Deck 28: Sexually Transmitted Diseases

Question 1

The public health nurse is aware that sexually transmitted infections (STIs) are occurring in greater numbers within the adolescent and young adult populations. Which action does the nurse initiate to positively affect the numbers of incidence?
1)Arrange for free STI screening
2)Hand out condoms to those at risk
3)Provide multimedia education
4)Campaign for sexual abstinence

Answer 1

3

Question 2

The nurse is reviewing laboratory results on a client that indicates the presence of the spirochete bacterium Treponema pallidum. Which infection does the nurse associate with the laboratory report?
1)Syphilis
2)Chancroid
3)Granuloma inguinale
4)Lymphogranuloma venereum

Answer 2

1

Question 3

The nurse is reviewing the medical records of a client that indicates the presence of multiple clusters of fleshy growths on the vagina. Which conclusion does the nurse interpret from these findings?
1)The client has chancroid.
2)The client has granuloma inguinale.
3)The client has condyloma acuminata.
4)The client has trichomoniasis.

Answer 3

3

Question 4

The nurse is providing care for a neonate immediately after a spontaneous vaginal birth to a mother who tested positive for gonorrhea. Which prescription does the nurse anticipate to be most beneficial to the neonate?
1)Vitamin K₁ (Mephyton, Aquamephyton)
2)Vitamin D and iron supplements
3)Tetracycline ophthalmic ointment (Ocudox)
4)Hepatitis B (Recombivax HB) vaccine

Question 5

The nurse is reviewing the medical records of a client who is pregnant and finds the client has a Chlamydia infection. Which complication is the nurse aware of in the newborn if the client is not treated?
1)Meningitis
2)Conjunctivitis
3)Hearing disorders
4)Aortic valve deformity

Question 6

A female client presents at a community clinic with pelvic pain, chills, and a fever of 102.2°F (39°C). A urine test indicates pregnancy, and the client reports missing two periods. Which action does the nurse take immediately?
1)Consult a health-care provider for antibiotics
2)Arrange for hospitalization and treatment
3)Administer medication to reduce the fever
4)Perform an ultrasound to confirm pregnancy

Question 7

After reviewing the laboratory reports for a client, the nurse finds the client has chronic pelvic inflammatory disorder (PID). Which condition does the nurse recognize as a risk to the client?
1)Meningitis
2)Condyloma acuminata
3)Mild salpingitis
4)Inflammation of the fallopian tubes

Question 8

When reviewing a pathology report, the nurse associates an identified pathogen with a certain condition. Which microorganism does the nurse associate with inclusion conjunctivitis?
1)Treponema pallidum
2)Neisseria gonorrhoeae
3)Chlamydia trachomatis
4)Klebsiella granulomatis

Question 9

A client is exposed to the Neisseria gonorrhoeae organism and becomes infected. Which symptom is noted in the client immediately after the infection?
1)Dysuria
2)Abdominal pain
3)Copious discharge
4)Chancre formation

Question 10

The nurse is preparing to present information about sexually transmitted infections (STIs) to a multicultural group of various ages. Which information does the nurse include to best engage all attendees?
1)Men who have sex with men (MSM) have the highest incidence of STIs.
2)Approximately 19 million new cases are diagnosed annually in the United States.
3)African Americans make up 67% of new cases of gonorrhea in the United States.
4)Clinicians are urged to screen young adults for STIs when possible.

Question 11

After assessing a client who has Chlamydia trachomatis infection, the nurse finds fibrotic adhesions around the liver and a tender abdomen. Which condition does the nurse identify in the client?
1)Salpingitis
2)Condyloma acuminata
3)Fitz-Hugh-Curtis syndrome
4)Reiter's syndrome

Question 12

Which infection would be detected by testing the swab samples of lesions on a Tzanck smear?
1)Neisseria gonorrhoeae
2)Treponema pallidum
3)Human papillomavirus (HPV)
4)Haemophilus influenzae

Question 13

A client is diagnosed with condyloma acuminata. Which test does the nurse expect to be most beneficial to detect the viral genome?
1)Biopsy
2)Papanicolaou (Pap) smear
3)Colposcopy
4)Enzyme-linked immunosorbent assay (ELISA) for IgG association

