Deck 49: Nursing Care of People With Sexually Transmitted Infections

Question 1

A man is concerned about a 'cauliflower-shaped lesion' that appeared around his anal region. The nurse suspects this man is experiencing which type of genital wart?

A)Condyloma acuminata.
B)Papular wart.
C)Keratotic wart.
D)Flat wart.

Answer 1

Condyloma acuminata.

Question 2

A woman says that she has been using 'the medication for a yeast infection' but it is not 'getting any better.' The nurse suspects that which of the following relates to this female? The woman:

A)needs to continue using the medication for a much longer period of time.
B)might be using a medication that is not appropriate for the cause.
C)is not using the medication correctly.
D)is not washing her hands before applying the medication.

Answer 2

might be using a medication that is not appropriate for the cause.

Question 3

A person has been diagnosed with herpes simplex II. The nurse provides information to the person about the disorder. Which of the following statements by the nurse indicates the need for further teaching?

A)'I will have this disease for the rest of my life.'
B)'This condition can affect my pregnancy, labour and delivery.'
C)'I can only infect my partners when my blisters are present.'
D)'It is important to keep the lesions clean and dry.'

Answer 3

'I can only infect my partners when my blisters are present.'

Question 4

A person who was just diagnosed with syphilis is allergic to penicillin. What is the medication of choice for this person?

A)Doxycycline (Doxyhexal).
B)Erythromycin (E-Mycin).
C)Minocycline (Akamin).
D)Cephalexin.

Question 5

A person who was just diagnosed with syphilis is allergic to penicillin. What is the medication of choice for this person?

A)Doxycycline (Doxyhexal).
B)Erythromycin (E-Mycin).
C)Minocycline (Akamin).
D)Cephalexin.

Question 6

A woman who was just diagnosed with chlamydia says, 'I thought I was really sick. This isn't anything.' Which of the following should the nurse respond to this woman?

A)'You're right. This is minor infection.'
B)'The infection is extremely common.'
C)'This is one cause of sterility and ectopic pregnancy in women.'
D)'You're lucky that you only need treatment and not your partner.'

Question 7

A woman has the complaint of a 'weird rash' on her hands and feet. Which of the following should the nurse include in the care of this woman? (Select all that apply.)

A)Conduct a complete sexual history assessment.
B)Find out if the woman has experienced a chancre sore on her mouth or genital area.
C)Ask if the woman has experienced a foul-smelling vaginal discharge.
D)Ask the woman if she uses a public swimming pool or spa

Question 8

A woman, who missed two previous appointments, is seen for a continued infection that caused pelvic inflammatory disease. Which of the following instructions should the nurse include in the teaching session?

A)The need for meticulous personal hygiene.
B)The need to commence birth control pills while being treated.
C)The necessity of continuing with the anti-inflammatory medications.
D)The need to keep appointments and to complete all prescribed medications.

Question 9

A woman is seen for a recurrence of a vaginal infection. What should the nurse instruct the woman about?

A)Saving some of the prescribed medication to use again if needed.
B)Personal hygiene.
C)The need to wear nylon underwear.
D)Avoiding sexual contact until the infection heals.

Question 10

A woman is seen for a recurrence of a vaginal infection. Which statement by the woman would indicate appropriate understanding of measures to deal with the infection?

A)'I will save some of the medication to use again if needed.'
B)'I understand that bubble baths are ok if only done occasionally.'
C)'I should wear nylon underwear to reduce the risk of infection.'.
D)'I need to avoid sexual contact until my infection resolves.

Question 11

A man tells the nurse that he is not concerned about sexually transmitted diseases because he is in a monogamous relationship. Why would this man benefit from education? .Select all that apply.

A)All sexually active persons are at risk of a sexually transmitted disease.
B)Sex means different things to different people.
C)A sexually transmitted infection may have been contracted in a previous relationship.
D)He may already have a sexually transmitted disease.

Question 12

A person with genital herpes is experiencing increased pain with urination. What should the nurse suggest to this person?

A)Drink more cranberry juice.
B)Commence a course of urinary antibiotics.
C)Drink more water.
D)Take a urinary acidifier.

Question 13

Awomanis complaining of a 'watery' vaginal discharge with a 'really strong fishy' odour. What does the nurse suspect this woman is experiencing?

A)Thrush.
B)Trichomoniasis infection.
C)Bacterial vaginosis.
D)Syphilis.

