Women's Health - Ch 5 - Prep U

The nurse is caring for a client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client?

"Avoid alcohol consumption for at least 24 hours after you take this medication."

A client diagnosed with human papillomavirus (HPV) asks the nurse if she will be at risk for developing cervical cancer. The nurse best responds by making which statement?

"Certain strains of the human papillomavirus (HPV) have been associated with causing cervical cancer."

The nurse is caring for a client diagnosed with candida vaginitis. The nurse knows additional teaching is needed when the client makes which statement?

"Douching is an effective way to cleanse the vaginal area after intercourse."

A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective?

"I will wear loose cotton underwear."

The clinic nurse is treating a client diagnosed with HIV. Which statement made by the client indicates an understanding of the diagnosis?

"If my T-cell count drops below 200 cells/mm3 (0.2 × 109/l), my HIV has progressed to AIDS."

The nurse is developing a teaching plan for a client who is HIV positive and prescribed lamivudine. The nurse will include which statement in the teaching?

"If you develop a dry mouth or rash while taking lamivudine, call your health care provider."

A client diagnosed with genital herpes asks the nurse about future sexual experiences. Which response by the nurse is appropriate?

"If you plan to have future sexual relationships, you need to let your partner know of your history prior to intercourse."

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."

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?

"There is currently no medical treatment to cure HPV."

A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply.

"Transmission is through contact of infected mucous membranes." "The virus remains quiet until a stressful event occurs to reactivate it." "Infections may be transmitted by individuals unaware that they have it."

A pregnant woman who is HIV-positive comes to the clinic for an evaluation. As part of the visit, the nurse discusses ways the woman can boost her immune system. Which instruction(s) would the nurse likely suggest? Select all that apply.

-staying away from crowded places -drinking at least 2 liters of fluid each day. -taking rest periods during the day

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%

A nurse is preparing for a class discussion on sexually transmitted infections (STIs) to be given at a local high school. Which would the nurse include as a discussion priority?

Adolescents and young adults are the largest age group diagnosed with an STI.

A client is receiving ceftriaxone as treatment for gonorrhea. What would be most important for the nurse to emphasize to the client?

Avoid alcohol consumption.

A nurse is caring for a client with vaginitis. What teaching(s) should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply.

Avoid using deodorant tampons. Wear only cotton panties and ventilated pantyhose. Avoid douching.

A client is being discharged from the gynecological unit after treatment for acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include?

Discuss the necessity of completing the antibiotic therapy.

A pregnant client has been diagnosed with gonorrhea. Which nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby?

Instill a prophylactic agent in the eyes of the newborn.

A client reports genital ulcers and a diagnosis of syphilis. Which nursing interventions should the nurse implement when caring for the client? Select all that apply.

Instruct the client to wear nonconstricting, comfortable clothes. Instruct the client to wash her hands with soap and water after touching lesions. Have the client urinate in water if urination is painful.

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response?

It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which information will the nurse include?

Leave space at the tip of the condom.

Which instruction should be given to a woman newly diagnosed with genital herpes?

Limit stress and emotional upset as much as possible.

A 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?

This drug will help to suppress any symptoms of the infection.

The nurse cares for a client recently diagnosed with syphilis who has no known drug allergies. Which medication will the nurse expect the health care provider to prescribe?

benzathine penicillin G

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?

burning urination

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

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely?

chancres at the vaginal site

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

A client with a family history of cervical cancer is to undergo a Papanicolaou test. During the client education, what group should the nurse include as at risk for cervical cancer?

clients who have genital warts

Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection?

dysuria

Clients who have had PID are prone to which complication?

ectopic pregnancy

A school health nurse is presenting information on sexually transmitted infections (STIs) to a high school class. The nurse feels confident that learning has taken place when the students report:

female adolescents are more susceptible to STIs due to their anatomy.

A nurse is assessing a client diagnosed with bacterial vaginosis. What is a symptom of bacterial vaginosis?

fish smell

The nurse in the sexual health clinic is obtaining a health history of a client who suffers form heroin use disorder. The client reports chronic flulike symptoms accompanied by pruritis, fatigue, anorexia, and constant upper right quadrant pain. Which sexually transmitted infection would the nurse suspect?

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?

human papillomavirus

A nurse in the sexual health clinic assesses a female client and notes wart-like lesions on the genital area and rectum. Which diagnosis best correlates with these findings?

human papillomavirus

What is the most common viral infection?

human papillomavirus (HPV)

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis?

latency

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

metronidazole

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 most likely prescribe?

metronidazole

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection?

trichomoniasis

Which factor in a client's history indicates she is at risk for candidiasis?

use of corticosteroids