Question 1

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

1.4

Question 2

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

12

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 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 act as a barrier method against sexually transmitted infections. While other methods may provide some protection against pregnancy, they do not protect against STIs.

Question 5

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 area on the labia is a classic symptom of syphilis. Herpes simplex 2 typically presents as painful sores or blisters, condylomata acuminata (genital warts) typically present as raised, wart-like growths, and gonorrhea does not typically present with ulcerations.

Question 6

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 7

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 small, painful blisters on the labia that developed a few days after having sex with a new partner is most consistent with genital herpes. Syphilis typically presents with a painless ulcer at the site of infection, while gonorrhea and chlamydia may cause discharge, burning or pain during urination, but not blisters.

Question 8

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

The nurse's priority would be to screen the patient for chlamydia, as it is one of the most common STIs and can be asymptomatic in many cases. Genital herpes and condylomata acuminata typically present with visible symptoms, while HPV screening may be recommended at a later time depending on the patient's age and sexual activity history.

Question 9

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. This can help to reduce discomfort and keep the area clean. Soap should not be restricted, but should be used gently and with mild soap. A solution of rubbing alcohol and water may be too harsh and irritating for the lesions. Nylon panties may cause further irritation, so breathable cotton underwear is recommended.

Question 10

A 15-year-old patient is seeking information on birth control and sexually transmitted infections (STIs). What teaching should the nurse provide?. Select all that apply.

Accepted Answer

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

Question 11

The nurse is educating a young female college student about STIs. The nurse would evaluate that teaching goals have been met when the student makes which statements?. Select all that apply.

Accepted Answer

A) Correct: Women between the ages of 14 to 25 have a high risk of contracting STIs due to their frequent sexual activity with multiple partners.
B) Correct: Some sexually transmitted infections can be transmitted from a pregnant woman to her unborn baby, leading to complications.
C) Correct: Oral contraceptives do not protect against STIs. They only prevent pregnancy but do not prevent the transmission of STIs.
D) Incorrect: STIs can be difficult to diagnose as symptoms may not always be present or may be mistaken for other medical conditions.
E) Correct: Having sexual activity with multiple partners increases the risk of contracting STIs due to increased exposure to the infections.

Question 12

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.
A) Appearance of a chancre and regional enlargement of lymph nodes
B) Localized development of gummas
C) Asymptomatic period
D) Skin rash on palms and feet

Accepted Answer

The answer of When implementing nursing care for a patient...

Question 13

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?. Select all that apply.

Accepted Answer

The answer of The nurse is providing community education to...

Question 14

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

Accepted Answer

Herpes simplex virus can be transmitted even when lesions are not present, so sexual relations should be avoided at the first sign of recurrence to prevent transmission.

Question 15

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 small, painless lesion on the side of the penis in a sexually active male with multiple partners and no condom use is highly suspicious for syphilis. Condylomata acuminata (also known as genital warts) typically present as cauliflower-like growths, while gonorrhea and chlamydia typically present with discharge and painful urination.

Question 16

The nurse would determine that which patient has a reportable sexually transmitted infection according to Centers for Disease Control and Prevention (CDC) regulations?. Select all that apply.

Accepted Answer

According to CDC regulations, syphilis, gonorrhea, and chlamydia are considered reportable sexually transmitted infections that must be reported to local or state health departments. Bacterial vaginosis and trichomonas are not included on this list.

Question 17

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 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 serious complications during pregnancy, such as neonatal infection and miscarriage. It is important for the nurse to assess the patient's risk factors and educate her on ways to prevent transmission to the fetus. Deficient Knowledge and Anxiety may also be appropriate diagnoses, but they are not as high of a priority as the risk for injury. Interrupted Family Processes may not be a priority at this time, as the patient's focus should be on her own health and the health of her baby.

Question 18

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 19

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 20

A young female patient has just been diagnosed with a trichomoniasis infection. The nurse would expect which assessment findings?. Select all that apply.

Accepted Answer

Trichomoniasis commonly presents with a frothy, greenish-yellow vaginal discharge, itching and irritation of the genitalia, and dysuria. Smooth lesions on the labia majora and fever are not typical findings of trichomoniasis.

Quiz 43: Caring for the Patient With Sexually Transmitted Diseases

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.