Deck 6: Womens Health: Commonly Occurring Infections

Question 1

The nurse is caring for a patient hospitalized for pelvic inflammatory disease. Which nursing intervention would have priority?

A) Encourage oral fluids.
B) Administer cefotetan IV.
C) Enforce bed rest.
D) Remove IUD, if present.

Answer 1

Administer cefotetan IV.

Question 2

The nurse is evaluating the outcomes of nursing care given a patient with a sexually transmitted infection (STI). The nurse verifies that the patient:

A) Had an identified infection.
B) Could identify the mode of transmission.
C) Would never cope with the infection.
D) Could recognize the symptoms of an STI.
E) Would not disclose the STI to her partner.

Answer 2

Had an identified infection.
Could identify the mode of transmission.
Could recognize the symptoms of an STI.

Question 3

The nurse obtains a health history from four patients. To which one should she give priority for teaching about cervical cancer prevention?

A) Age 30, treated for PID
B) Age 25, monogamous
C) Age 20, pregnant
D) Age 27, uses a diaphragm.

Answer 3

Age 30, treated for PID

Question 4

A patient comes to the clinic complaining of difficulty urinating, flu-like symptoms, genital tingling, and blister-like vesicles on the upper thigh and vagina. She denies having ever had these symptoms before. The medication the physician is most likely to order would be:

A) Oral acyclovir.
B) Ceftriaxone IM.
C) Azithromycin p.o.
D) Penicillin G IM.

Question 5

A patient asks the nurse about treatment for human papilloma viral warts. The nurse's response should be based on what knowledge?

A) An antiviral injection cures approximately 50% of all cases.
B) Aggressive treatment is required to cure warts.
C) Warts often spread when an attempt is made to remove them surgically.
D) Warts often recur a few months after a patient is treated.

Question 6

A pregnant patient at 24 weeks' gestation is diagnosed with bacterial vaginosis. Her doctor orders Flagyl to treat the problem. What would be appropriate education for the nurse to provide?

A) The patient must be careful to observe for signs of preterm labor.
B) The patient should advise her partner to seek therapy as soon as possible.
C) The main side effect of the medication is a large amount of vaginal discharge.
D) A repeat culture should be taken 2 weeks after completing the therapy.

Question 7

A patient has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the patient, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions?

A) Patients can infect their sexual partners.
B) The nurse is required by law to ask the questions.
C) Patients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.
D) The laboratory needs a full patient history in order to know for which organisms and antibiotic sensitivities it should test.

Question 8

The nurse is providing discharge instructions to a patient with a diagnosis of vulvovaginal candidiasis (VVC), and knows the patient understands when she states:

A) "I need to apply the miconazole for 10 days."
B) "I need to douche daily."
C) "I need to add yogurt to my diet."
D) "I need to wear nylon panties."

Question 9

The nurse is seeing patients in the women's clinic. Which patient should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally?

A) A pregnant patient with gonorrhea and a yeast infection
B) A nonpregnant patient with gonorrhea and chlamydia
C) A pregnant patient with syphilis
D) A nonpregnant patient with chlamydia and trichomoniasis

Question 10

The nurse is providing follow-up education to a patient just diagnosed with vaginal herpes. What statement by the patient verifies correct knowledge about vaginal herpes?

A) "I should douche daily to prevent infection."
B) "I could have another breakout during my period."
C) "I am more likely to develop cancer of the cervix."
D) "I should use sodium bicarbonate on the lesions to relieve discomfort."

Question 11

The nurse working in a women's clinic recognizes the patients most at risk for developing vulvovaginal candidiasis are those who are:

A) HIV positive.
B) Immunocompetent.
C) Pregnant.
D) Multiparous.
E) Diabetic.

Question 12

The clinic nurse teaches the pregnant patient being treated for trichomoniasis about the risks to her pregnancy due to this infection. Which statement would indicate successful teaching?

