Question 1

The nurse is providing care for a newborn.Which intervention should the nurse make to prevent development of ophthalmia neonatorum?

Accepted Answer

Ophthalmia neonatorum may be prevented by use of antibiotic eye preparations,which contain silver nitrate,erythromycin,or tetracycline.D.HBV immune globulin is given to prevent HPV.C.Vitamin K prevents bleeding.A.Interferon is not used.

Question 2

The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia.What would be an important part of the man's history to report to the physician?

Accepted Answer

Untreated syphilis can lead to neurosyphilis and neurological changes.B,C,and D do not cause neurological changes.

Question 3

The nurse notes that a patient is diagnosed with vulvovaginitis.What should the nurse expect when assessing this patient? (Select all that apply.)

Accepted Answer

Vulvovaginitis is an inflammation of the vulva and vagina and can be asymptomatic or involve redness,itching,burning,excoriation,pain,swelling of the vagina and labia,and discharge.C.D.Ecchymosis and dark brown vaginal bleeding are not manifestations of this disorder.

Question 4

A patient diagnosed with syphilis reminds the HCP of having an allergy to penicillin.Which medications should the nurse expect to be prescribed for this patient? (Select all that apply.)

Accepted Answer

Penicillin G is the treatment of choice for patients diagnosed with syphilis.For those who are allergic to penicillin,doxycycline and tetracycline are treatment options.A.E Gentamicin and erythromycin are not antibiotics identified to treat syphilis.B.Amoxicillin is a later generation of penicillin and should not be given.

Question 5

The nurse is reviewing prescribed laboratory tests for a patient demonstrating manifestations of syphilis.What diagnostic tests should the nurse expect to be prescribed for this patient? (Select all that apply.)

Accepted Answer

Several tests for syphilis exist,and a combination may be used for accurate diagnosis.Cultures may be done but are difficult to grow.Serological (blood)tests include the Venereal Disease Research Laboratory (VDRL)test,the rapid plasma reagin (RPR)test,and the automated reagin test (ART).Treponemal enzyme-linked immunosorbent assay (ELISA),fluorescent treponemal antibody absorption (FTA-ABS),and polymerase chain reaction (PCR)tests for treponemal DNA are some newer methods that reduce the risk of false results.B.F.NAT is done for Chlamydia.CD4 and CD8 are used to evaluate HIV/AIDS.

Question 6

While providing a bath the nurse suspects that an older female patient has a Trichomonas infection.What type of discharge did the nurse observe to come to this conclusion? (Select all that apply.)

Accepted Answer

Trichomoniasis is a sexually transmitted infection caused by a protozoan parasite.It can be also be transmitted through nonsexual contact with infected articles because it can survive for a long time outside the body.Carriers of Trichomonas vaginalis can be asymptomatic for several years until changes in vaginal or urethral conditions encourage an outbreak of the infection.Symptoms include redness,swelling,itching,and burning of the genital area; pain with intercourse and voiding; and a frothy,foul-smelling discharge that can be clear,white,yellowish,or greenish.D.Trichomoniasis is not associated with open sores or wart-like growths.

Question 7

The nurse is assisting with teaching a patient who has been exposed to hepatitisB.Which symptoms should the nurse explain may occur before jaundice appears? (Select all that apply.)

Accepted Answer

Early signs of hepatitis are loss of appetite,rashes,malaise,muscle and joint pain,headaches,nausea,and vomiting.D.As the virus affects the liver,the urine may darken and the stool color lightens,liver enzymes may rise,and jaundice may appear.C.Confusion is a late sign of liver disease.F.Glucose abnormalities occur with pancreatic disease.

Question 8

While assisting a health care provider (HCP)conduct a pelvic examination,the patient complains of severe pain during the bimanual examination.For which health problem should the nurse suspect this patient is going to need care?

Accepted Answer

With pelvic inflammatory disease,findings during physical examination include adnexal tenderness upon palpation,and pain in the uterus and cervix when moved during a bimanual examination.A.B.D.Pain during a bimanual examination is not associated with syphilis,gonorrhea,or human papillomavirus infection.

Question 9

A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents.The nurse recognizes that this patient most likely has which condition?

