nurse would expect to prepare the client for which diagnostic test to confirm the infection? viral culture of vesicular fluid Papinicolaou smear IgG/IgM antibody testing treponemal testing
viral culture of vesicular fluid
A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which nursing strategy should be adopted to prevent the spread of STIs in the community? Promote use of oral contraceptives. Emphasize the importance of good body hygiene. Discuss limiting the number of sex partners. Emphasize not sharing personal items with others.
Discuss limiting the number of sex partners.
Which medication is the most effective treatment for trichomoniasis? metronidazole penicillin G benzathine doxycycline azithromycin
Which medication is the most effective treatment for trichomoniasis? metronidazole The most effective treatment for trichomoniasis is metronidazole and tinidazole. Penicillin G benzathine is used for syphilis. Doxycycline and azithromycin are used in the treatment of chlamydia.
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? genital herpes syphilis gonorrhea chlamydia
genital herpes
