Deck 45: Sexually Transmitted Diseases

Question 1

What is the preferred treatment of human papillomavirus (HPV)infection?

A)topical antibiotics
B)cryosurgery
C)chemotherapy
D)surgical removal under general anesthesia

Answer 1

cryosurgery

Question 2

When a client is diagnosed with gonorrhea,which treatment regime is considered MOST effective?

A)a single dose of ciprofloxacin,followed by a 7-day course of oral doxycycline
B)a single injection of penicillin G benzathine
C)doxycycline 100 mg orally,twice daily for 7 days
D)treatment of symptoms only with acyclovir

Answer 2

a single dose of ciprofloxacin,followed by a 7-day course of oral doxycycline

Question 3

The destructive,inflammatory changes occurring in the tertiary stage of syphilis involves which organ system?

A)multiple
B)central nervous
C)epidermal
D)reproductive

Answer 3

multiple

Question 4

Which treatment will cure herpes genitalis?

A)acyclovir taken orally twice daily for 2 weeks
B)an injection of penicillin G benzathine
C)doxycycline 100 mg orally,twice daily for 7 days
D)none

Question 5

The nurse caring for a newborn administers silver nitrate or antibiotic solution to prevent an eye infection.This transmission may occur as the baby travels through the birth canal that is infected with:

A)gonorrhea
B)herpes genitalis
C)human immunodeficiency virus (HIV)
D)syphilis

Question 6

Symptoms of infection with human papillomavirus (HPV)include:

A)fever,chills,aches,and fatigue
B)painful wartlike growths on internal or external genitalia
C)painless,soft,fleshy growths appearing in the genital area
D)white,cheesy discharge from the vagina

Question 7

Client teaching should include that human papillomavirus (HPV)can lead to the formation of:

A)chancres
B)enlarged inguinal lymph nodes
C)genital warts
D)herpetic lesions

Question 8

The nurse should be aware that which sexually transmitted infection (STI)is often seen in combination with chlamydia?

A)gonorrhea
B)herpes genitalis
C)syphilis
D)trichomoniasis

Question 9

In addition to sexual contact,client teaching should include that the human immunodeficiency virus (HIV)virus can be transmitted by which mode?

A)respiratory
B)from baby to mother
C)blood
D)fecal

Question 10

In addition to the use of nonbarrier methods of birth control,which factor has led to the dramatic increase of sexually transmitted infections (STIs)in the last two decades?

A)asymptomatic disease carriers
B)careful reporting of STIs
C)antibiotic-resistant organisms
D)more sex education programs in schools

Question 11

Which population group is MOST at risk for developing human papillomavirus (HPV)infection?

A)males between the ages of 17 and 25 years old
B)males or females in their early 20s who have had multiple sexual partners
C)teenage girls or young women in their 20s
D)females in their mid-20s to 30s

Question 12

At which stage does syphilis become noninfectious?

A)primary
B)secondary
C)tertiary
D)There is no stage at which the disease is not infectious.

Question 13

It is MOST important to remind a pregnant woman being treated for chlamydia to:

A)take the prescribed medication with milk
B)prepare for treatment of the baby after delivery
C)notify her health care provider if symptoms reoccur
D)repeat cultures when treatment is complete

Question 14

What is the MOST common symptom of gonorrheal infection in women?

A)grayish-white mucopurulent vaginal discharge
B)infertility
C)painful sexual intercourse
D)yellow or bloody vaginal discharge

Question 15

To reduce risk of developing cervical cancer,a client who has human papillomavirus (HPV)infection should be advised to avoid:

A)smoking
B)use of oral contraception
C)use of barrier methods of contraception
D)use of condoms for future sexual partners

Question 16

Which sexually transmitted infection (STI)is known as the "silent STI" because 50% of cases are asymptomatic?

A)chlamydia
B)herpes genitalis virus
C)HIV
D)syphilis

Question 17

Cytomegalovirus can be misdiagnosed as what illness due to similarity of symptoms?

A)AIDS
B)herpes genitalis
C)mononucleosis
D)syphilis

Question 18

Why do males generally seek health care more readily for symptoms of sexually transmitted infections (STIs)?

A)They are more health conscious than women.
B)Their symptoms are more severe,and they are more likely to suffer complications.
C)Their symptoms are usually more obvious at the onset of the disease.
D)The male is more likely to transmit the disease to his partner.

Question 19

Which statement regarding sexually transmitted infections (STIs)is TRUE?

A)Guidelines for reporting STIs are often ignored.
B)Statistics on STIs are kept only by individual states.
C)Reporting is required for STIs such as herpes and trichomoniasis.
D)There is no uniformity in the reporting requirements for STIs.

Question 20

Transmission of cytomegalovirus to an unborn fetus can result in what condition in the neonate?

A)cataracts
B)choanal atresia
C)mental retardation
D)jaundice

Question 21

Which sexually transmitted disease is caused by a parasitic protozoan and is often seen in combination with gonorrhea?

A)chlamydia
B)herpes genitalis
C)syphilis
D)trichomoniasis

Question 22

When teaching the client about proper condom use,which of the following should the nurse include? (Select all that apply. )

A)is just as effective as other birth control methods
B)should be discarded after two ejaculations
C)disposal includes by holding at the base of the penis after ejaculation
D)can be used to prevent oral-genital membrane contact
E)store in a cool,dry place away from sunlight

Question 23

For a pregnant client who has trichomoniasis,when will treatment occur?

A)mother and baby will be treated after birth
B)after the first trimester
C)immediately
D)once the repeat test is also positive

Question 24

What is the primary route of transmission of hepatitis B?

A)sexual contact
B)oral-fecal
C)blood
D)water

Question 25

What is the MOST important nursing consideration when collecting information about a client's sexual history?

A)recording each of the client's sexual contacts accurately
B)noting any recent antibiotic treatment for infections that were not sexually transmitted infections (STIs)
C)maintaining a relaxed,nonjudgmental attitude
D)recognizing personal attitudes and beliefs regarding persons with STIs

Question 26

Common diagnotic tests to determine the presence of sexually transmitted infections (STIs)include which of the following? (Select all that apply. )

A)antigen for HSV
B)Reiter's test
C)CT scan
D)Western blot
E)biopsy
F)urine specimen

Question 27

In addition to prior treatment for sexually transmitted infections (STIs)and sexual orientation,which of the following is a pertinent part of a client history when screening for sexually transmitted diseases?

A)year of first sexual intercourse
B)racial origin
C)attendance at sex education classes
D)number of sexual partners over the last 6 months

Question 28

What is the preferred treatment of a client who has trichomoniasis?

A)1 week of Cipro
B)3 days of doxycycline
C)up to 1 week of Flagyl
D)a single penicillin injection