Nursing Management Sexually Transmitted Infections

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Question 1
Free
Multiple Choice

The nurse is assessing a male client who has a profuse, purulent urethral discharge with painful urination. Which of the following information is most important for the nurse to obtain?

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A

Contraceptive use

B

Sexual orientation

C

Immunization history

D

Recent sexual contacts

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Question 2
Free
Multiple Choice

The nurse is assessing a female client who being seen in the family medicine clinic for an annual physical exam. Which of the following information should the nurse plan to teach the client about?

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A

Testing for chlamydia infection

B

Immunization for herpes simplex

C

The relationship between the herpes virus and cervical cancer

D

The risk of infertility associated with the human papillomavirus (HPV)

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Question 3
Free
Multiple Choice

Aclient with gonorrhea is treated with a single IM dose of ceftriaxone and is given a prescription for doxycycline 100 mg bid for 7 days. Which of the following explanations should the nurse tell the client about this combination of antibiotics?

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A

Prevent reinfection during treatment

B

Treat any coexisting chlamydial infection

C

Eradicate resistant strains of N. gonorrhoeae

D

Prevent the development of resistant organisms

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Question 4
Free
Multiple Choice

Aclient who has blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which of the following actions should the nurse take next?

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A

Ask the client about past treatment for syphilis.

B

Discuss the need for blood and spinal fluid cultures.

C

Obtain a specimen for fluorescent treponemal antibody absorption (FAT-ABS) testing.

D

Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.

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Question 5
Free
Multiple Choice

Amale client who has been diagnosed with gonococcal urethritis tells the nurse about recent sexual contact with a woman but says she did not appear to have any disease. Which of the following information should the nurse provide in response to the client'sstatement?

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A

Women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.

B

Women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical manifestations.

C

Many women are not aware they have gonorrhea because they often do not have symptoms of infection.

D

When gonorrhea infections occur in women, the disease affects only the ovaries and not the genital organs.

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Question 6
Multiple Choice

Aclient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. Which of the following actionsshould the nurse include in the plan of care?

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A
Assess for arterial aneurysms.
B
Place the client in a private room.
C
Wear gloves when touching the client.
D
Apply antibiotic ointments to the perineum.
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Question 7
Multiple Choice

The nurse is teaching a client who has primary genital herpes about management of the disease. Which of the following client statements indicate that the teaching has been effective?

Choose correct answer/s
A
"I will use the acyclovir ointment on the area to relieve the pain."
B
"I will use condoms for intercourse until the medication is all gone."
C
"I will take the acyclovir every 8 hours for the next week."
D
"I will need to take all of the medication to be sure the infection is cured."
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Question 8
Multiple Choice

The nurse is counselling a client who is having difficulty in conceiving. Which of the following infections is of most concern to the nurse?

Choose correct answer/s
A
Chlamydia
B
Treponema pallidum.
C
Condyloma acuminatum.
D
Herpes simplex virus type 2.
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Question 9
Multiple Choice

The nurse is caring for a client who is 6 weeks' pregnant and is diagnosed with primary syphilis. Which of the following information should the nurse plan to discuss with the client?

Choose correct answer/s
A
The likelihood of a stillbirth
B
The need for Caesarean section
C
Intramuscular injection of penicillin
D
Use of antibiotic eye drops for the newborn
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Question 10
Multiple Choice

A client has genital warts around her external genitalia and perianal area. She tells the nurse that she has not had treatment until now because "the warts are so disgusting." Which of the following nursing diagnoses is best?

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A
Disturbed body image related to alteration in self-perception (feelings about the genital warts)
B
Ineffective coping related to inadequate confidence in ability to deal with a situation
C
Risk for infection as evidenced by insufficient knowledge to avoid exposure to pathogens
D
Anxiety related to threat to current status (impact of condition on interpersonal relationships)
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Question 11
Multiple Choice

When a client returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which of the following questions is best for the nurse to ask the client?

Choose correct answer/s
A
"Did you take the prescribed antibiotic for a week?"
B
"Did you drink at least 2 quarts of fluids every day?"
C
"Were your sexual partners treated with antibiotics?"
D
"Do you wash your hands after using the bathroom?"
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Question 12
Multiple Choice

A client is treated for chlamydia that was detected during a routine pelvic examination. Which of the following client statements indicate that teaching regarding the management of the condition has been effective?

Choose correct answer/s
A
"Go ahead and give me the antibiotic injection so I will be cured."
B
"My boyfriend will need to take antibiotics at the same time I do."
C
"I will use condoms during sex until I finish taking all the antibiotics."
D
"Since I do not plan on having any children, treatment is not as important."
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Question 13
Multiple Choice

A client in the sexually transmitted infection (STI) clinic expresses concern about possible exposure to gonorrhea by her partner. Which of the following actions should the nurse take to determine if the client has gonorrhea?

Choose correct answer/s
A
Interview the client about symptoms of gonorrhea
B
Take a sample of cervical discharge for Gram staining
C
Draw a blood specimen or rapid plasma reagin (RPR) testing
D
Obtain vaginal secretions for a nucleic acid amplification test (NAAT)
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Question 14
Multiple Choice

The nurse is caring for a client who is diagnosed with chlamydia and tells the nurse that she is very angry because her husband is her only sexual partner. Which of the following responses should the nurse make first?

Choose correct answer/s
A
"You may need professional counselling to help resolve your anger."
B
"It is understandable that you are angry with your husband right now."
C
"Your feelings are justified and you should share them with your husband."
D
"It is important that both you and your husband be treated for the infection."
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Question 15
Multiple Choice

Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?

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A
A 50-year-old man who has multiple sexual partners
B
A 23-year-old woman who is pregnant for the first time
C
An 11-year-old female who has never been sexually active
D
A 28-year-old male who is in a monogamous relationship
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Question 16
Multiple Choice

The nurse is assessing a client at the community clinic who has a long history of IV drug use and reports difficulty walking because "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests. Which of the following assessments should the nurse implement based on the client history? (Select all that apply.)

Choose correct answer/s
A
Heart sounds
B
Genitalia for lesions
C
Joints for swelling and inflammation
D
Mental state for judgement and orientation
E
Skin and mucous membranes for gummas
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