Deck 74: Care of Patients with Sexually Transmitted Diseases

Question 1

A 19-year-old college student seeks information from the school's nurse about how to avoid sexually transmitted diseases (STDs)without abstinence as a choice.Which statement by the nurse is best?

A) "Urinating after intercourse will eliminate the risk of infection."
B) "A vaccine can prevent genital warts caused by some strains of the human papilloma virus (HPV)."
C) "Oral contraception can prevent pregnancy and STDs."
D) "Good handwashing helps prevent infection associated with STDs."

Answer 1

"A vaccine can prevent genital warts caused by some strains of the human papilloma virus (HPV)."

Question 2

The nurse teaches a client with genital herpes about effective comfort measures.Which statement by the client indicates a need for further teaching by the nurse?

A) "I can apply warm towels or ice packs to the lesions."
B) "Sitz baths three times a day may help ease the pain."
C) "I understand there are anesthetic sprays and ointments."
D) "I really should try to limit urination due to the pain."

Answer 2

"I really should try to limit urination due to the pain."

Question 3

A nurse is assessing a client who presents with a scaly rash over the palms and soles of the feet and the feeling of muscle aches and malaise.The nurse suspects syphilis.Which action by the nurse is appropriate?

A) Reassure the client that this stage is not infectious unless she is pregnant.
B) Assess the client for hearing loss and generalized weakness.
C) Don gloves and further assess the client's lesions.
D) Take a history regarding any cardiovascular symptoms.

Answer 3

Don gloves and further assess the client's lesions.

Question 4

An African-American female with blisters on the vagina is being treated with acyclovir (Zovirax)for genital herpes.She is angry at her partner for transmitting the infection.Which action by the nurse is best?

A) Encourage the client to engage in sexual activity since she is on medication.
B) Be sensitive to the client's feelings and refer her to a support group.
C) Reinforce that the disease can no longer be spread to other partners.
D) Reassure the client that sexual activity will not be painful while on acyclovir.

Question 5

Which risk factors would the nurse teach a 23-year-old client about to prevent pelvic inflammatory disease (PID)? (Select all that apply.)

A) Having multiple sexual partners
B) Using an intrauterine device (IUD)
C) Smoking
D) Drinking two alcoholic beverages per day
E) Having a history of sexually transmitted diseases (STDs)

Question 6

A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STDs)seen in practice.Which statement by the student indicates a lack of understanding?

A) "There are improved techniques to diagnose an STD used in practice."
B) "There is increased incidence of sexual abuse and sexual trafficking."
C) "Females feel safe using oral agents rather than a condom as contraception."
D) "The organisms causing STDs are all becoming more virulent."

Question 7

The nurse is teaching a client who is taking an oral antibiotic for treatment of a sexually transmitted disease (STD).Which statements by the client indicate a correct understanding of the treatment? (Select all that apply.)

A) "I need to drink at least 8 glasses of fluid each day with my antibiotic."
B) "I should read the instructions to see if I can take the medication with food."
C) "Antacids should not interfere with the effectiveness of the antibiotic."
D) "I need to wait 7 days after the last dose of the antibiotic to engage in intercourse."
E) "It should not matter if I skip a couple of doses of the antibiotic."

Question 8

A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV).Which statement by the nurse is accurate?

A) "Gardasil protects against all HPV strains."
B) "You are too young to receive the vaccine."
C) "Only females can receive the vaccine."
D) "This will lower your risk for cervical cancer."

Question 9

A primary care clinic sees some clients with sexually transmitted diseases.Which clients would the nurse be required to report to the local authority in every state,according to the Centers for Disease Control and Prevention? (Select all that apply.)

A) Client with Chlamydia
B) Woman with gonorrhea
C) Man with syphilis
D) Client with human immune deficiency virus
E) Female with pelvic inflammatory disease

Question 10

A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics.Which finding leads the nurse to take immediate action?

A) Feelings of anger that her partner infected her
B) Loose stools over the last 2 days
C) Anorexia and nausea
D) Chills and a temperature of 101° F

Question 11

A nurse wants to reduce the risk potential for transmission of chlamydia and gonorrhea with a female client diagnosed with both diseases.Which items should be included in the client's teaching plan? (Select all that apply.)

A) Expedited partner therapy
B) Abstinence until therapy is completed
C) Use of internal uterine devices
D) Proper use of condoms
E) Re-screening for infection

Question 12

A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago.Which statement by the client alerts the nurse that there may be a recurrence of the infection?

A) "I did practice abstinence while taking the medication."
B) "I took doxycycline two times a day for a week."
C) "I never told my boyfriend about the infection."
D) "I did drink wine when taking the medication for Chlamydia."

Question 13

While evaluating a male client for treatment of gonorrhea,which question is the most important for the nurse to ask?

A) "Do you have a history of sexually transmitted disease?"
B) "When was your last sexual encounter?"
C) "When did your symptoms begin?"
D) "What are the names of your recent sexual partners?"

Question 14

A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge.Because the results from the culture of the cervical cells are not available,the client will be treated for both Chlamydia and gonorrhea.Which explanation by the nurse is best?

A) "This early treatment will prevent obstruction to the fallopian tubes."
B) "Only azithromycin (Zithromax) is prescribed for both sexually transmitted diseases."
C) "The treatment will prevent aortic valve disease and aneurysms."
D) "Oral antibiotic treatment will prevent frequent occurrences of meningitis."

Question 15

A 23-year-old female was admitted to the hospital for intravenous antibiotic treatment of pelvic inflammatory disease.The provider has ordered cefazolin (Ancef)to be administered every 8 hours.At what rate should the nurse infuse the medication if the pharmacy provides 1 g of the medication in 50 mL of 0.9% NaCl to infuse in 30 minutes? (Record your answer using a whole number.)_____ mL/hr

Question 16

A male client is diagnosed with primary syphilis.Which question by the nurse is a priority at this time?

A) "Have you been using latex condoms?"
B) "Are you allergic to penicillin?"
C) "When was your last sexual encounter?"
D) "Do you have a history of sexually transmitted disease?"

Question 17

Before marriage,a female client has a blood test drawn for syphilis.The test reveals a positive Venereal Disease Research Laboratory (VDRL)serum test.What is the advice that the nurse should give the client?

A) "Check with your future husband about his sexual activity."
B) "You must determine if you are pregnant at this time."
C) "Submit to a more specific treponemal test to confirm the infection."
D) "Agree to a benzathine penicillin G injection in multiple doses."

Question 18

A client being treated for syphilis visits the office with a possible allergic reaction to benzathine penicillin G.Which abnormal findings would the nurse expect to document? (Select all that apply.)

A) Red rash
B) Shortness of breath
C) Heart irregularity
D) Chest tightness
E) Anxiety

Question 19

A 23-year-old female has been diagnosed with genital warts.Which action by the nurse is best?

A) Encourage the client to have an annual Papanicolaou (Pap) test.
B) Recommend an over-the-counter wart treatment for genital tissue.
C) Report the case to the Centers for Disease Control and Prevention (CDC).
D) Discuss popular options for contraception.

Question 20

A woman is admitted to the hospital for antibiotic therapy for pelvic inflammatory disease.She is in pain,with a rating of 7 on a scale of 0 to 10.What comfort measure can the nurse delegate to the unlicensed assistive personnel (UAP)?

A) Administer Tylenol #3 immediately.
B) Apply a heating pad to the lower abdomen.
C) Position the client in a semi-Fowler's position.
D) Teach the client to increase intake of fluids.