Question 1

A woman who is 20 weeks pregnant is diagnosed with primary syphilis.She tells the nurse that she is very worried about the effect of the infection on the baby.What is the most appropriate response to the patient's concern?

A) "Syphilis will not affect the baby in any way because the microorganism does not cross the placental barrier."
B) "Instillation of erythromycin into the eyes of the newborn will prevent any problems of transmission to the baby."
C) "A single intramuscular injection of penicillin at this point in your pregnancy will cure both you and the fetus of syphilis."
D) "If you have active genital lesions at the time you begin labour,a Caesarean delivery will be performed to prevent transmission to the baby."

Accepted Answer

The most appropriate response is that a single intramuscular injection of penicillin at this point in pregnancy will cure both the mother and fetus of syphilis. Syphilis can cross the placental barrier and affect the developing fetus, leading to serious congenital syphilis. Erythromycin eye ointment is used to prevent eye infections in newborns but does not prevent congenital syphilis. A Caesarean delivery may be necessary if active genital lesions are present during labour, but it does not prevent the transmission of syphilis to the fetus during pregnancy.

Question 2

Which of the following is the recommended therapy for treatment of small external genital warts?&#10;A) Penicillin&#10;B) Podophyllin resin&#10;C) Cryotherapy&#10;D) Aluminum salts

Accepted Answer

Podophyllin resin

Question 3

A patient with gonorrhea is treated with a single intramuscular dose of ceftriaxone (Rocephin)and is given a prescription for doxycycline (Vibramycin)100 mg twice daily for 7 days.What should the nurse explain to the patient about this combination of antibiotics?

A) They are prescribed to treat any coexisting chlamydial infection.
B) They will eradicate resistant strains of Neisseria gonorrhoeae.
C) They prevent the development of resistant organisms.
D) They prevent reinfection in addition to treating the original infection.

Accepted Answer

The combination of ceftriaxone and doxycycline is typically prescribed for the treatment of gonorrhea, but it is also effective against chlamydial co-infections, which are common in individuals with gonorrhea. This combination does not necessarily prevent the development of resistant organisms or reinfection, but it is effective in treating the original infection and any coexisting infections.

Question 4

Which virus is responsible for genital warts?&#10;A) Cytomegalovirus&#10;B) HSV&#10;C) Human immunodeficiency virus&#10;D) Human papillomavirus (HPV)

Accepted Answer

HPV is the virus responsible for genital warts. It is a sexually transmitted infection that can cause visible warts on the genital area, as well as cancer in some cases.

Question 5

Primary genital herpes is diagnosed in a patient seeking care for lesions on her vulva and perineum.After the nurse teaches the patient about management of the disease,which statement by the patient indicates that the teaching has been effective?

A) "I will take the acyclovir (Zovirax)every 8 hours for the next week."
B) "I will use condoms for intercourse until the medication is all gone."
C) "I will use the acyclovir ointment on the area to relieve the pain."
D) "I will need to take all of the medication to be sure the infection is cured."

Unlock Deck

Unlock for access to all 15 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

Acyclovir (Zovirax) is an antiviral medication commonly prescribed for the treatment of primary genital herpes. It is typically taken orally every 8 hours for a period, such as a week, to manage the symptoms of the outbreak. This regimen helps reduce the severity and duration of the symptoms.

Question 6

The nurse should inform women who have a history of STIs that the risk of infertility or ectopic pregnancies is highest following infection by which of the following STIs?&#10;A) Treponema pallidum&#10;B) N.gonorrhoeae&#10;C) Condylomata acuminata&#10;D) Herpes simplex virus type 2 (HSV-2)

Accepted Answer

N.gonorrhoeae infection can lead to tubal scarring and blockage, increasing the risk of infertility and ectopic pregnancy. Women with a history of gonorrhea should be routinely screened for tubal patency. While other STIs can also lead to infertility or ectopic pregnancy, N.gonorrhoeae has the highest risk.

Question 7

A Gram-stained smear of a patient's urethral discharge reveals the presence of N.gonorrhoeae.The patient tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any infection.In responding to the patient,what should the nurse explain?

A) Women develop subclinical cases of gonorrhea that do not cause tissue damage or symptoms.
B) Women do not develop gonorrhea infections but can serve as carriers to spread the infection to males.
C) Many women are not aware they have gonorrhea because they often do not have symptoms of infection.
D) When gonorrhea infections occur in women,the infection affects only the ovaries and not the other genital organs.

Accepted Answer

Many women are not aware they have gonorrhea because they often do not have symptoms of infection. This is a common reason for the spread of gonorrhea and other sexually transmitted infections. The nurse should explain to the patient that his girlfriend may have had a subclinical case of gonorrhea, meaning she had the infection but did not show any visible signs or symptoms. Therefore, it is important to always practice safe sex to prevent the spread of infections.

