Question 1

A patient in labor is diagnosed with MPC. For which health problems does the nurse anticipate providing care to the newborn? (Select all that apply.)

Accepted Answer

MPC likely refers to maternal chorioamnionitis, which can lead to neonatal infections such as pneumonia and conjunctivitis.

Question 2

The nurse is providing care for residents in an extended-care facility. An oriented, older adult female states to the nurse, "I think my boyfriend made me sick. My private parts itch and hurt." Which action by the nurse is appropriate?

Accepted Answer

Asking permission for a physical examination is the appropriate action because it respects the patient's autonomy and addresses her complaint directly by seeking to identify any potential health issues.

Question 3

The nurse is collecting health information from a client who has presented with penile condyloma. Which comment by the patient indicates the greatest need for additional information from the nurse?

Accepted Answer

The comment indicating the greatest need for additional information is the one about only having oral sex with a sexual partner. This suggests a misunderstanding about the transmission of HPV, which can be spread through oral, vaginal, and anal sex. The patient may need more information on how HPV can be transmitted and the importance of protection during all types of sexual activity.

Question 4

The nurse is providing care for a patient who presents with redness, itching, pain, and burning of the vulva and vagina. Which additional manifestation will support the nurse's suspicion of vulvovaginitis?

Accepted Answer

The answer of The nurse is providing care for a...

Question 5

The nurse is providing care for a patient admitted for pneumonia. Which discovery made during admission will cause the nurse to notify the RN or HCP immediately?

Accepted Answer

An open, but painless ulcer on the penis could indicate a sexually transmitted infection (STI) such as syphilis, which requires immediate attention and treatment to prevent complications and transmission.

Question 6

The nurse is presenting information about preventing STIs to a group of female students. The nurse identifies that teaching is ineffective if which statement is made by a student?

Accepted Answer

The statement "I know my boyfriend loves me and will always keep me safe" indicates a misunderstanding of STI prevention, as it relies on trust rather than proactive measures such as condom use or regular testing. Effective teaching would ensure understanding that STI prevention is an individual's responsibility, regardless of a partner's intentions.

Question 7

A patient with frequent recurrent episodes of proctitis is diagnosed with rectal cancer. The patient is distraught and asks how cancer could develop. Which answer by the nurse is best?

Accepted Answer

Frequent inflammation, such as that seen in proctitis, can lead to cellular changes and damage that increase the risk of cancer development through a process known as chronic inflammation-induced carcinogenesis. This is why the nurse's explanation about cellular changes due to frequent inflammation is the most accurate and appropriate response.

Question 8

The nurse is providing care for a patient recently diagnosed with Chlamydia. Which information does the nurse recommend be included in patient teaching? (Select all that apply.)

Accepted Answer

The answer of The nurse is providing care for a...

Question 9

A patient who is pregnant is being treated for MPC. Which information is correct when the patient asks the nurse about the cause of the condition?

Accepted Answer

MPC (Mucopurulent Cervicitis) is often caused by organisms that are responsible for sexually transmitted infections (STIs), such as Chlamydia trachomatis or Neisseria gonorrhoeae.

Question 10

The nurse is visited by a teenage neighbor who asks, "I have a friend who thinks she has an STI and she is afraid to ask anyone about it. Can you give me some information for her?" Which reply does the nurse make?

Accepted Answer

Option D is the most appropriate response as it provides factual information about the importance of seeking treatment for sexually transmitted infections (STIs) without making assumptions or pressuring the teenager to disclose more information than they are comfortable with. It emphasizes the potential consequences of not seeking medical advice in a non-judgmental way.

Question 11

A female client has been hospitalized multiple times requiring IV antibiotics for the treatment of pelvic inflammatory disease (PID). The nurse provides information to the patient emphasizing the potential for infertility from PID. Which statement by the patient indicates effectiveness of the presented information?

Accepted Answer

The answer of A female client has been hospitalized multiple...

Question 12

The nurse is gathering information from a male patient who is presenting with difficult, painful, and frequent urination and a clear penile discharge. Which additional information supports urethritis?

Accepted Answer

Urethritis, an inflammation of the urethra, is often sexually transmitted. The partner having similar symptoms supports the likelihood of a sexually transmitted infection causing the urethritis.

Question 13

A female patient is at the HCP's office for an annual gynecological examination. When a bimanual examination is performed, the patient reports significant pain. Which medical condition is the patient likely to have?

Accepted Answer

Pelvic Inflammatory Disease (PID) is known to cause significant pain during a bimanual examination due to the inflammation and infection of the female reproductive organs, making it a likely condition in this scenario.

Question 14

A patient with hepatitis B virus (HBV) delivers a 6-pound, 2-ounce baby. Which action does the nurse anticipate will be needed for the infant?

Accepted Answer

HBV-immune globulin and the HBV vaccine series are recommended for newborns of mothers with hepatitis B to prevent the transmission of the virus from mother to child. This combination is safe and effective for infants.

Question 15

The nurse is providing care for a female patient who is pregnant and tests positive for genital HSV-2 (herpes simplex virus type 2). Which comment by the patient indicates to the nurse that patient teaching is effective?

Accepted Answer

An active genital herpes lesion at the time of delivery can necessitate a cesarean section to prevent neonatal transmission of the virus, indicating the patient understands the implications of her condition on the mode of delivery.

Question 16

The nurse is involved with a follow up visit for a female patient who contracted and had been self-treating for pubic lice. Which comment by the patient indicates that patient teaching is effective?

Accepted Answer

The patient's comment about being more discriminating about sexual partners indicates an understanding of prevention and reducing the risk of contracting pubic lice again.

Question 17

The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which information is the nurse basing this teaching?

Accepted Answer

Gonorrhea can be asymptomatic in both men and women, but it can still be transmitted to sexual partners. Completing treatment is crucial to prevent the spread of the infection and avoid complications.

Question 18

The nurse is collecting data on a patient in a HCP's office. The patient tells the nurse he or she has the flu. The nurse notices a skin rash on the palms of the hands and soles of the feet, mouth sores, and lymphadenopathy. Which question is most important for the nurse to ask?

Accepted Answer

The symptoms described (skin rash on palms and soles, mouth sores, lymphadenopathy) are indicative of secondary syphilis. Asking about painless sores (chancre) is important as it is a primary symptom of syphilis.

Question 19

The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the registered nurse (RN) or physician?

Accepted Answer

Sharp pain at the base of the ribs may indicate a complication such as pelvic inflammatory disease (PID) or an ectopic pregnancy, which requires immediate medical attention. Painful urination, red conjunctivae, and vaginal discharge are common symptoms of Chlamydia but are not as urgent as sharp rib pain.

Question 20

The nurse reviews the medical record for a patient who is diagnosed with genital warts. Which method of treatment is unexpected if the patient is pregnant?

Accepted Answer

Immunity stimulation treatments, such as using certain topical agents like imiquimod, are generally avoided during pregnancy due to potential risks to the fetus.

Quiz 44: Nursing Care of Patients With Sexually Transmitted Infections