Deck 76: Care of Patients With Sexually Transmitted Disease

Question 1

Which statement made by a client about condom use indicates a need for clarification?

A) "I will use a new condom each time I have intercourse."
B) "I will use an oil-based lubricant whenever I have intercourse."
C) "I will always use a latex condom rather than a natural membrane condom."
D) "I will keep the condom on until I have withdrawn from the vagina."

Answer 1

"I will use an oil-based lubricant whenever I have intercourse."

Question 2

The nurse is teaching a young woman about her risk of contracting a sexually transmitted disease (STD).Which statement by the client indicates that further instruction is needed?

A) "I am at decreased risk for an STD if I don't rely on contraceptive sponges or foams to protect me."
B) "I am at decreased risk for an STD because I am using an intrauterine device for contraception."
C) "I am at increased risk for an STD because of the way that my body is designed as a woman."
D) "I will be at increased risk for an STD if I rely on oral contraceptives to protect me from contracting a disease."

Answer 2

"I am at decreased risk for an STD because I am using an intrauterine device for contraception."

Question 3

Which statement by a middle-aged woman indicates that further instruction is needed for her and her partner regarding prevention of sexually transmitted diseases (STDs)?

A) "I'm glad we don't have to use condoms anymore because I can't get pregnant."
B) "Changes in my vagina may make me more likely to be at risk for an STD."
C) "I told my partner that we need to switch to condoms instead of the pill now."
D) "I should report any evidence of infection, even if symptoms are minor."

Answer 3

"I'm glad we don't have to use condoms anymore because I can't get pregnant."

Question 4

Which should be the nursing focus for a female client during the initial outbreak of genital herpes simplex?

A) Instruction in condom use
B) Promotion of comfort
C) Prevention of pregnancy
D) Institution of isolation

Question 5

A female client admitted for cardiac problems also has condyloma acuminatum.Which type of precautions does the nursing staff implement with this client?

A) Standard
B) Airborne
C) Contact
D) Droplet

Question 6

A client has recently been diagnosed with gonorrhea.The client comes from a deeply religious family.When the nurse finds the client weeping,the client tells the nurse,"I'm being punished for having an affair." How does the nurse respond?

A) "Surely you don't really believe that."
B) "Why don't we get you a sedative?"
C) "Tell me more about how you feel."
D) "Which religion do you practice?"

Question 7

A client with primary syphilis was treated with an intramuscular injection of benzathine penicillin G.Later,the client reports a hard painful lump at the injection site and aching joints.Which is the nurse's highest priority initial action?

A) Assess the client's vital signs.
B) Give the client acetaminophen (Tylenol).
C) Document the finding in the chart.
D) Apply a warm compress to the site.

Question 8

The nurse is counseling a client who has recently been diagnosed with syphilis.Which is the highest priority instruction that the nurse provides to the client regarding sexual partners?

A) "As long as both of you are being treated, abstinence is not necessary."
B) "If you both have the same disease, you can continue to have sex."
C) "Your partner must be treated with antibiotics within the next 90 days."
D) "Once the health department gets your partner's name, confidentiality is not considered to be important."

Question 9

A client has been diagnosed with anal cancer.Which test does the nurse prepare the client for?

A) Darkfield microscopy
B) Culture of discharge
C) Blood draw for the Venereal Disease Research Laboratory (VDRL) test
D) Human papilloma virus (HPV) DNA

Question 10

A female client is diagnosed with human papilloma virus (HPV)infection.Which intervention by the nurse takes priority?

A) Instruct the client on using podofilox (Condylox) cream.
B) Prepare the client for a Pap test and HPV DNA testing.
C) Teach the client to take all medications until they are gone.
D) Encourage the client to drink 8 to 10 glasses of water daily.

Question 11

A 24-year-old woman has just been diagnosed with human papilloma virus (HPV)infection.She is very angry at her ex-boyfriend,who has been her only sexual contact.She is crying and says that she isn't going to tell him that he is infected.Which is the nurse's best response?

A) "You do not have to tell him because this is not a reportable disease in this state."
B) "Because there is no cure for this disease, telling him would be of no benefit."
C) "He should be told so he can take precautions to prevent the spread of infection."
D) "You should tell him because he may not know that this can cause cancer."

Question 12

A client with pelvic inflammatory disease (PID)from gonorrhea asks how this can cause sterility.Which is the nurse's response?

