Deck 44: Nursing Care of Patients With Sexually Transmitted Infections

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.)

A)Pneumonia
B)Conjunctivitis
C)Irregular heart rate
D)Flaccid extremities
E)Cyanotic extremities

Answer 1

Pneumonia
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?

A)Ask permission for the RN to do a physical examination.
B)Inquire if the male who was involved forced her to have sex.
C)Request immediate STI testing for the male counterpart.
D)Understand the female resident is likely confused about the event.

Answer 2

Ask permission for the RN to do a physical examination.

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?

A)"I am glad that I received Gardasil as a teen."
B)"I only have oral sex with my sexual partner."
C)"I received two vaccinations before the age of 1
D)"I know I am still at risk for some types of human papilloma virus (HPV)."
E)"

Answer 3

"I only have oral sex with my sexual partner."

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?

A)A thin watery vaginal discharge
B)History of treatment for multiple sexually transmitted infections (STIs)
C)Presence of Bartholin gland abscesses
D)Nausea, vomiting, and loss of appetite

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?

A)Shortness of breath and coughing
B)Poor intake of food and liquids
C)An open, but painless ulcer on the penis
D)Low output via an indwelling catheter

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?

A)"I don't know why I need all this information, I don't have sex."
B)"I know my boyfriend loves me and will always keep me safe."
C)"It sounds like serious things can happen after getting an STI."
D)"I feel better knowing there are people and places to help me."

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?

A)Frequent inflammation of the anus and rectum causes cellular changes.
B)The patient is likely to have a family history of gastrointestinal cancer.
C)Cancer could have been prevented if the patient had followed medical advice.
D)The patient could have avoided the disease with dietary and vitamin therapy.

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.)

A)"Women with Chlamydia may complain of a sore throat."
B)"Chlamydia is characterized by the development of chancres."
C)"Ophthalmia neonatorum is seen in infants born to women with Chlamydia."
D)"Chlamydia can be transmitted sexually and by blood and body fluid contact."
E)"The risk of ectopic pregnancy is increased in women with a history of Chlamydia."

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?

A)Imbalanced flora of the vagina
B)Presence of organisms that cause STIs
C)Risks of antibiotics during gestation
D)Continued sexual activity during pregnancy

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?

A)"Are you sure that the 'friend' isn't you?"
B)"Tell me some of the symptoms so I can help."
C)"Would it help if I approached her mother with her?"
D)"Delayed treatment can result in serious lifelong complications."

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?

A)The patient understands the importance of antibiotic therapy.
B)The patient cries when learning about possible infertility.
C)The patient asks about the available surgery to restore fertility.
D)The patient promises to work on a monogamous relationship.

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?

A)"My partner also has some of the same symptoms."
B)"I could have gotten something from swimming in a river."
C)"I don't have tenderness anywhere else in my genitals."
D)"I drank cranberry juice in case it was my bladder."

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?

A)Cystic ovaries
B)Ectopic pregnancy
C)PID
D)MPC

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?

A)IV antibiotics for 12 hours
B)Antiviral eye medication less than 2 hours after birth
C)There is no treatment that is safe and effective for infants.
D)HBV-immune globulin before 12 hours and HBV vaccine series

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?

A)"At least I have the least serious type of herpes virus."
B)"I know that an active lesion will mean a cesarean section."
C)"At least the baby is at low risk for having serious effects."
D)"I will decline antiviral medications to avoid birth defects."

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?

A)"I read the instructions for oral permethrin very carefully."
B)"I have not seen any new red tracks in my external genital area."
C)"I plan to have a serious talk to the guy who gave me an STI."
D)"I plan to be much more discriminate about who I have sex with."

Question 17

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

A)Gonorrhea is not treatable.
B)Only men experience symptoms; women are usually asymptomatic.
C)Men and women may be asymptomatic and still transmit the infection.
D)Treatment is associated with many serious side effects, so compliance is low.

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?

A)"Do you ever have unprotected sex?"
B)"Have you had any painless sores lately?"
C)"Does your hair appear to be thinning?"
D)"Is your activity hindered by joint pain?"

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?

A)Painful urination
B)Red conjunctivae
C)Vaginal discharge
D)Sharp pain at the base of the ribs

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?

A)Cryotherapy
B)Immunity stimulation
C)Laser
D)Electrocautery