Accepted Answer

There is presently no known cure for papillomavirus infection.The warts may be treated by freezing,burning,or chemically destroying them or by manipulating the patient's immune system to attack the virus.Cryotherapy (freezing)of the warts may be done by touching each wart with a cryoprobe or a liquid nitrogen-soaked swab.Warts may also be burned or electro-coagulated with an electrocautery or a laser.Heat causes the proteins to coagulate,resulting in death of the wart tissue.A.B.Syphilis and Chlamydia are treated with antibiotics.C.Hepatitis B virus may be treated with immune globulins as well as supportive treatment.

Question 10

A patient in labor is diagnosed with mucopurulent cervicitis.For which health problems should the nurse anticipate providing care to the newborn? (Select all that apply.)

Accepted Answer

Mucopurulent cervicitis (MPC)is an inflammation of the cervix that may produce a mucopurulent yellow exudate on the cervix or may have no noticeable symptoms.MPC during pregnancy can result in conjunctivitis and pneumonia in newborn infants.C.D.E.MPC does not cause irregular heart rate,or flaccid or cyanotic extremities in the newborn.

Question 11

The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs)in the United States.Which STI should the nurse highlight as being the most commonly diagnosed?

Accepted Answer

Chlamydia is the most commonly diagnosed STI in the United States.A.C.D.Gonorrhea,Trichomoniasis,and HPV are not the most commonly diagnosed STIs in the United States.

Question 12

The nurse is providing care for a patient recently diagnosed with Chlamydia.Which information should the nurse recommend be included in patient teaching? (Select all that apply.)

Accepted Answer

Chlamydia is the most commonly diagnosed sexually transmitted infection (STI)in the United States.It can be transmitted sexually and by blood and body fluid contact.Chlamydia is a frequent cause of pelvic inflammatory infection (PID)and infertility,and it increases the risk of ectopic pregnancy.A.Women who have gonorrhea may have either no noticeable symptoms or have a sore throat.C.Newborns born to mothers who have gonorrhea can develop ophthalmia neonatorum.F.Herpes viruses have an affinity for tissues of the skin and nervous system and can lie dormant in nervous system tissues and then reactivate periodically when the body undergoes stress,fever,or immune system compromise/ B.Chancres can develop with syphilis.

Question 13

While reviewing a medical record the nurse notes that patient has a "strawberry" cervix.For which sexually transmitted infection (STI)would the nurse plan care?

Accepted Answer

Visualization of the cervix during pelvic examination shows a characteristic "strawberry cervix" with Trichomonas infection.A,B,and D are not associated with a strawberry cervix.

Question 14

The nurse is teaching a patient about the use of condoms to prevent sexually transmitted infections (STIs).Which information should the nurse include in this teaching? Select all that apply.

Accepted Answer

Condoms can reduce (but not eradicate)the risk of STDs.Latex condoms are less likely to break during intercourse than other types.Lubrication decreases the chances of breakage during use,but only water-soluble lubricants should be used.F.Substances such as petroleum jelly (Vaseline)may weaken the condom.C.Condoms should never be inflated to test them,because this can weaken them.D/ Condoms should never be reused and should be discarded properly after use so that others will not come in contact with the contents.

Question 15

While assisting with care,the nurse counsels the patient diagnosed with a sexually transmitted infection (STI)about notification of sexual partners.Which patient statement indicates the need for further teaching? (Select all that apply.)

Accepted Answer

The requirements for reporting STDs may vary for different states,provinces,and countries.C.The report form has spaces for listing sexual contacts who should be notified of possible STD exposure.A.Depending on the laws of the state,province,or country,HCPs may notify identified sexual contacts or patients may do so themselves.D.Contacts may also be notified by a public health authority that they have been listed as a sexual contact by an anonymous person who has tested positive for a particular STD.

Question 16

A patient diagnosed with genital warts asks how they developed.Which pathogen should the nurse explain as causing genital warts?

Accepted Answer

Condylomata acuminatum (genital warts)is a common sexually transmitted viral infection,and their incidence is increasing rapidly.Infection with human papillomavirus (HPV)produces the condylomata.A,B,and D do not cause warts.

Question 17

A 24-year-old woman diagnosed with Chlamydia has been prescribed doxycycline.What should be included in the nurse's teaching about the drug treatment? (Select all that apply.)

Accepted Answer

Do not administer doxycycline during pregnancy due to bone/teeth effects.Do not take with antacids or dairy products.Avoid unnecessary exposure to sunlight.A.Administer on an empty stomach.D.Alcohol should be avoided with metronidazole.

Quiz 44: Nursing Care of Patients With Sexually Transmitted Diseases