Question 14

A nurse is caring for a client who was newly diagnosed with a herpes simplex viral infection and who has been prescribed acyclovir (Zovirax). Which would be the accurate nursing intervention for the client?
1)Administering the medication once a day before dinner
2)Administering the medication with some water once a day
3)Administering the medication three times daily for 7 to 10 days
4)Administering the medication three times daily for 15 to 20 days

Question 15

The medical records of a client indicate the client has Reiter's syndrome. Which microorganism is most likely to cause this infection?
1)Treponema pallidum
2)Neisseria gonorrhoeae
3)Human papillomavirus (HPV)
4)Chlamydia trachomatis

Question 16

After reviewing the medical records of a client, the nurse finds that the client was previously diagnosed with mild salpingitis and later had tubal dysfunction. The nurse also finds strains of Chlamydia in the client's blood specimen. Which does the nurse interpret from these findings?
1)The client is infected with syphilis.
2)The client has condyloma acuminata.
3)The client is infected with the human papillomavirus (HPV).
4)The client has silent pelvic inflammatory disease.

Question 17

The nurse is aware of multiple methods of testing to identify microorganisms causing sexually transmitted infections (STIs). Which laboratory test is used in order to detect microorganisms in sample of tissue, blood, or body fluid?
1)Cultures grown on a specific agar
2)Polymerase chain reaction (PCR)
3)Nucleic acid amplification test (NAAT)
4)Viral RNA levels

Question 18

The nurse in a community clinic is assessing a client who reports wartlike lesions in the genital area. The client tells the nurse, "I had syphilis a few years ago." Which test finding confirms the client has latent asymptomatic syphilis?
1)Presence of a nonpruritic rash on the hands and feet
2)Loss of appetite, aching joints, and vision changes
3)Granulomatous lesions in the neurological system
4)Formation of granulomas (gummas) in the organs

Question 19

The registered nurse is teaching a group of adolescents about sexually transmitted diseases and makes the following statement, "This disease spreads through close skin contact and cannot be prevented by using condoms." Which sexually transmitted disease is the nurse referring to in the teaching?
1)Herpes simplex virus (HSV)
2)HIV
3)Hepatitis B
4)Chlamydia

Question 20

A nurse is caring for a neonate born to a mother with a herpes simplex 2 viral infection. Which action by the nurse is most beneficial to the neonate?
1)Encourage the mother to breastfeed the neonate
2)Obtain the electrocardiogram results of the neonate
3)Obtain magnetic resonance imaging studies in the neonate
4)Educate the mother in preventing hypothermia in the neonate

Question 21

Which symptoms does the nurse observe in a client diagnosed with pelvic inflammatory disease (PID)? Select all that apply.
1)Oral temperature of 101°F
2)Increase in the C-reactive protein levels
3)Decrease in the erythrocyte sedimentation rate (ESR)
4)Presence of white blood cells in the vaginal secretions
5)Decrease in the sodium concentration of the blood

Question 22

A client infected with Neisseria gonorrhoeae develops sepsis. Which symptoms does the nurse expect to observe in the client? Select all that apply.
1)Rhinitis
2)Meningitis
3)Polyuria
4)Hypertension
5)Respiratory acidosis

Question 23

Which neurological disorders are associated with syphilis? Select all that apply.
1)Paresis
2)Dementia
3)Meningitis
4)Aortic aneurysm
5)Aortic valve deformity

Question 24

Upon reviewing a female client's laboratory reports, the nurse finds that the client tested positive for a sexually transmitted infection. With which infection is the client likely to remain fertile?
1)Human papillomavirus (HPV) infection
2)Chlamydia infection
3)Gonorrheal infection
4)Pelvic inflammatory disease

Question 25

The nurse is caring for a neonate immediately after birth. The mother has genital warts. Which intervention by the nurse is initiated?
1)Examine the pharynx of the neonate
2)Instruct the mother to breastfeed the neonate
3)Encourage the mother to give kangaroo care to the neonate
4)Administer vitamin D and iron supplements to the neonate