Question 1

The nurse is providing community education to a large group of high school students about the treatment of sexually transmitted infections STIs). Which information would be beneficial for the students to understand? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A,C,D

Question 2

The nurse is determining diagnoses appropriate for a pregnant patient newly diagnosed with herpes simplex. Which nursing diagnosis has the highest priority?

Accepted Answer

The highest priority nursing diagnosis for a pregnant patient newly diagnosed with herpes simplex is Risk for Injury related to the disease process. This is because herpes simplex can cause harm to both the mother and the unborn child, and it is important to minimize the risk of transmission of the virus during delivery. The other nursing diagnoses listed are also important, but they do not have the same level of priority as risk for injury.

Question 3

The nurse is planning to teach a group of adolescents about sexually transmitted infections. What information concerning genital warts should the nurse discuss?

Accepted Answer

A

Question 4

A teenaged female patient tells the nurse that she has been sexually active with her boyfriend for 2 months. She has no symptoms of a sexually transmitted infection STI). Screening for which infection is the nurse's priority?

Accepted Answer

Chlamydia is the most commonly reported STI in the United States, and can cause long-term complications if left untreated. Therefore, screening for chlamydia should be the nurse's priority. It is important to note, however, that screening for other STIs should also be considered based on the patient's individual risk factors and sexual history.

Question 5

A 20-year-old patient has small painful blisters on her labia that developed about 6 days after having sex with her new boyfriend. The nurse would conduct additional assessment for which most likely STI?

Accepted Answer

The presence of painful blisters on the labia that developed after sexual contact is suggestive of genital herpes. Syphilis, gonorrhea, and chlamydia do not typically present with blisters.

Question 6

A patient is experiencing a painless, ulcerated area on her labia. The nurse would conduct additional assessment for which disease?

Accepted Answer

A painless, ulcerated genital lesion is highly suspicious for syphilis, especially if it is located on the labia. Other sexually transmitted infections, such as herpes simplex 2 or gonorrhea, typically present with painful genital lesions. Condylomata acuminata, also known as genital warts, typically present as raised, wart-like lesions rather than ulcers.

Question 7

A patient recently diagnosed with herpes simplex 2 asks how to best manage the lesions. What information should be given to the patient?

Accepted Answer

Warm soaks may be used to cleanse the area. Soap should be used to wash the area gently and dried thoroughly. Wearing cotton panties will reduce discomfort. Rubbing alcohol will irritate the lesions and should not be used.

Question 8

A patient asks which method of contraception will provide the greatest protection against gonorrhea. What method can the nurse recommend?

Accepted Answer

Male condoms provide the greatest protection against gonorrhea as they create a physical barrier that prevents the exchange of bodily fluids which may contain the bacteria causing gonorrhea. Hormonal methods of contraception like oral contraceptives do not protect against STIs. Sponges and spermicides have limited effectiveness in preventing STIs.

Question 9

A female patient diagnosed with a chlamydial infection denies any symptoms and asks when she contracted the disease. What information should be provided to the patient?

Accepted Answer

Chlamydial infections can be asymptomatic for a long period, making it difficult to pinpoint exactly when the infection was contracted. Many individuals with chlamydia do not exhibit symptoms, which allows the infection to go unnoticed and untreated for an indefinite period.

Question 10

The health care provider orders doxycyline 100 mg PO every 12 hours for 7 days. The pharmacy fills the prescription with 0.1 g doxycyline capsules. The nurse should instruct the patient to take ____ capsules per day.

Accepted Answer

The answer of The health care provider orders doxycyline 100...

Question 11

When implementing nursing care for a patient with a diagnosis of syphilis, the nurse must take into consideration the disease process. Rank in correct sequence the stages of the disease process. Standard Text: Click and drag the options below to move them up or down.
Choice

Accepted Answer

The stages of syphilis in correct sequence are:
A) Appearance of a chancre and regional enlargement of lymph nodes
C) Asymptomatic period
D) Skin rash on palms and feet
B) Localized development of gummas.

The appearance of a chancre and regional enlargement of lymph nodes is the first stage of syphilis. During the asymptomatic period, the bacteria continue to invade the body and the immune system tries to fight it off. The appearance of a skin rash on palms and feet is characteristic of secondary syphilis. Finally, localized development of gummas is a late stage manifestation of syphilis. It is important for the nurse to be aware of the different stages of the disease to ensure appropriate nursing care is provided.

Question 12

A patient recently treated for pelvic inflammatory disease asks how she can best prevent a recurrence of the disease. What information should the nurse provide?

Accepted Answer

The use of condoms is an effective method to prevent sexually transmitted infections (STIs), which are a major cause of pelvic inflammatory disease (PID). Condoms act as a barrier to prevent the exchange of bodily fluids, thereby reducing the risk of infection.

Question 13

A male patient who is sexually active with multiple partners and does not use a condom has a small, painless lesion on the side of his penis. The history is an indication of what STI?

Accepted Answer

The presence of a painless lesion on the penis in a sexually active male with multiple partners who does not use a condom is highly suggestive of syphilis, a bacterial sexually transmitted infection. Condylomata acuminata, also known as genital warts, presents as cauliflower-like growths rather than a single lesion. Gonorrhea and chlamydia typically present with symptoms such as discharge, painful urination, and/or pelvic pain.

Question 14

A young female patient has just been diagnosed with a trichomoniasis infection. The nurse would expect which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Trichomoniasis infection commonly presents with greenish-yellow vaginal discharge, itching, and irritation of the genitalia, and dysuria. Smooth lesions on the labia majora and fever are not commonly associated with this infection.

Question 15

A patient diagnosed with gonorrhea has not been adhering to the prescribed medication regimen. Which findings could indicate the patient is experiencing complications of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Gonorrhea can lead to complications such as pelvic inflammatory disease (PID), which can cause elevated WBC count (A), severe abdominal pain (B), and tenderness upon palpation (D). Ambulating slowly with legs apart (C) may indicate discomfort or pain in the pelvic region.

Question 16

A patient is prescribed ceftriaxone Rocephin) 350 mg IM. The nurse reconstitutes a 500 mg vial of ceftriaxone powder with 1.8 mL of diluent to achieve a concentration of 250 mg/mL. The nurse will administer _______ mL for the total dose.

Accepted Answer

The answer of A patient is prescribed ceftriaxone Rocephin) 350...

Question 17

The nurse would determine that which patient has a reportable sexually transmitted infection according to Centers for Disease Control and Prevention CDC) regulations? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

According to CDC regulations, syphilis, gonorrhea, and chlamydia are all reportable sexually transmitted infections. Bacterial vaginosis and trichomonas are not on the list of reportable infections.

Question 18

A patient who is positive for syphilis is allergic to penicillin and is being treated with tetracycline for 28 days. The health care provider orders tetracycline 500 mg to be taken every 6 hours. The prescription is filled with 250 mg tablets. How many tablets will the patient need to take every day to achieve the ordered dosing?

Accepted Answer

The answer of A patient who is positive for syphilis...

Question 19

A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should the nurse discuss with the patient?

Accepted Answer

The answer of A patient diagnosed with herpes simplex II...

Question 20

A 15-year-old patient is seeking information on birth control and sexually transmitted infections STIs). What teaching should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A 15-year-old patient is seeking information on...

Quiz 43: Caring for the Patient With Sexually Transmitted Diseases