Deck 49: Sexually Transmitted Infections

Question 1

The nurse in the outpatient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years.The nurse explains that the antibiotic treatment this time will consist of one injection of:

A) Penicillin G
B) Penicillin G today and a follow-up with another injection in 1 month
C) Penicillin G today and 3 months of oral tetracycline antibiotic medications
D) Penicillin G today and a 2-month protocol of oral antiviral agents

Answer 1

Penicillin G today and 3 months of oral tetracycline antibiotic medications

Question 2

The nurse asks a patient to repeat the instructions to evaluate her knowledge about safe sex practices.The statement that indicates understanding is:

A) "Body massage would be considered safe."
B) "Mutual open-mouth kissing is safe."
C) "Vaginal intercourse with a properly used condom is safe."
D) "Anal sex with a condom made of latex is a safe sex practice."

Answer 2

"Body massage would be considered safe."

Question 3

The patient at the outpatient clinic is reluctant to identify her sexual contacts.The nurse explains that the reporting of contacts is essential to:

A) Slow transmission and spread of infections.
B) Increase public awareness.
C) Increase state funding for treatment.
D) Collect data for research.

Answer 3

Slow transmission and spread of infections.

Question 4

The nurse who is caring for a patient who is taking acyclovir (Zovirax)is alert for the side effects of this drug,which include:

A) Fever and bone marrow suppression
B) Vaginal burning and skin irritation
C) Dizziness, headache, and nausea
D) Leukopenia and peripheral neuropathy

Question 5

A patient has been diagnosed with herpes simplex virus,type 2 (HSV type 2).The nurse should instruct the patient to:

A) Avoid telling anyone about the condition.
B) Wear close-fitting undergarments.
C) Wash towels and personal items daily.
D) Soak the sores with peroxide every day.

Question 6

Doxycycline (Vibramycin)has been prescribed for a patient who has gonorrhea.Before beginning the medication,the nurse would instruct the patient to:

A) Take the medication with food or crackers.
B) Refrain from sexual relations for 4 weeks.
C) Follow-up to determine if the treatment was effective.
D) Keep the medication in the refrigerator.

Question 7

The method used to identify organisms of gonorrhea will be:

A) Smears and cultures
B) Serologic tests
C) Antibody screening
D) Sensitivity testing

Question 8

A patient with syphilis is seen at the clinic and complains of body aches,pustules,fever,and sore throat.The nurse recognizes that these are symptoms of syphilis at which stage?

A) Primary
B) Secondary
C) Latent
D) Late

Question 9

A couple comes to the emergency department for the treatment of an STI.The man's presenting symptoms include a creamy penile discharge and frequent urination.The woman has lower abdominal pain and a vaginal discharge.The nurse recognizes that these symptoms are characteristic of:

A) Chlamydial infection
B) Gonorrhea infection
C) HSV type B
D) Trichomoniasis

Question 10

The nurse should emphasize the importance of annual Papanicolaou (pap)smears to the patient with genital warts (Condylomata acuminata),because an association exists between the human papilloma virus (HPV)and the eventual development of:

A) Uterine fibroids
B) Chronic vaginitis
C) Premature menopause
D) Cervical cancer

Question 11

The woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI.The nurse explains that gonorrhea:

A) Produces no symptoms in one half of those in the early stages of the infection.
B) Always produces a foul vaginal discharge.
C) Causes a vaginal chancre that is not easily detected.
D) May appear to be an upper respiratory infection in the early stages of the infection.

Question 12

The nurse explains that an antiviral drug commonly used to relieve symptoms of HSV is:

A) Tetracycline (Achromycin)
B) Acyclovir (Zovirax)
C) Erythromycin (E-Mycin)
D) Metronidazole (Flagyl)

Question 13

The nurse,completing a history of illnesses for a young woman who suspects she may have a sexually transmitted infection (STI),will ask specifically about whether the patient has experienced:

A) Lethargy and fatigue
B) Genital discharge
C) Abdominal cramps
D) Heavy menses

Question 14

The statement by the nurse that is most likely to overcome noncompliance in the patient with gonorrhea who is taking a protocol of tetracycline antibiotics is:

A) "You should take all of this medicine."
B) "Failing to take the entire medicine amount will make your disease resistant to it."
C) "You will become sterile if you do not complete the supply of medicines."
D) "The doctor wants you to take all of this medication."

