Question 1

The nurse is teaching the parent of an 11-year-old girl about the Gardasil vaccine.What will the nurse include in teaching?&#10;A) &#34;Gardasil is given to females and not to males.&#34;&#10;B) &#34;Gardasil protects against cervical dysplasia.&#34;&#10;C) &#34;Gardasil reduces the need for routine Pap smears.&#34;&#10;D) &#34;Gardasil will be given as a single injection.&#34;

Accepted Answer

Gardasil protects against human papillomavirus,which is a cause of cervical dysplasia and cancer.It is offered to both females and males.The vaccine does not decrease the need for regular cervical cancer screening.It is given in a 3-vaccine series,with the second dose in 2 months and the third dose in 6 months.

Question 2

A woman is diagnosed with gonorrhea and asks the nurse about treatment.Which statement will the nurse include in teaching?&#10;A) &#34;Ceftriaxone IM is prescribed.&#34;&#10;B) &#34;Erythromycin ointment is prescribed.&#34;&#10;C) &#34;IM ceftriaxone and oral azithromycin are prescribed.&#34;&#10;D) &#34;Oral doxycycline is prescribed.&#34;

Accepted Answer

A single dose of IM ceftriaxone and a single dose of azithromycin are prescribed for gonorrhea.The use of two drugs improves treatment efficacy and slows the development of drug resistance.Erythromycin ophthalmic ointment is used on the neonate.

Question 3

A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl).What will the nurse teach the patient about this medication?&#10;A) &#34;Abstain from sexual intercourse while taking this medication.&#34;&#10;B) &#34;Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription.&#34;&#10;C) &#34;Take this medication on an empty stomach to increase absorption.&#34;&#10;D) &#34;Topical preparations are ineffective for treating bacterial vaginosis.&#34;

Accepted Answer

Metronidazole can cause a disulfiram-like reaction when taken with alcohol,so patients should be cautioned against using foods or drug products that contain alcohol.There is no need to abstain from sexual intercourse.Metronidazole should be taken with food.The topical preparation is effective against bacterial vaginosis.

Question 4

A woman is diagnosed with herpes simplex virus (genital herpes).Which statement by the patient indicates understanding of the medication regime?&#10;A) &#34;Antiviral drugs, it taken long enough, can cure the virus.&#34;&#10;B) &#34;I can take a drug that reduces the frequency of outbreaks.&#34;&#10;C) &#34;If I am taking antiviral medication, I cannot pass the virus on to my partner.&#34;&#10;D) &#34;I can use the medications once a month to treat symptoms.&#34;

Accepted Answer

Suppressive therapy reduces the frequency of genital herpes recurrences by 70% in those who have frequent recurrences.Systemic antiviral drugs can control some of the signs and symptoms of genital herpes,but these do not cure herpes.Outbreaks occur even while on antiviral medication,and transmission can occur when patients are asymptomatic.Episodic treatment,to be effective,should begin within 1 day of lesion onset or during the prodrome period,not a given week each month.

Question 5

A woman with complaints of abnormal vaginal discharge,vaginal soreness,pruritus,and dysuria is diagnosed with vulvovaginal candidiasis (VVC).Which statement will the nurse include in teaching?&#10;A) &#34;Treatment with prescription medication is lifelong.&#34;&#10;B) &#34;Alcohol should be avoided during treatment.&#34;&#10;C) &#34;Candida albicans can be readily passed between sex partners.&#34;&#10;D) &#34;Over the counter cream is used to treat the condition.&#34;

Accepted Answer

Over the counter or prescribed medications can be used to treat the condition; treatment is episodic.The medications do not interact with alcohol.Uncomplicated VVC is not usually acquired through sexual intercourse; thus treatment of sexual partners is not necessary.

Question 6

A woman is diagnosed with gonorrhea and receives ceftriaxone intramuscularly in clinic and a prescription for doxycycline to be taken twice daily for 7 days.She asks the nurse why she needs to take medicine since she has had a shot.How will the nurse respond?

A) "Both medications are required to fully treat the gonorrheal infection."
B) "Doxycycline helps prevent spread of gonorrhea to your sexual partners."
C) "Patients with gonorrhea are always treated for chlamydia as well."
D) "The second medication decreases your chances of disease recurrence."

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Accepted Answer

Patients with gonorrhea should be treated for chlamydia empirically.Doxycycline is used to treat chlamydia.Ceftriaxone does not prevent spread of gonorrhea to sexual partners or decrease the risk of relapse.

Question 7

A patient is taking azithromycin to treat a chancroid infection.What nonpharmacologic measures will the nurse recommend as adjunct therapy to treat this infection?&#10;A) Apply a bacteriostatic ointment to the lesions twice daily.&#10;B) Avoid washing the lesions to prevent spread of the infection.&#10;C) Cover the lesions with gauze at all times to minimize discomfort.&#10;D) Use compresses to remove necrotic material and clean the lesions three times daily.

Accepted Answer

Patients should be counseled to cleanse the lesions three times daily and to use compresses to remove necrotic material.It is not necessary to apply bacteriostatic ointment or to cover the lesions with gauze.Washing the lesions is recommended.

Deck 54: Sexually Transmitted Infections