Question 1

A pregnant client is diagnosed with Chlamydia and is to receive antimicrobial therapy. Which drug would the nurse expect to be least likely prescribed?

Accepted Answer

A

Question 2

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Accepted Answer

Syphilis is the only STI that must be reported by law in most states and countries.

Question 3

When describing the risks associated with sexually transmitted infections, the nurse explains that an increased risk of cervical cancer is associated with which STI?

Accepted Answer

Human papillomavirus (HPV), which is often associated with genital herpes, is known to increase the risk of cervical cancer.

Question 4

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Accepted Answer

Tetracycline is an alternative antibiotic for treating syphilis in patients with penicillin allergy. It is effective in treating primary, secondary, and early latent syphilis.

Question 5

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which of the following would the nurse encourage?

Accepted Answer

The use of additional water-based lubricant can decrease the risk of condom breakage and increase overall effectiveness. Natural-membrane condoms are not recommended as they may be less effective at preventing STI transmission. Silicone lubricated condoms are acceptable to use, but some individuals may have an allergy to the silicone. It is important to keep the condom on until after ejaculation to prevent any possible transmission of STIs.

Question 6

A client is receiving ceftriaxone as treatment for gonorrhea. Which of the following would be most important for the nurse to emphasize to the client?

Accepted Answer

The most important information to emphasize to a client receiving ceftriaxone for gonorrhea is to avoid alcohol consumption because it can cause a potentially severe reaction called the disulfiram-like reaction, leading to symptoms such as flushing, rapid heart rate, shortness of breath, and nausea/vomiting. Taking the drug on an empty stomach, using sunscreen, and reporting signs of an oral yeast infection are not specific to ceftriaxone or gonorrhea treatment.

Question 7

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?

Accepted Answer

The Centers for Disease Control and Prevention (CDC) recommends annual chlamydia screening for all sexually active women under the age of 25 years. The choice closest to this recommendation is under 26 years of age, making option C the correct answer.

Question 8

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?

Accepted Answer

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI). Therefore, it is best to test for multiple STIs at the same time to ensure all potential infections are identified and treated.

Question 9

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

Accepted Answer

It is important for a person with a history of HSV-2 infection to inform all potential sexual partners about the infection, even if it is currently inactive. This allows partners to make informed decisions about their sexual health and potential risk of infection. Using a condom during sexual activity is also recommended to reduce the risk of transmission during active outbreaks of the infection. Refraining from sexual activity until not having another outbreak for a year is not always necessary or practical.

Question 10

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit??

Accepted Answer

Tabes dorsalis, ataxia, and Charcot's joints are all symptoms of the tertiary stage of syphilis. Ulcerated chancre, aortic valve insufficiency, and lymphadenopathy are symptoms of the primary stage. Fever, malaise, and sore throat are symptoms of the secondary stage. Papular lesions, rash, and headache are symptoms of the early stages of syphilis.

Question 11

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

Accepted Answer

Condylomata are genital warts caused by the human papillomavirus (HPV). Herpes virus causes genital herpes, Treponema pallidum causes syphilis, and Haemophilus ducreyi bacillus causes chancroid.

Question 12

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?

Accepted Answer

Dissemination of gonorrhea can result in painful joints, a condition called gonococcal arthritis, but it would not directly cause sore throat, intermenstrual bleeding, or painful urination.

Question 13

Which of the following would be most appropriate to do when assisting in collecting a culture from a client infected with gonorrhea?

Accepted Answer

Moistening the vaginal speculum with water is appropriate because it helps make the collection less uncomfortable for the client. Lubricating the speculum, as in choice A, is not necessary or recommended for this procedure because it can interfere with the collection of the culture or cause abnormal results. Choice C is incorrect as gonorrhea cultures can be collected at any point during the menstrual cycle. Choice D is also incorrect because douching can interfere with culture results and is not necessary.

Question 14

The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which of the following would the nurse expect to include as the most common STI in the United States?

Accepted Answer

Chlamydia is the most common STI in the United States, with over 1.7 million cases reported in 2017.

Question 15

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which of the following nursing interventions may help foster the client's self-esteem?

Accepted Answer

Affirming the client's good judgment in seeking treatment can help the client feel validated and build confidence in their decision-making abilities. The other options may provide helpful information or resources, but may not directly address the client's self-esteem concerns.

Question 16

The nurse is gathering data from a male client who is suspected of having gonorrhea. Which of the following would the nurse most likely find?

Accepted Answer

Pain on urination is a common symptom of gonorrhea in males, whereas purulent rectal discharge, skin rash, and testicular pain are more commonly associated with other STIs or conditions.

Question 17

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate?

Accepted Answer

Option B is the most appropriate response as it is true that a person infected with genital herpes can still spread the infection even when they are asymptomatic. Option A is incorrect as there is currently no cure for genital herpes; medication can only help manage symptoms and outbreak frequency. Option C is also incorrect as subsequent outbreaks are not always longer than the first, and outbreak frequency and severity can vary from person to person. Option D is partially true, but it's not always necessary for a person to try several medications before finding one that works. The nurse can offer more information and counseling on medication options and their effectiveness.

Question 18

Which information would be most appropriate for a nurse to provide to a client who has never used a condom?

Accepted Answer

It is important for the nurse to explain to the client that a new condom should be used for each sex act to ensure maximum protection against sexually transmitted infections and unwanted pregnancy. Using an old condom, even if it is unopened, can increase the risk of breakage or failure. The cost of the condom should not be the determining factor in its use, as there are many free or low-cost options available. It is also important to note that a condom should be put on when the penis is still flaccid to ensure proper placement and effectiveness.

Question 19

Which of the following would the nurse recommend to a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection?

Accepted Answer

Participating in early prenatal care is the best option for a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection. Early prenatal care allows for timely screening, diagnosis, and treatment of infections to prevent transmission to the baby. Patting or blotting the skin dry, having regular cancer screening examinations, and taking tub baths are not specifically relevant to managing a sexually transmitted infection during pregnancy.

Question 20

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

Accepted Answer

Nurses should avoid biases and recognize that older adults are sexually active and may be at risk for STIs. They may also be hesitant to discuss sexual activity and STIs due to stigma or cultural beliefs. Older adults may not be aware of newer prevention methods or may have inaccurate information about STIs, making education and prevention discussions important.

Quiz 56: Caring Forclients With Sexually Transmitted Infections