Deck 43: Caring for the Patient With Sexually Transmitted Diseases

Question 1

A patient is prescribed ceftriaxone (Rocephin) 350 mg IM. The nurse reconstitutes a 500 mg vial of ceftriaxone powder with
1.8 mL of diluent to achieve a concentration of 250 mg/mL. The nurse will administer _______ mL for the total dose.

Answer 1

1.4

Question 2

A patient who is positive for syphilis is allergic to penicillin and is being treated with tetracycline for 28 days. The health care provider orders tetracycline 500 mg to be taken every 6 hours. The prescription is filled with 250 mg tablets. How many tablets will the patient need to take every day to achieve the ordered dosing?

Answer 2

12

Question 3

The nurse is planning to teach a group of adolescents about sexually transmitted infections. What information concerning genital warts should the nurse discuss?

A) Hand washing will aid in reducing the spread of genital warts.
B) Genital warts lead to cervical cancer in the majority of women who get them.
C) Women who have certain types of genital warts should be vaccinated against other types.
D) Wearing a condom eliminates the risk of contracting genital warts.

Answer 3

Hand washing will aid in reducing the spread of genital warts.

Question 4

A patient asks which method of contraception will provide the greatest protection against gonorrhea. What method can the nurse recommend?

A) Oral contraceptives
B) Male condoms
C) Sponges
D) Spermicides

Question 5

A patient is experiencing a painless, ulcerated area on her labia. The nurse would conduct additional assessment for which disease?

A) Herpes simplex 2
B) Syphilis
C) Condylomata acuminata
D) Gonorrhea

Question 6

A female patient diagnosed with a chlamydial infection denies any symptoms and asks when she contracted the disease. What information should be provided to the patient?

A) The patient has most likely had the infection for about 1 to 3 weeks.
B) The infection has been in her body for less than 1 month, as no symptoms are present.
C) The infection might have been in her body for an indefinite period of time.
D) Symptoms typically begin a few months after infection.

Question 7

A 20-year-old patient has small painful blisters on her labia that developed about 6 days after having sex with her new boyfriend. The nurse would conduct additional assessment for which most likely STI?

A) Syphilis
B) Gonorrhea
C) Chlamydia
D) Genital herpes

Question 8

A teenaged female patient tells the nurse that she has been sexually active with her boyfriend for 2 months. She has no symptoms of a sexually transmitted infection (STI). Screening for which infection is the nurse's priority?

A) Genital herpes
B) Human papillomavirus (HPV)
C) Condylomata acuminata
D) Chlamydia

Question 9

A patient recently diagnosed with herpes simplex 2 asks how to best manage the lesions. What information should be given to the patient?

A) The use of soap should be restricted.
B) A solution of 50% rubbing alcohol and 50% water can be used to clean the lesions.
C) Wearing nylon panties will reduce discomfort.
D) Warm soaks may be used to cleanse the area.

Question 10

A 15-year-old patient is seeking information on birth control and sexually transmitted infections (STIs). What teaching should the nurse provide?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Multiple sex partners increase the risk for STIs.
B) Condom use is 100% effective in preventing pregnancy and STIs.
C) Abstinence is the only sure way to prevent pregnancy.
D) Abstinence prevents transmission of STIs.
E) Young girls having unprotected sex are more likely to become pregnant than to contract an STI.

Question 11

The nurse is educating a young female college student about STIs. The nurse would evaluate that teaching goals have been met when the student makes which statements?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Women between 14 and 25 have a particularly high risk of contracting an STI."
B) "STIs can be transmitted from me to my unborn baby."
C) "Oral contraceptives do not protect against STIs."
D) "STIs are easy to diagnose."
E) "Sexual activity with multiple partners is associated with an increased incidence of STIs."

Question 12

When implementing nursing care for a patient with a diagnosis of syphilis, the nurse must take into consideration the disease process. Rank in correct sequence the stages of the disease process.
Standard Text: Click and drag the options below to move them up or down.

A) Appearance of a chancre and regional enlargement of lymph nodes
B) Localized development of gummas
C) Asymptomatic period
D) Skin rash on palms and feet

Question 13

The nurse is providing community education to a large group of high school students about the treatment of sexually transmitted infections (STIs). Which information would be beneficial for the students to understand?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Prevention of STIs is the best approach.
B) It is easier to treat a second STI than the first STI.
C) For treatment to be effective, both partners must be treated.
D) Few complications result from delaying treatment.
E) Treatment of STIs is usually quick and effective.

Question 14

A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should the nurse discuss with the patient?

A) The infection can be transmitted only when the lesions are present.
B) The infection can be prevented with condom use.
C) Sexual relations must be avoided at the first sign of recurrence.
D) Sexual activity is permissible once the lesions have dried out.

Question 15

A male patient who is sexually active with multiple partners and does not use a condom has a small, painless lesion on the side of his penis. The history is an indication of what STI?

A) Condylomata acuminata
B) Syphilis
C) Gonorrhea
D) Chlamydia

Question 16

The nurse would determine that which patient has a reportable sexually transmitted infection according to Centers for Disease Control and Prevention (CDC) regulations?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Patient with bacterial vaginosis
B) Patient with syphilis
C) Patient with gonorrhea
D) Patient with trichomonas
E) Patient with chlamydia.

Question 17

The nurse is determining diagnoses appropriate for a pregnant patient newly diagnosed with herpes simplex. Which nursing diagnosis has the highest priority?