Question 14

A person who was just diagnosed with syphilis is allergic to penicillin. Which other medications can be used to treat the syphilis for this person? Select all that apply.

A)Doxycycline.
B)Erythromycin.
C)Minocycline .
D)Tetracycline.

Question 15

A woman, who missed two previous appointments, is now being seen for pelvic inflammatory disease secondary to a continued infection. Which of the following statements by the nurse would best address the current situation?

A)'Please make sure to practice meticulous personal hygiene to prevent re-infection.'
B)'It is important that you use birth control pills while you are being treated for the pelvic inflammatory disease.'
C)'It is vital that you continue with the recommended anti-inflammatory medications for several weeks after the infection.'
D)'Keeping appointments and completing all prescribed medications will help prevent development of pelvic inflammatory disease.'

Question 16

A woman is seen for a new onset of blisters on the labia majora. What is this woman experiencing?

A)First episode of a herpes virus infection.
B)Latency period of the herpes virus infection.
C)An adverse reaction to her current birth control methods.
D)Prodromal symptoms of the herpes virus.

Question 17

A woman, who missed two previous appointments, is seen for a continued infection that caused pelvic inflammatory disease. Which of the following instructions should the nurse include in the teaching session?

A)The need for meticulous personal hygiene.
B)The need to commence birth control pills while being treated.
C)The necessity of continuing with the anti-inflammatory medications.
D)The need to keep appointments and to complete all prescribed medications.

Question 18

A woman continues to develop vaginal infections. Which of the following can the nurse provide to assist this woman? (Select all that apply.)

A)'Be sure to wash the perineal region daily and as necessary throughout the day.'
B)'Always use condoms when engaging in sexual activity.'
C)'Wear tights and close fitting jeans.'
D)'Wear only cotton underwear.'

Question 19

After the removal of genital warts, the man says, 'Now I can have sex again.' What information should the nurse provide to this man?

A)Remind him to always use a condom with sexual activity.
B)Inform him that he is now immune to genital warts.
C)Ask every partner if they have a diagnosed sexually transmitted disease.
D)The need to always use a chemical barrier to avoid impregnating his partner.

Question 20

A woman is being seen for her first prenatal visit. The nurse should be prepared to conduct which of the following diagnostic tests for this woman? (Select all that apply.)

A)Screening for a yeast infection.
B)Screening for genital warts.
C)Screening for gonorrhoea.
D)Screening for syphilis.

Question 21

A woman is having difficulty accepting the diagnosis of a sexually transmitted disease because she has 'been on the pill' for years. What information can the nurse provide to this woman?

A)She possibly needs to change the type of birth control pill being used.
B)Oral contraceptives do not protect against sexually transmitted diseases.
C)Some diseases are virulent and the pill will not protect her.
D)Missed doses of the pill may have made her susceptible to infection.

Question 22

A woman is seen for a recurrence of a vaginal infection. What should the nurse instruct the woman about?

A)Saving some of the prescribed medication to use again if needed.
B)Personal hygiene.
C)The need to wear nylon underwear.
D)Avoiding sexual contact until the infection heals.

Question 23

A woman complains of a fever and foul-smelling vaginal discharge. Upon a gynaecological examination, the female has pain when the cervix is palpated. This woman should have diagnostic tests for what condition?

A)Gonorrhoea.
B)Many sexually transmitted diseases.
C)Ectopic pregnancy.
D)Thrush.

Question 24

A man is diagnosed with epididymitis. Which sexually transmitted disease is known to cause this disorder?

A)HIV.
B)Gonorrhoea.
C)Genital warts.
D)Syphilis.

Question 25

A woman who was just diagnosed with a sexually transmitted disease is beginning treatment. What should the nurse remind this female to do?

A)Begin birth control pills to prevent future disease transmission.
B)Minimise sexual activity in the future.
C)Be pleased that she was not diagnosed with HIV.
D)Inform all sexual partners about the diagnosis so they can also be treated.

Question 26

A man is 'relieved' to learn that he has a sexually transmitted disease and is not HIV positive. Which of the following would be an appropriate response for the nurse to make to this man?

A)'You would know if you had HIV.'
B)'You are fortunate because you could easily have contracted HIV.'
C)'Having a sexually transmitted disease does predispose the body to be infected with HIV if exposed to the virus.'
D)'It is very difficult for a heterosexual male to contact HIV.'