Question 1

The nurse is caring for a female client who was just diagnosed with chlamydia. Which action should the nurse take?&#10;A) Encourage the client to rest.&#10;B) Schedule the client for a pregnancy test.&#10;C) Call in pain medication the client's pharmacy.&#10;D) Report the diagnosis to public health authorities.

Accepted Answer

Chlamydia is considered a reportable condition. Therefore, the nurse should contact the appropriate public health authorities.

Question 2

Which is the most common of the notifiable sexually transmitted infections (STIs) in the United States?&#10;A) Gonorrhea&#10;B) Chlamydia&#10;C) Syphilis&#10;D) HIV

Accepted Answer

Gonorrhea, chlamydia, syphilis, and HIV are all notifiable conditions in the United States. Currently in the United States, chlamydia is the most common reportable STI.

Question 3

The nurse is educating students on sexually transmitted infections (STIs) versus reproductive tract infections (RTIs). Which statement by one of the students indicates that the teaching has been effective?

A) RTIs are characterized by the mode of transmission.
B) RTIs are short-term and do no cause damage.
C) STIs are long-term and difficult to treat.
D) RTIs affect the long-term health of the individual.

D
Explanation: Reproductive tract infections (RTIs) have long-term complications and may affect the health of the client.

Accepted Answer

Reproductive tract infections (RTIs) have long-term complications and may affect the health of the client.

Question 4

The nurse is caring for a client with a suspected endogenous infection. What should the nurse look for upon assessment?&#10;A) Candidiasis&#10;B) Genital warts&#10;C) Bloody mucous&#10;D) Lesions

Accepted Answer

Endogenous infections compromise microorganisms that are normally present in the female genital tract. The nurse should look for candidiasis.

Question 5

The nurse is caring for a 24-year-old client in her third trimester of pregnancy. The client previously tested negative for chlamydia during her first trimester. Which action should the nurse take?&#10;A) Screen the client for chlamydia.&#10;B) Screen the client for increased risk factors for herpes.&#10;C) Test the client for HIV.&#10;D) Perform a cervical swab to test for gonorrhea.

Accepted Answer

Pregnant clients under the age of 25 should be re-screened during the 3^rd trimester. Clients over the age of 25 are assessed to determine if their risk factors have changed, then tested if appropriate.

Question 6

Which does the nurse recognize as a risk factor for chlamydia?&#10;A) Consistent condom use&#10;B) One sexual partner&#10;C) Under the age of 25&#10;D) Same sex couples

Accepted Answer

Clients who are under the age of 25, use condoms inconsistently, and have different sexual partners have an increased risk for chlamydia.

Question 7

Which is a sign of chlamydia in female clients?&#10;A) Regular menstrual periods&#10;B) Lack of abdominal guarding&#10;C) White vaginal discharge&#10;D) Friable cervix

Accepted Answer

Symptoms of chlamydia include menstrual abnormalities with postcoital bleeding and intermenstrual bleeding, deep dyspareunia, purulent vaginal discharge, and friable cervix.

Question 8

The nurse is counseling a client with genital herpes. Which information should the nurse include?&#10;A) &#34;If you do not have active lesions, you cannot transmit the virus.&#34;&#10;B) &#34;You should always disclose herpes to your partners.&#34;&#10;C) &#34;Herpes is curable, with proper medication.&#34;&#10;D) &#34;Use of condoms is not necessary once you receive treatment.&#34;

Accepted Answer

The nurse should explain that the client should always disclose their health status with their partners. Herpes can be spread even if visible lesions are not present.

Question 9

The nurse is assessing the client for genital warts caused by human papillomavirus (HPV). Which symptoms should the nurse assess for?&#10;A) Friable cervix&#10;B) Abdominal pain&#10;C) Lack of menstruation&#10;D) Pruritis

Accepted Answer

Symptoms of genital warts caused by HPV include pruritis, visible warts, burning, vaginal bleeding, and discharge.

Question 10

The nurse is providing education to client who will be self-applying Imiquimod to genital warts. Which information should the nurse include?&#10;A) Imiquimod may weaken condoms.&#10;B) Imiquimod is applied in the morning.&#10;C) Imiquimod cannot be used during pregnancy.&#10;D) Imiquimod should not be washed off with soap and water.

Accepted Answer

Imiquimod may weaken the effectiveness of condoms and diaphragms. Therefore, the nurse should include this in the education.

Deck 6: Sexually Transmitted Infections and Associated Reproductive Tract Infections: Recommended Screening, Care, and Treatment Interventions