A) "I am at risk of having a preterm birth because of this infection."
B) "I might need to have my membranes ruptured because of this infection."
C) "I am at risk of having a baby with a high birth weight."
D) "I may have intercourse with my husband while bring treated for this infection."

Question 13

The nurse seeing a patient just diagnosed with Chlamydia trachomatis knows that which patient is at greatest risk for the infection?

A) 16-year-old sexually active girl, using no contraceptive
B) 22-year-old mother of two, developed dyspareunia.
C) 35-year-old woman on oral contraceptives
D) 48-year-old woman with hot flashes and night sweats

Question 14

A patient comes to the clinic complaining of a thick, white, tenacious discharge and vulvular soreness. The nurse will prepare to teach the patient about treatment with:

A) Silver sulfadiazine.
B) Metronidazol (Flagyl).
C) Clindamycin (Cleocin) cream.
D) Ceftriaxone sodium (Rocephin).
E) Doxycycline (Vibramycin).

Question 15

A nonpregnant patient is diagnosed with bacterial vaginosis (BV). The nurse expects to administer:

A) Penicillin G (Bicillin) 2 million units IM one time.
B) Zithromax (Azithromycin) 1 mg p.o. b.i.d. for 2 weeks.
C) Doxycycline (Vibramycin) 100 mg p.o. b.i.d. for a week.
D) Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week.

Question 16

The nurse is educating a group of adolescents regarding sexually transmitted infections. The nurse knows that learning was achieved when an individual states that the most common symptom is:

A) Menstrual cramps.
B) Heavy menstrual periods.
C) Flu-like symptoms.
D) Usually there are no signs or symptoms.

Question 17

The nurse provides a couple with education about the consequences of not treating chlamydia, and knows they understand when they state:

A) "She could become pregnant."
B) "She could have severe vaginal itching."
C) "He could get an infection in the tube that carries the urine out."
D) "It could cause us to develop a rash."

Question 18

The nurse is providing health education to a group of young people. When teaching about the prevention of sexually transmitted infections (STIs), the nurse will teach:

A) Decision-making skills in refusing intercourse.
B) How to reduce high-risk behaivors.
C) That Pap smears might be needed more often.
D) The safety of oral sex.
E) Use of petroleum-based lubricants with condoms.

Question 19

A 12-year-old girl and her mother are at the doctor's office for a routine check-up for the daughter. The mother tells the nurse that she would like the daughter to have the gardasil vaccine effective against the human papilloma virus. The nurse does some teaching, and knows it has been successful when the mother states:

A) "The human papilloma virus is spread through casual contact in schools."
B) "Gardasil will protect against all types of the human papilloma virus."
C) "The human papilloma virus affects a million people in the United States."
D) "Gardasil will be given to my daughter in three doses over a period of 6 months."

Question 20

After a sex education class at a high school, the nurse overhears a student discussing safe sex practices. Which statement indicates that teaching was successful?

A) "I don't have to worry about getting infected if I have oral sex."
B) "Teen women are the highest-risk for sexually transmitted infections."
C) "The best thing to do if I have sex a lot is to use spermicide each and every time."
D) "Boys get the HIV virus more easily than girls do."

Question 21

In providing community education about hepatitis, the nurse includes information on the chronic forms of hepatitis. One form of hepatitis that becomes chronic is:

A) Hepatitis A.
B) Hepatitis B.
C) Hepatitis C.
D) Hepatitis D.
E) Hepatitis E.

Question 22

A nurse is teaching a middle school health class on the different types of viral hepatitis. Which statement made by a student indicates the need for further teaching?

A) "Both hepatitis A and E are not chronic infections."
B) "Hepatitis A is characterized by symptoms of jaundice, anorexia, nausea, vomiting, malaise, and fever."
C) "Hepatitis B, C, and D have symptoms similar to those of hepatitis A, and can also include arthralgias, arthritis and skin eruptions or rash."
D) "Both Hepatitis B and C have an incubation period of 45-160 days."