A) Risk for Injury related to the disease process
B) Deficient Knowledge related to the diagnosis
C) Anxiety related the diagnosis
D) Interrupted Family Processes related to the effects of the diagnosis on her relationship with her partner

Question 18

The health care provider orders doxycyline 100 mg PO every 12 hours for 7 days. The pharmacy fills the prescription with
0.1 g doxycyline capsules. The nurse should instruct the patient to take ____ capsules per day.

Question 19

A patient recently treated for pelvic inflammatory disease asks how she can best prevent a recurrence of the disease. What information should the nurse provide?

A) The physician will prescribe prophylactic antibiotic therapy.
B) The use of condoms will be beneficial.
C) Annual gynecological examinations should be scheduled.
D) Douching after intercourse will assist in removing potential pathogens from the genital area.

Question 20

A young female patient has just been diagnosed with a trichomoniasis infection. The nurse would expect which assessment findings?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Greenish-yellow vaginal discharge
B) Smooth lesions on labia majora
C) Itching and irritation of the genitalia
D) Dysuria
E) fever

Question 21

A patient has been diagnosed with pelvic inflammatory disease (PID). She becomes tearful and asks if this disease will make her unable to have children later. What response by the nurse is indicated?

A) "You have nothing to worry about because you are getting treatment now."
B) "The underlying cause of the disease will be the greatest determinant of your potential infertility."
C) "This disease is associated with infertility, but it is too early to know."
D) "Yes, this disease will likely cause you to be infertile."

Question 22

A male patient is "relieved" to learn that he has a sexually transmitted infection (STI) and is not HIV positive. Which response by the nurse would be most appropriate?

A) "Having a sexually transmitted infection does predispose the body to infection with HIV if exposed to the virus."
B) "You are lucky."
C) "I told you not to be concerned."
D) "You would know if you had HIV."

Question 23

A female patient who was just diagnosed with a sexually transmitted infection (STI) is beginning treatment. The nurse would evaluate that education goals have been met if this patient makes which statement?

A) "I will avoid all sexual activity in the future."
B) "I need to begin birth control pills to prevent future disease transmission."
C) "I am so glad it was just an STI and not something dangerous."
D) "I need to tell my sexual partners about the diagnosis so they can also be treated."

Question 24

What information should the nurse include when teaching a patient about taking metronidazole (Flagyl)?

A) Taking this drug will not require changing any sexual practices.
B) This drug will protect the patient against human papillomavirus.
C) The patient should not drink alcohol while taking this medication.
D) This drug is administered in a transdermal patch.

Question 25

A female patient is complaining of a "watery" vaginal discharge with a "really strong fishy" odor. The nurse asks additional assessment questions related to which disorder?

A) Bacterial vaginosis
B) Yeast infection
C) Trichomoniasis infection
D) Genital warts

Question 26

A patient is being treated for secondary syphilis. The nurse would assess for a rash in which areas?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Palms of the hands
B) Soles of the feet
C) Across the genitals
D) In the axilla
E) On the lower legs

Question 27

Laboratory results indicate that a patient's Rapid Plasma Reagin (RPR) test is positive. What intervention does the nurse anticipate?

A) Surgery to evacuate an ectopic pregnancy
B) Pap smear
C) Venereal Disease Research Laboratory (VDRL) test
D) Abdominal CT

Question 28

A patient who is febrile and has vaginal drainage has been admitted for treatment of pelvic inflammatory disease (PID). Which interventions would the nurse include in the plan of care for this patient?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Encourage the patient to assume a side-lying position with knees drawn up.
B) Encourage the patient to ambulate to mobilize trapped intestinal gas.
C) Maintain strict universal precautions.
D) Provide intravenous antibiotics as prescribed.
E) Teach the patient how to use a pain scale.

Question 29

A patient has been diagnosed with chlamydia. Which statement by the patient would the nurse evaluate as indicating that the goal of expedited partner therapy (EPT) has been met?

A) "My boyfriend has made an appointment to get his medication."
B) "I talked to my boyfriend about what we need to do to prevent reinfection."
C) "I cannot convince my boyfriend to come to the clinic to learn about chlamydia."
D) "Once I have completed treatment, my boyfriend will start taking the medication."

Question 30

A female patient is having difficulty accepting the diagnosis of a sexually transmitted infection (STI) because she has been "on the pill" for years. What information can the nurse provide to aid this patient?

A) Skipping doses could have caused the disease.
B) She may need to change the type of birth control pill she is using.
C) The pill offers some protection against STIs.
D) Latex condoms are better protection against bacterial STIs.

Question 31

A patient is seen in the STI clinic with his third case of gonorrhea in the last 18 months. The patient says, "Just give me my medicine so I will quit burning." Which nursing diagnosis would the nurse prioritize as most important for this patient?

A) Impaired Tissue Integrity
B) Anxiety
C) Deficient Knowledge
D) Self-Neglect

Question 32

A female patient has recurring bacterial vaginal infections. Which information should the nurse provide?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Wear only thong-type underwear."
B) "Be sure to wash the perineal region daily and as necessary throughout the day."
C) "Some women find that taking probiotics helps reduce infections."
D) "Avoid sexual intercourse."
E) "Use condoms when engaging in sexual activity."

Question 33

After the removal of genital warts, a male patient says, "Now I can have sex again." The nurse should provide the patient with which information?

A) How to prevent reinfection now that he is cured of the warts
B) The need to always have female partners douche after having sex
C) The need to wash the genitals well before every sexual encounter
D) The need to always use a condom for sexual activity