Deck 41: Care of Patients With Sexually Transmitted Infections

Question 1

The nurse cautions the homosexual man that his inflamed rectal tissue and rectal tear put him at risk for:

A)an abscess.
B)human immunodeficiency virus (HIV) infection.
C)hemorrhoids.
D)rectal hemorrhage.

Answer 1

human immunodeficiency virus (HIV) infection.

Question 2

On the diagnosis of syphilis in a young female patient,the nurse informs her that her illness must be reported to:

A)her parents.
B)the Centers for Disease Control and Prevention (CDC).
C)the hospital infection control department.
D)the local public health agency.

Answer 2

the local public health agency.

Question 3

The nurse cautions that infections can enter the upper genital tract as the mucous plug becomes more permeable:

A)during intercourse.
B)during premenstrual period.
C)during postmenstrual period.
D)while on oral birth control pills.

Answer 3

during premenstrual period.

Question 4

The nurse instructs a sexually active teenager that frequent douching can cause:

A)a sexually transmitted infection.
B)bacterial vaginosis.
C)pelvic inflammatory disease.
D)purulent vaginitis.

Question 5

The nurse identifies a misconception about the vaccination against human papillomavirus (HPV)when the patient says:

A)"I know I must have three doses of the vaccine."
B)"Girls as young as 9 years of age may be vaccinated."
C)"I am relieved that the vaccine protects me from all HPV infections."
D)"I know I should continue having regular Pap smears."

Question 6

When collecting a urethral swab from a male patient suspected of having gonorrhea,the nurse will collect the specimen ______ after voiding.

A)immediately
B)10 minutes
C)30 minutes
D)60 minutes

Question 7

The nurse affirms that many skin lesions associated with sexually transmitted infections are in the genital area,but skin lesions of syphilis can be seen in which location?

A)On palms of hands
B)Behind the ears
C)At scalp margins
D)In the axillae

Question 8

A patient has been diagnosed with chlamydia for the second time in a 5-month period.Data collection reveals that the patient was not compliant with the plan of treatment with the last infection.Which will most likely be the best method of treatment?

A)Doxycycline
B)Erythromycin
C)Diflucan
D)Azithromycin

Question 9

The young woman newly diagnosed with genital herpes is reminded that she should avoid sexual intercourse until:

A)she has been on medication for a week.
B)she no longer has pain on urination.
C)her partner has been on medication and is free of lesions.
D)her lesions are gone.

Question 10

A gram-positive gonococcus is an organism that after being stained with crystal violet will:

A)fluoresce after counterstain is applied.
B)accept the counterstain.
C)retain the original stain after the counterstain is applied.
D)turn dark after the counterstain is applied.

Question 11

The nurse is collecting information from a patient during her annual pelvic examination.The patient reports that she has noted a strong vaginal odor after intercourse.Which condition may be present?

A)Gonorrhea
B)Bacterial vaginosis
C)Chlamydia
D)Syphilis

Question 12

The nurse is aware that women are at a greater risk for contracting sexually transmitted infections (STIs)than men because:

A)of longer period of time during which male secretions are in contact with female mucous membranes.
B)estrogens make vaginal membranes more susceptible.
C)penile friction to the vaginal wall encourages STIs.
D)changing hormonal levels create a conducive vaginal environment.

Question 13

A pregnant patient who is human immunodeficiency virus (HIV)positive should be encouraged to:

A)breast-feed baby to increase newborn's antibody count.
B)have a vaginal birth.
C)engage in oral, rather than vaginal, sex.
D)remain on medication protocol.

Question 14

The nurse clarifies that sexually transmitted infections (STIs)are transmitted by: (Select all that apply.)

A)sexual intercourse.
B)oral-genital route.
C)contact with infected blood.
D)placenta to infant.
E)contact with infected body fluids.
F)None of the above.

Question 15

The nurse explains to a patient who has genital herpes that she may experience a prodromal signal of an impending outbreak,which most likely will include:

A)elevation in temperature.
B)tingling sensation in the vagina.
C)copious vaginal discharge.
D)migraine-like headache.

