Question 1

A nursing student encounters a patient newly diagnosed with gonorrhea. The students' preceptor asks what the recommended treatment would be for this patient. Which statement by the nursing student is correct?

A) "Ceftriaxone IM is prescribed."
B) "Erythromycin ointment is prescribed."
C) "IM ceftriaxone and oral azithromycin are prescribed."
D) "Oral doxycycline is prescribed."

"IM ceftriaxone and oral azithromycin are prescribed."

Accepted Answer

The recommended treatment for gonorrhea is a combination regimen of IM ceftriaxone and oral azithromycin. This is the most effective treatment for gonorrhea and is recommended by the CDC. Option A, ceftriaxone alone, may have been a treatment in the past but is no longer recommended as monotherapy due to the rise of resistant strains of gonorrhea. Option B, erythromycin ointment, is not a recommended treatment for gonorrhea. Option D, oral doxycycline, may be prescribed for chlamydia co-infection but is not effective against gonorrhea.

Question 2

A woman with complaints of abnormal vaginal discharge, vaginal soreness, pruritus, and dysuria is diagnosed with vulvovaginal candidiasis (VVC). Which statement will the nurse include in teaching?&#10;A) &#34;Treatment with prescription medication is lifelong.&#34;&#10;B) &#34;Alcohol should be avoided during treatment.&#34;&#10;C) &#34;Candida albicans can be readily passed between sex partners.&#34;&#10;D) &#34;Over the counter cream can be used to treat the condition.&#34;

Accepted Answer

Over the counter cream, such as clotrimazole or miconazole, can be used to treat VVC. Treatment is typically not lifelong and can be completed within a few days to a week. Alcohol does not have a significant impact on VVC. While sexual partners can potentially pass VVC to each other, it is not considered a sexually transmitted infection. However, it may be beneficial for both partners to be treated if recurrent infections occur.

Question 3

A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl). What will the nurse teach the patient about this medication?&#10;A) &#34;Abstain from sexual intercourse while taking this medication.&#34;&#10;B) &#34;Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription.&#34;&#10;C) &#34;Take this medication on an empty stomach to increase absorption.&#34;&#10;D) &#34;Topical preparations are ineffective for treating bacterial vaginosis.&#34;

Accepted Answer

Metronidazole has a disulfiram-like reaction with alcohol, meaning it can make a person feel extremely sick if they consume alcohol while on this medication or within 48 hours after finishing the prescription. It is important for the nurse to teach the patient to avoid alcohol while taking the medication to prevent potential complications. The other choices are either incorrect or not relevant to the medication.

Question 4

The nurse is speaking with the parent of an 11-year-old girl that is considering vaccination for human papillomavirus (HPV). Which of the following statements is NOT correct?&#10;A) &#34;HPV infections cause most cervical, vaginal and oropharyngeal cancers.&#34;&#10;B) &#34;Pap tests can detect cervical dysplasia, which can be a precursor to cervical cancer if left untreated.&#34;&#10;C) &#34;There are several HPV vaccines available in the US.&#34;&#10;D) &#34;HPV infection is uncommon.&#34;

Accepted Answer

The answer of The nurse is speaking with the parent...

Question 5

A patient is taking azithromycin to treat a chancroid infection. Which of the following would be important counseling to the patient?&#10;A) Apply a bacteriostatic ointment to the lesions twice daily.&#10;B) Avoid washing the lesions to prevent spread of the infection.&#10;C) Cover the lesions with gauze at all times to minimize discomfort.&#10;D) Any sexual partners within the 10 days preceding the onset of symptoms should be examined and treated.

Accepted Answer

It is important to counsel the patient that any sexual partners within the 10 days preceding the onset of symptoms should be examined and treated to prevent the spread of infection. Options A, B, and C are not appropriate counseling for a patient with chancroid infection.

Question 6

A woman is diagnosed with herpes simplex virus (genital herpes). Which statement by the patient indicates understanding of the medication regime?&#10;A) &#34;Antiviral drugs can help with my outbreaks and symptoms, but will not cure my genital herpes.&#34;&#10;B) &#34;I take my medication as prescribed I will not have any more outbreaks.&#34;&#10;C) &#34;If I stay on my medication after my current outbreak resolves I won't have any more episodes.&#34;&#10;D) &#34;I can use the medications once a month to treat symptoms.&#34;

Accepted Answer

Antiviral medications can help reduce the frequency and severity of outbreaks, but they do not cure herpes. It is important for the patient to understand this in order to have realistic expectations and continue following proper medication management. None of the other statements are accurate.

Question 7

Which of the following is considered the most common STI in young adults in the United States?&#10;A) HIV&#10;B) Gonorrhea&#10;C) Chlamydia&#10;D) Genital herpes

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), chlamydia is the most commonly reported STI in young adults aged 15-24 in the United States.

Deck 54: Sexually Transmitted Infections