Deck 41: Management of Clients with Sexually Transmitted Infections

Question 1

When caring for clients with STDs, the nurse is aware that the best method of infection control is

A) good hand-washing.
B) disease-based isolation techniques.
C) no extra infection control measures.
D) universal precautions.

Answer 1

universal precautions.

Question 2

A nurse is teaching a community group about STDs, including proper use of condoms. The nurse informs the group that condom failure is generally due to

A) environmental concerns.
B) improper or inconsistent use.
C) latex versus non-latex construction.
D) manufacturer's defect.

Answer 2

improper or inconsistent use.

Question 3

An adolescent female states that she cannot use condoms because her "boyfriend won't let her." Which action by the nurse would best fill the role of the advocate for this client?

A) Give the adolescent pamphlets to share with the boyfriend.
B) Help the teen practice negotiation techniques.
C) Reinforce teaching on the consequences of STDs.
D) Teach the client the proper way to apply a condom.

Answer 3

Help the teen practice negotiation techniques.

Question 4

The nurse conducting health education about gonorrhea would teach a client that

A) gonorrhea is difficult to treat effectively.
B) gram-negative organisms multiply rapidly.
C) the organisms can survive for a long period outside the body.
D) there is a large carrier population because it can be asymptomatic in women.

Question 5

The nurse working in an ambulatory clinic explains that the most common bacterial STD in the United States is

A) chlamydia.
B) genital herpes.
C) gonorrhea.
D) syphilis.

Question 6

A female caller to an STD hotline is crying, saying that her husband is accusing her of cheating on him after she was diagnosed with chlamydia. The best response by the nurse would be

A) "I can refer you to a marriage counselor if you think your husband would go."
B) "There is a lot of information about chlamydia on the CDC website. I can give you that address."
C) "There is no way to tell when you got infected because chlamydia often does not cause symptoms in women."
D) "You need to tell your husband to see his doctor so he can be evaluated and treated if needed."

Question 7

A client with uncomplicated gonorrhea who is treated with ceftriaxone and doxycycline asks if a follow-up examination and culture will be necessary. The most appropriate response by the nurse is

A) "No, because the disease cannot recur."
B) "No, because treatment failure with these medications is rare."
C) "Yes, because monthly cultures are now recommended."
D) "Yes, because reinfection is very probable."

Question 8

A client is receiving metronidazole (Flagyl) orally for treatment of trichomoniasis. The nurse should explain to the client that

A) alcoholic beverages and products containing alcohol should be avoided.
B) douching is necessary after sexual contact.
C) recurrence generally is rare.
D) the medication must be taken for 14 days.

Question 9

The nurse is counseling a client with herpes simplex virus (HSV) infection. Which of the following would best meet most clients' needs in coping with this diagnosis?

A) Contact information for a support group
B) Information about promising drug trials
C) Websites containing STD information
D) Written information about the disease and treatment

Question 10

A client with genital herpes asks the nurse what effect the herpes will have on her becoming pregnant and having a child. The nurse's response is based on the fact that active genital herpes lesions can cause

A) birth defects.
B) infection of the fetus in utero.
C) infection of the newborn during vaginal delivery.
D) sterility.

Question 11

A client whose VDRL test was positive asks the nurse if he has syphilis. The nurse's best response is

A) "A blood culture is necessary to make the diagnosis."
B) "A positive VDRL indicates syphilis."
C) "The FTA-ABS test will need to be done."
D) "This study is specific for gonorrhea."

Question 12

When teaching clients strategies for primary prevention of sexually transmitted diseases (STDs), the nurse should

A) encourage compliance with medical treatment.
B) encourage early treatment of infected individuals.
C) provide risk reduction counseling.
D) treat all the client's sexual partners.

Question 13

To make a definite diagnosis in a client with suspected chlamydial infection, the nurse should prepare the client for

A) biopsy.
B) blood study.
C) culture.
D) Papanicolaou (Pap) smear.

Question 14

The nurse would assess a female client with second-stage syphilis for

A) local lymphadenopathy.
B) maculopapular, nonpruritic rash on the palms and soles of the feet.
C) presence of a chancre.
D) yellow, mucopurulent vaginal discharge.

Question 15

The nurse is teaching a client with herpes simplex virus (HSV) type 2 appropriate methods to prevent further spread of the virus while lesions are present. The nurse stresses that clients should

A) apply warm soaks to the lesions.
B) complete antibiotic therapy.
C) maintain separate towels and other personal items.
D) stop using condoms because they are irritating.

Question 16

The physician has prescribed ceftriaxone (Rocephin) administered intramuscularly, followed by doxycycline (Vibramycin) orally for 7 days, to treat a client with gonorrhea. The nurse would explain that the rationale for the second medication is

A) because some strains of Neisseria gonorrhoeae are resistant to antibiotics.
B) that two drugs are better tolerated than one large dose.
C) to prevent reinfection.
D) to treat a chlamydial co-infection.

Question 17

A client has developed salpingitis as a complication of gonorrhea. The nurse explains that this problem could lead to

A) a shortened latency period.
B) chlamydial infection.
C) infertility.
D) reinfection.

Question 18

In teaching a client receiving doxycycline for the treatment of chlamydial infection, the nurse should include

A) avoidance of alcoholic beverages while taking doxycycline.
B) increasing fluid intake while taking doxycycline.
C) protecting the medication from sunlight.
D) using a condom as a birth control method.

Question 19

A female client with genital warts who was treated with topical podophyllin and tincture of benzoin would indicate to the nurse the need for further teaching when the client says

A) "I need to come for frequent treatment until all the warts disappear."
B) "I'll be glad when these warts are cured."
C) "I'll make sure my boyfriend is treated."
D) "These warts are usually spread by having sex."

Question 20

The statement made by a client being treated for gonorrhea that would indicate that teaching has been effective is "I

A) can get some antibiotics to take home, in case I get infected again."
B) don't want to get this again because treatment is lengthy and expensive."
C) will come back after I finish all my medicine."
D) won't have sex until I have completed my medications."

Question 21

The ambulatory care nurse is aware that after the appearance of the primary lesions, latent syphilis will begin in approximately

A) 1 month.
B) 3 to 6 months.
C) 1 to 2 years.
D) 3 to 5 years.

Question 22

The nurse caring for clients with STDs knows that which diseases are reportable in all states? (Select all that are correct.)

A) Chlamydia
B) Gonorrhea
C) Herpes simplex virus (genital)
D) Human papilloma virus
E) Syphilis

Question 23

As part of health teaching for a female client with genital warts, the nurse would explain that

A) condom use is recommended.
B) genital warts are cured after medication therapy.
C) testing for warts eliminates the need for Pap smears.
D) this disorder is unrelated to development of genital cancers.

Question 24

The nurse determines that the woman who least needs screening for chlamydial infection is a

A) 22-year-old with multiple partners.
B) 35-year-old with a single partner
C) high-risk pregnant woman.
D) sexually active 17-year-old.