A) "The infection damages the ovary so that less estrogen is secreted and ovulation is not possible."
B) "The infection remains in your body and can infect your baby, so it is best if you don't become pregnant."
C) "If the infection is present in the fallopian tubes, it can cause enough scarring to block the tubes permanently."
D) "The infection causes such damage to the cervix that it cannot contain a pregnancy inside the uterus for longer than 3 months."

Question 13

A client has secondary syphilis.What precautions are necessary for the nurse to take when caring for this client?

A) No precautions in addition to Standard Precautions are necessary.
B) Gloves should be worn whenever direct contact with the client's skin is required.
C) Handwashing is required before and after contact with the client.
D) A mask should be worn by anyone entering the client's room.

Question 14

The nurse is conducting an assessment on a client and identifies a lesion that appears as a smooth indurated area.Which is the highest priority action on the part of the nurse?

A) Question the client further regarding sexual practices.
B) Ask the client about any associated symptoms.
C) Document the findings and obtain a specimen of fluid from the lesion.
D) Don gloves before continuing to assess the lesion any further.

Question 15

A client has been diagnosed with Trichomonas vaginalis.Which statement by the client indicates an accurate understanding of this disease?

A) "I need to have a throat culture for Trichomonas."
B) "This will affect only my vagina and can cause itching."
C) "My partner does not need to be treated."
D) "My lymph nodes may stay swollen after treatment."

Question 16

A client is brought to the emergency department by the family,who state that the client was diagnosed last week with gonorrhea but has not taken the medications yet.Today the family notes that the client is "not acting right" and seems confused.Which action by the nurse is most appropriate?

A) Start an IV and notify the health care provider about the client's diagnosis.
B) Perform a thorough neurologic assessment and document the findings.
C) Administer acetaminophen (Tylenol) if the client has a fever.
D) Ask the client why he or she has not started the medication regimen yet.

Question 17

Which disease process places the client at greatest risk for development of an ectopic pregnancy?

A) Chlamydia infection
B) Genital herpes
C) Human papilloma virus infection
D) Pelvic inflammatory disease (PID)

Question 18

A client was diagnosed with chancroid.Which manifestation does the nurse associate with this condition?

A) Vaginal discharge
B) High fever
C) History of ectopic pregnancies
D) Genital ulcers

Question 19

A client has just been diagnosed with a recurrence of genital herpes simplex.She asks how this is possible because she has not had sex since she was diagnosed and treated 1 year ago.Which is the nurse's best response?

A) "Sometimes one course of therapy is not enough to eradicate the disease."
B) "The disease can be controlled but is never cured, and outbreaks are common."
C) "Did you take the medication exactly the way it was prescribed for you?"
D) "If you have more than one sex partner, you may have more than one strain."

Question 20

A client has been diagnosed with genital herpes.Which statement by the client indicates an accurate understanding of the disease and treatment?

A) "Antiviral drugs can cure genital herpes and prevent a recurrence."
B) "I can prevent outbreaks with suppressive antiviral therapy."
C) "Suppressive therapy will prevent shedding of the virus."
D) "Medication should be taken only when symptoms are present."

Question 21

The nurse assesses a client and finds the manifestation shown in the photograph.Which drug does the nurse prepare to administer to the client?

A) Doxycycline (Vibramycin)
B) Ceftriaxone (Rocephin)
C) Acyclovir (Zovirax)
D) Podophyllin (Pododerm)

Question 22

A client weighing 110 lb is admitted with acute pelvic inflammatory disease.The client is ordered to receive an initial dose of gentamicin (Garamycin),2 mg/kg.The client will receive an initial dose of gentamicin of ____ milligrams.

Question 23

The nurse manages a clinic in an area with a high rate of sexually transmitted diseases (STDs).Which strategy best helps decrease the rate of infection?

A) Start an expedited partner treatment program.
B) Use a single-dose drug given in the clinic.
C) Provide referrals to a low-cost pharmacy.
D) Plan occasional community educational programs.

Question 24

Why are women more likely than men to have silent sexually transmitted disease (STD)infection?

A) Women are less susceptible to STDs and are not assessed often for them.
B) Lesions may not be visible, or the woman can be asymptomatic.
C) A man's longer urethra provides increased opportunity for bacteria to multiply.
D) Symptoms of infection in women are likely to be systemic and vague, not local.