Question 15

The gynecologist caring for a pregnant patient who has gonorrhea prescribed cefixime (Suprax)instead of the more common tetracycline hydrochloride (Achromycin).The nurse is aware that the rationale for this decision is that:

A) Gonorrhea is less likely to be resistant to Suprax.
B) Achromycin requires a longer treatment protocol than Suprax.
C) Suprax is a more potent drug that Achromycin.
D) Achromycin is contraindicated in a patient who is pregnant.

Question 16

Primary stage syphilis is characterized by:

A) Chancre
B) Alopecia
C) Pruritus
D) Dry skin

Question 17

When the female patient who is newly diagnosed with gonorrhea screams,"I am going to kill my husband.I mean it." The nurse's best response would be:

A) "Are you sure it is your husband who gave you gonorrhea?"
B) "Yikes! Killing your spouse seems extreme."
C) "Shall I report your spouse as a sexual contact?"
D) "I can understand your anger. How best can you deal with it?"

Question 18

The nurse giving instruction to a patient with a STI says,"I am supposed to tell you about STIs,but you probably know more about them than I do." This nurse is:

A) Admitting her own ignorance about STIs.
B) Trying to get the patient's attention.
C) Referencing current statistics.
D) Making a judgmental statement.

Question 19

A pregnant patient with HSV type 2 has a Herp-Test performed in the physician's office 1 day before she is due to deliver by cesarean section.The test is negative.The nurse is aware that this means the:

A) Delivery must be by cesarean section.
B) Patient must start on an antiviral protocol today.
C) Baby will have to have antiviral medication 24 hours after birth.
D) Delivery may be accomplished vaginally.

Question 20

A health educator,giving a presentation on how to use condoms correctly,would include instruction that:

A) Condoms are 100% effective when used correctly.
B) The effectiveness of condoms deteriorates in heat.
C) Any style and material of condom is safe to use.
D) Use of petroleum jelly will ease application.

Question 21

The nurse recognizes that the patient with an STI may not cooperate in reporting sexual contacts because of fear of: (Select all that apply.)

A) Judgment by health care workers
B) Identifying self as infected
C) Rejection by contacts
D) Infecting others
E) Reprisal from identified contacts

Question 22

The patient at the outpatient clinic who has received a intramuscular (MI)dose of ceftriaxone sodium (Rocephin)calls and complains of pain and induration at the injection site.The nurse should advise the patient to:

A) Undergo 30 minutes of active exercise to speed absorption of the drug.
B) Make an appointment at the clinic for evaluation to initiate another drug.
C) Immediately come to the clinic for treatment of the allergic reaction.
D) Place a warm compress on the area.

Question 23

The nurse cautions the patient taking Flagyl for Trichomonas that she should:

A) Double the dose if any doses are missed.
B) Report dark urine.
C) Take the drug on an empty stomach.
D) Abstain from alcohol while taking the drug.

Question 24

The patient with a chlamydial infection who is taking a 7-day course of doxycyclin (Vibramycin)is reminded by the nurse to:

A) Return in 1 month for a follow-up culture.
B) Take the drug on an empty stomach with a minimum of fluid.
C) Delay sexual activity until cured.
D) Expect genital or anal itching or burning.

Question 25

The nurse explains that STIs must be reported to the local public health department.The reportable diseases are confirmed cases of: (Select all that apply.)

A) HIV
B) Acquired immunodeficiency syndrome (AIDS)
C) Gonorrhea
D) Chlamydia
E) Viral hepatitis

Question 26

The patient who is using imiquimod (Aldara)for genital warts asks the outpatient clinic nurse how long she must use the medication.The nurse replies that she must apply the medication for _____________ weeks.

A) 2
B) 4
C) 8
D) 16

Question 27

The nurse teaching a seminar on STIs points out that systemic (disseminated)gonorrhea may involve the: (Select all that apply.)

A) Heart
B) Eyes
C) Meninges
D) Skin
E) Joints

Question 28

The nurse instructs the patient with a chlamydial infection that because of the disease,the patient is at greater risk for:

A) HIV, if exposed to it
B) Urinary infections
C) Hepatitis B, if exposed to it
D) Opportunistic bacterial infections