Deck 40: Care of Patients with Sexually Transmitted Infections

Question 1

The nurse instructs a sexually active teenager that frequent douching can cause which infection?

A) Syphilis
B) Bacterial vaginosis
C) Pelvic inflammatory disease (PID)
D) Purulent vaginitis

Answer 1

Bacterial vaginosis

Question 2

When caring for a male patient with a suspected gonorrheal infection,which action is most important for the nurse to take?

A) Report the infection to the local public health agency.
B) Assess the patient's temperature hourly.
C) Administer antibiotics before cultures are drawn.
D) Wait 1 hour after the patient voids to collect a urethral swab.

Answer 2

Wait 1 hour after the patient voids to collect a urethral swab.

Question 3

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 in men?

A) Copious, purulent penile discharge
B) Hematuria when initiating the stream of urine
C) Penile ulcers with a foul odor
D) Scaly scrotal lesions

Answer 3

Copious, purulent penile discharge

Question 4

Which routes are ways in which sexually transmitted infections (STIs)are transmitted?

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 above

Question 5

During an assessment of an older adult patient,the nurse observes a red rash on the palms of the hands and the soles of the feet.What should the nurse do next?

A) Notify the charge nurse.
B) Float the patient's heels on a pillow.
C) Apply a prescribed emollient.
D) Reposition the patient on the left side.

Question 6

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 medication does the nurse anticipate that the provider will prescribe?

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

Question 7

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 8

The nurse is caring for a homosexual man with a rectal tear and inflamed rectal tissue.The nurse understands that these findings increase the patient's risk for which disorder?

A) An abscess
B) Human immunodeficiency virus (HIV) infection
C) Hemorrhoids
D) Rectal hemorrhage

Question 9

Which statement indicates that a patient needs additional education about the vaccine for human papillomavirus (HPV)?

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 10

The nurse is educating a sexually active female patient about infection prevention.Which change during the premenstrual period increases the patient's risk of infection?

A) Cervical secretions become more alkaline.
B) The cervical mucous plug becomes more permeable.
C) Higher estrogen levels increase vaginal lubrication.
D) Lower antibody levels increase risk for infection.

Question 11

The nurse is caring for a patient with genital herpes.Which manifestation alerts the nurse to a potential signal of an impending outbreak?

A) Elevation in temperature
B) Tingling sensation in the vagina
C) Copious vaginal discharge
D) Migraine-like headache

Question 12

How long after exposure does the incubation period for gonorrhea last?

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

Question 13

After being stained with crystal violet,how will a gram-positive gonococcus react?

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 14

Once a diagnosis of syphilis is confirmed,the nurse understands that she must report the illness to which entity?

A) The World Health Organization (WHO)
B) The Centers for Disease Control and Prevention (CDC)
C) The hospital infection control department
D) The local public health agency

Question 15

The nurse is educating a pregnant patient who is human immunodeficiency virus (HIV)positive.Which information is most important for the nurse to include in the teaching plan?

A) Breast-feeding is always best.
B) Talk with your doctor about a vaginal delivery.
C) Engage in oral, rather than vaginal, sex.
D) Remain on the medication protocol.

Question 16

The nurse is caring for a patient with syphilis.Which manifestation indicates that the syphilis has progressed to the secondary stage?

A) Foul-smelling penile discharge
B) Positive serology
C) Purulent skin rash
D) Scrotal swelling

Question 17

A female patient comes to the emergency department with severe abdominal pain,a temperature of 101° F,and a foul-smelling,purulent vaginal discharge.The nurse recognizes that these findings are consistent with which infection?

A) Pelvic inflammatory disease (PID)
B) Gonorrhea
C) Syphilis
D) Vaginosis

Question 18

The nurse is educating a young woman newly diagnosed with genital herpes.Which information is most important for the nurse to include in the teaching plain?

A) Take the entire course of antibiotics.
B) Increase fluid intake to dilute urine.
C) Wash hands after applying topical ointment to lesions.
D) Avoid all sexual contact until lesions completely resolve.

Question 19

Which patient is exhibiting manifestations consistent with the primary stage of syphilis?

A) A female patient with copious vaginal discharge
B) A male patient with a generalized skin rash
C) A female patient with a painless nodule on her vagina
D) A male patient with a gumma

Question 20

Why are women at a greater risk for contracting sexually transmitted infections (STIs)than men?

A) Male secretions are in contact with female mucous membranes for longer periods of time.
B) Estrogens increase susceptibility of vaginal membranes.
C) Penile friction to the vaginal wall encourages STIs.
D) Changing hormonal levels create a vaginal environment conducive to bacterial growth.

Question 21

Which factors indicate reasons why young patients are frequently reluctant to have their sexually transmitted infections (STIs)reported?

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 above

Question 22

The nurse is providing information to a patient who has recently been diagnosed with genital herpes.Which statements indicate the need for further instruction?

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) "I should wash my hands carefully to prevent introduction of bacteria to the area."

Question 23

To which factor(s)can the rise in the number of sexually transmitted infections (STIs)be attributed?

A) An increase in the number of sexually active teenagers
B) An increase in the opportunity to have multiple partners
C) A knowledge deficit about signs and symptoms of STIs
D) Teenagers being reluctant to report diseases
E) Young people's increasing ability to acquire confidential health care

Question 24

A patient who has been diagnosed with chlamydia is started on a protocol of doxycycline.Which information is important for the nurse to include in the teaching?

A) The partner does not need treatment.
B) Use a condom to protect partners from disease.
C) Chlamydia can develop into pelvic inflammatory disease (PID).
D) Take the entire prescription of antibiotics.
E) Chlamydia can result in an ectopic pregnancy.

Question 25

Which sexually transmitted infections (STIs)must be reported?

A) Vaginitis
B) Gonorrhea
C) Pelvic inflammatory disease.
D) Chlamydia
E) Lymphogranuloma

Question 26

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

Question 27

The nurse urges a female patient with gonorrhea to seek medical care.Which complication(s)can occur if gonorrhea is left untreated?

A) Ppelvic inflammatory disease (PID)
B) Sterility
C) Obstructed fallopian tubes
D) Ectopic pregnancy
E) Ophthalmia neonatorum in the newborn
F)None of above

Question 28

How can the use of oral contraceptives increase the risk of acquiring a sexually transmitted infection (STI)?

A) Oral contraceptives cause bone marrow suppression.
B) Oral contraceptives cause an alkaline vaginal environment.
C) Oral contraceptives may reduce the perception of the need for condom use.
D) Oral contraceptives decrease the inflammatory response.
E) Oral contraceptives must be taken regularly in order to be effective.