Question 23

A patient in the emergency department is diagnosed with pelvic inflammatory disease. Before discharge, the nurse will provide the patient with some health teaching about:

A) Endometriosis.
B) Menopause.
C) Ovarian hyperplasia.
D) Sexually transmitted infections.

Question 24

The nurse's response to a patient with a history of pelvic inflammatory disease who is trying to get pregnant is based on the knowledge that which condition can contribute to an infertility problem?

A) Hepatitis
B) Postinfection tubal damage
C) Pelvic abscess
D) Tubal infection

Question 25

The patient has been diagnosed with hepatitis B. Which statement indicates to the nurse that the patient needs more education? Standard Text:

A) "This infection could be sexually transmitted."
B) "I might get jaundiced from this illness."
C) "An immunization exists to prevent getting hepatitis B."
D) "I might have gotten this infection from food."

Question 26

Which of the following diagnostic tests would the nurse when ordered for a patient diagnosed with pelvic inflammatory disease (PID)?

A) CBC (complete blood count) with differential
B) Vaginal culture for Neisseria gonorrhoeae
C) Throat culture for Streptococcus A
D) RPR (rapid plasma reagin)

Question 27

The nurse is preparing an education session for women on prevention of urinary tract infections (UTIs). Which statement should be included?

A) Lower urinary tract infections rarely occur in women.
B) The most common causative organism of cystitis is E . coli
C) Wiping from back to front after a BM will help prevent a UTI.
D) Back pain often develops with a lower urinary tract infection.

Question 28

The nurse is evaluating the outcomes of nursing care for a woman with a urinary tract infection, and includes as a part of the evaluation whether the woman:

A) Implements self-care measures for prevention.
B) Completed the prescribed antibiotics.
C) Knows self-care measures for worsening symtpoms.
D) States that UTIs are controlled, not cured.
E) Knows that cranberry juice can help prevent UTIs.

Question 29

The patient demonstrates that the nurse's teaching regarding ways to prevent a recurrence of her urinary tract infection was effective when she states, "I should:

A) "Wipe from back to front after urination."
B) "Urinate when I feel the urge."
C) "Try to restrict my intake of fruits."
D) "Use a diaphragm."

Question 30

The nurse is teaching a group of young women how to prevent urinary tract infections. Included in the teaching is:

A) The importance of good hygiene.
B) How to recognize the manifestations.
C) How to take prescribed antibiotics.
D) Fluids are restricted to 1000 ml.
E) To urinate only when the urge is strong.

Question 31

The nurse is discharging a patient after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective?

A) "I might have infertility because of this infection."
B) "It is important for me to finish my antibiotics."
C) "Tubal pregnancy could occur after PID."
D) "My PID was caused by a yeast infection."
E) "I am going to have an IUD placed for contraception."

Question 32

The nurse is teaching nursing students about the different kind of hepatitis. Which statement is the nurse likely to make?

A) Hepatitis A and B have vaccines to prevent them.
B) Hepatitis A, B, and C have vaccines to prevent them.
C) Hepatitis C, D, and E are all bloodborne.
D) Hepatitis A, C, and E are all fecal-oral contamination.

Question 33

The nurse is admitting a patient who is 12 weeks pregnant and an IV drug user. She has had a number of sexual partners, complains of malaise, and has yellow in the eyes, nausea, and vomiting. Having obtained this history, the nurse suspects that the patient has: Standard Text:

A) Hepatitis E.
B) Hepatitis C
C) Gonorrhea
D) Hepatitis A

Question 34

A nurse is assessing a pregnant patient for right-sided flank pain. The nurse explains to the patient that this type of pain is a common symptom of pyelonephritis in the pregnant patient because of:

A) Temporary suspension of urine output.
B) Nausea and vomiting.
C) The position of the uterus in the abdomen.
D) A colicky large intestine.