Question 8

A patient who has undergone laboratory tests for an insurance screening has a positive Venereal Disease Research Laboratory test.What is the nurse's first action?&#10;A) Ask the patient about past treatment for syphilis.&#10;B) Discuss the need for blood and spinal fluid cultures.&#10;C) Obtain a specimen for fluorescent treponemal antibody absorption testing.&#10;D) Assess for the presence of chancres,flulike symptoms,or a bilateral rash on the trunk.

Accepted Answer

The nurse's first action should be to ask the patient about past treatment for syphilis. This will help determine the patient's history of the disease and aid in planning appropriate treatment.

Question 9

A patient with secondary syphilis has a rash on her palms and the soles of her feet and moist papules in the anal and vulvar area.While caring for the patient,what is it important for the nurse to do?&#10;A) Wear gloves when touching the patient.&#10;B) Wash the perianal area with an antiseptic solution.&#10;C) Place the patient in a private room for protective isolation.&#10;D) Assess the patient for the presence of gummas in the skin and soft tissue.

Accepted Answer

The nurse should wear gloves to prevent transmission of the disease to themselves and to other patients.

Answer: B 
 The nurse should wash the perianal area with an antiseptic solution to help prevent the spread of the disease.

Answer: C 
 Protective isolation is not necessary for patients with syphilis, as it is not transmitted through casual contact. Standard precautions should be followed.

Answer: D 
 Although gummas can occur in tertiary syphilis, they are not typically present in secondary syphilis. The nurse should focus on preventing transmission and providing appropriate treatment for the current symptoms.

Question 10

Which of the following is the most appropriate question for the nurse to ask when obtaining a detailed and accurate sexual history?&#10;A) &#34;Are you a homosexual?&#34;&#10;B) &#34;Do you only have sex with those of the opposite sex?&#34;&#10;C) &#34;Do you have sex with men or women or both?&#34;&#10;D) &#34;Have you ever had anal sex?&#34;

Accepted Answer

Option C is the most appropriate question as it allows the patient to disclose their sexual orientation and gender identity, without assuming heterosexuality or homosexuality. The question is open-ended and allows the patient to provide as much detail as they are comfortable with. Option A is inappropriate as it assumes the patient's sexual orientation, while option B assumes heterosexuality. Option D is too specific and may not provide a comprehensive understanding of the patient's sexual history.

Question 11

A patient returns to the clinic for follow-up after treatment for nongonococcal urethritis.Direct fluorescent antibody tests are positive for chlamydia.What should the nurse recognize is the most likely cause of the continued infection?

A) The microorganisms developed resistance to the antibiotic.
B) The patient did not take the full course of antibiotics as directed.
C) The patient did not advise his sexual partners of the need for treatment.
D) The patient failed to wash his hands and perform basic hygiene measures.

Accepted Answer

The answer of A patient returns to the clinic for...

Question 12

Cervarix,an HPV vaccine,is recommended for which of the following populations?&#10;A) Females before sexual intercourse&#10;B) Males and females between the ages of 9 and 26&#10;C) Females between the ages of 13 and 20&#10;D) Any sexually active female

Accepted Answer

The answer of Cervarix,an HPV vaccine,is recommended for which of...

Question 13

During the nursing assessment of a 23-year-old female patient,the nurse considers the patient's risk for sexually transmitted infections (STIs).Which of the following findings indicates a need for patient teaching?

A) Has a stable,monogamous relationship with her boyfriend
B) Has never been tested for syphilis or Chlamydia
C) Has annual pelvic examinations with Pap smears
D) Has multiple sex partners but uses oral contraceptives

Accepted Answer

The answer of During the nursing assessment of a 23-year-old...

Question 14

The incidence of syphilis has steadily increased in Canada since 1999.Which of the following groups would be at highest risk of contracting syphilis?&#10;A) Men having sex with men&#10;B) Married men having casual affairs&#10;C) Women having sex with women&#10;D) University students

Accepted Answer

The answer of The incidence of syphilis has steadily increased...

Question 15

A young man seeks care at the health clinic because he has developed a profuse,purulent urethral discharge with painful urination.During assessment of the patient,what is it most important that the nurse gather information about?

A) Recent sexual contacts
B) A history of previous similar symptoms
C) All of his sexual contacts within the past year
D) A history of bladder infections or mumps affecting the testicles

Accepted Answer

The answer of A young man seeks care at the...

Deck 55: Nursing Management: Sexually Transmitted Infections