Question 16

The nurse is aware that men with gonorrhea are more likely to seek medical attention because their symptoms are more visible than those of women.Which clinical manifestation is most consistent with symptoms of gonorrhea experienced by men?

A)Copious purulent discharge from the penis
B)Hematuria at the beginning of the urination stream
C)Ulcer on the penis
D)Scaly lesions on the scrotum

Question 17

When the secondary stage of syphilis occurs,a sign that indicates the progression of the disease is:

A)foul-smelling penile discharge.
B)positive serology.
C)purulent skin rash.
D)scrotal swelling.

Question 18

A female patient comes to the emergency department with severe abdominal pain,a temperature of 101° F,and a foul-smelling,purulent vaginal discharge.These assessments lead the nurse to suspect:

A)pelvic inflammatory disease (PID).
B)gonorrhea.
C)syphilis.
D)vaginosis.

Question 19

The nurse assessing a patient in the primary stage of syphilis can observe:

A)copious vaginal discharge.
B)generalized skin rash.
C)a hard painless sore on the genitals.
D)appearance of gumma.

Question 20

The nurse interviewing a college student who believes he has been exposed to gonorrhea tells him that the incubation period for gonorrhea is usually ______ after exposure.

A)2 to 6 days
B)1 week
C)2 weeks
D)4 weeks

Question 21

The nurse is providing information to a patient who has recently been diagnosed with genital herpes.Which statements indicates the need for further instruction? (Select all that apply.)

A)"I am only contagious when I have open sores."
B)"The infection is limited to only my genital region."
C)"There is no permanent cure for this condition."
D)"I will need to contact my physician for antibiotic cream for the open lesions whenever I have an outbreak."
E)"Washing my hands is going to be a good method to prevent introduction of bacteria to the area."

Question 22

The nurse points out that the use of oral contraceptives has increased the risk of acquiring a sexually transmitted infection (STI)because oral contraceptive pills: (Select all that apply.)

A)increase the level of progesterone.
B)cause an alkaline vaginal environment.
C)may reduce the perception of the need for condom use.
D)decrease the inflammatory response.
E)alter cervical secretions.

Question 23

The nurse outlines reasons why young patients are frequently reluctant to have their sexually transmitted infections (STIs)reported,which are: (Select all that apply.)

A)fear of parental reaction.
B)embarrassment about their condition.
C)fear of reprisal from identified contacts.
D)fear of information becoming public.
E)fear of rejection by peers.
F)None of the above.

Question 24

The nurse tells a high school senior who is newly diagnosed with herpes that the rise in the number of sexually transmitted infections (STIs)can be attributed to: (Select all that apply.)

A)an increase in the number of sexually active teenagers.
B)an increase in the opportunity to have multiple partners.
C)knowledge deficit about signs and symptoms of STIs.
D)teenagers being reluctant to report diseases.
E)young people's inability to acquire confidential health care.
F)None of the above.

Question 25

The nurse reviews the list of sexually transmitted infections (STIs)that must be reported,which include: (Select all that apply.)

A)vaginitis.
B)gonorrhea.
C)pelvic inflammatory disease.
D)chlamydia.
E)lymphogranuloma.

Question 26

A patient who has been diagnosed with chlamydia is started on a protocol of doxycycline and is reminded by the nurse that: (Select all that apply.)

A)her partner does not need treatment.
B)she should use a condom to protect partners from disease.
C)the disease can develop into pelvic inflammatory disease.
D)the entire prescription of antibiotics should be taken.
E)the disease can result in an ectopic pregnancy.

Question 27

The nurse recommends that the newly diagnosed patient with herpes get current information about her disease from the local _______________.

Question 28

The nurse urges a pregnant patient with gonorrhea to seek medical care because,if untreated,gonorrhea can result in: (Select all that apply.)

A)pelvic inflammatory disease.
B)sterility.
C)obstructed fallopian tubes.
D)ectopic pregnancy.
E)ophthalmia neonatorum in the newborn.
F)None of the above.