Deck 56: Caring Forclients With Sexually Transmitted Infections

Question 1

A pregnant client is diagnosed with Chlamydia and is to receive antimicrobial therapy. Which drug would the nurse expect to be least likely prescribed?

A) Azithromycin
B) Erythromycin
C) Ofloxacin
D) Levofloxacin

Answer 1

Azithromycin

Question 2

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

A) Genital herpes
B) Hepatitis B
C) Syphilis
D) Condylomata acuminata

Answer 2

Syphilis

Question 3

When describing the risks associated with sexually transmitted infections, the nurse explains that an increased risk of cervical cancer is associated with which STI?

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

Answer 3

Genital herpes

Question 4

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

A) Acyclovir
B) Ceftriaxone
C) Podophyllum resin
D) Tetracycline

Question 5

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which of the following would the nurse encourage?

A) Use of natural-membrane condoms as the most effective type.
B) Avoidance of condoms lubricated with silicone.
C) Use of additional water-based lubricant.
D) Removal of the condom after penis becomes limp.

Question 6

A client is receiving ceftriaxone as treatment for gonorrhea. Which of the following would be most important for the nurse to emphasize to the client?

A) Taking the drug on an empty stomach.
B) Using a sunscreen when outside.
C) Avoiding alcohol consumption.
D) Reporting signs of an oral yeast infection.

Question 7

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?

A) 35
B) 32
C) 26
D) 18

Question 8

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?

A) The symptoms of these diseases are the same and culture tests alone can determine the disease that has infected the client.
B) The infecting bacterium in all cases is the same, and therefore, clients have concurrent infections.
C) The infections spread through the same medium, and therefore, clients have concurrent infections.
D) It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).

Question 9

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

A) "Use a condom during sexual activity if the infection becomes active again."
B) "If the infection has healed, you probably don't have to use a condom."
C) "Inform all potential sexual partners about the infection, even if it is inactive.".
D) "Refrain from all sexual activity until you don't have another outbreak for a year."

Question 10

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit??

A) Ulcerated chancre, aortic valve insufficiency, lymphadenopathy
B) Fever, malaise, sore throat
C) Papular lesion, rash, headache
D) Tabes dorsalis, ataxia, and Charcot's joints

Question 11

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

A) Herpes virus
B) Human papilloma virus
C) Treponema pallidum
D) Haemophilus ducreyi bacillus

Question 12

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?

A) Painful joints
B) Sore throat
C) Intermenstrual bleeding
D) Painful urination

Question 13

Which of the following would be most appropriate to do when assisting in collecting a culture from a client infected with gonorrhea?

A) Lubricating the vaginal speculum.
B) Moistening the vaginal speculum with water.
C) Collecting the specimen exactly 12 to 15 days after the menses.
D) Having the client douche with water and then with alcohol before collection.

Question 14

The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which of the following would the nurse expect to include as the most common STI in the United States?

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

Question 15

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which of the following nursing interventions may help foster the client's self-esteem?

A) Explain the cause of the sexually transmitted infection (STI).
B) Provide the client with a telephone number for obtaining accurate information.
C) Affirm the client's good judgment in seeking treatment.
D) Schedule an appointment for follow-up care.

Question 16

The nurse is gathering data from a male client who is suspected of having gonorrhea. Which of the following would the nurse most likely find?

A) Purulent rectal discharge
B) Pain on urination
C) Skin rash
D) Testicular pain

Question 17

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate?

A) "Once you take the medication, the infection will be gone for good."
B) "Even though you don't have symptoms, you could still spread the infection."
C) "You can expect other outbreaks, each of which will be longer than the first."
D) "You might have to try several different medications before finding one that works."

Question 18

Which information would be most appropriate for a nurse to provide to a client who has never used a condom?

A) Cheap condoms of any brand can be used based on monetary constraints.
B) A condom can be used, even if it is old, so long as the pack is unopened.
C) A new condom should be used for each sex act.
D) A fresh condom should be unrolled over a limp penis before it becomes erect.

Question 19

Which of the following would the nurse recommend to a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection?

A) Pat or blot the skin dry.
B) Have regular cancer screening examinations.
C) Participate in early prenatal care.
D) Take tub baths regularly.

Question 20

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

A) Abandon biases that older adults are sexually inactive.
B) Older clients, because of their maturity, are rarely embarrassed to talk about this.
C) Older clients know the ways to prevent STIs.
D) Older clients who are sexually active have less risk for STIs than other age groups.

Question 21

During a presentation on sexually transmitted infections (STIs), a participant asks the nurse why STIs occur more often in women. Which of the following would the nurse address as a possible reason?

A) Women engage in sexual activity with multiple partners more frequently than men.
B) Women have a genetic predisposition that increases their risk for infection.
C) Researchers really have not ideas or theories as to why women are more at risk.
D) The woman's moist vaginal environment is highly conducive to microbial growth.

Question 22

A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe?

A) Penicillin
B) Tetracycline
C) Levofloxacin
D) Ceftriaxone

Question 23

The nurse is assessing a female client with genital herpes. Which of the following would the nurse expect to find?

A) Lower abdominal pain
B) Multiple vesicles on the introitus
C) Soft fleshy growths on the perineum
D) Painful genital ulcer

Question 24

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?

A) "One or two treatments should get rid of the warts."
B) "I'm temporarily not contagious once the warts are destroyed."
C) "Once the warts are gone, then I know I'm cured."
D) "My partner doesn't need to be treated."

Question 25

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

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