Question 1

A patient who is using imiquimod (Aldara)for genital warts asks the outpatient clinic nurse how long she must use the medication.The nurse replies that she must apply the medication for ______ weeks.(Use numeric characters only.)

Accepted Answer

The answer of A patient who is using imiquimod (Aldara)for...

Question 2

A nurse recognizes that a patient with an STI may not cooperate in reporting sexual contacts.What fears might prevent reporting? (Select all that apply.)

Accepted Answer

Patients may fear judgment by healthcare workers, identifying themselves as infected, rejection by their contacts, and reprisal from those they identify, which can deter them from reporting sexual contacts. Fear of infecting others (D) typically would encourage reporting rather than prevent it.

Question 3

A patient at the outpatient clinic who has received an intramuscular dose of ceftriaxone sodium (Rocephin)calls and complains of pain and induration at the injection site.What should the nurse advise the patient to do?

Accepted Answer

Applying a warm compress on the injection site can help alleviate pain and decrease the size of the induration. It is a common side effect of IM injections and does not necessarily indicate an allergic reaction or the need for another drug. The patient should be advised to monitor the site for any signs of worsening, such as redness, swelling, or drainage, and to contact the clinic if these occur or if there is persistent pain or fever. Active exercise is not recommended as it can increase muscle tension and discomfort at the injection site.

Question 4

A nurse explains that STIs must be reported to the local public health department.Which are considered reportable diseases? (Select all that apply.)

Accepted Answer

All of the options listed are considered reportable diseases, meaning healthcare providers are legally required to report any cases to the local public health department for surveillance and disease tracking purposes.

Question 5

What body areas might systemic (disseminated)gonorrhea involve? (Select all that apply.)

Accepted Answer

Systemic gonorrhea can involve the heart (endocarditis), eyes (conjunctivitis), meninges (meningitis), skin (dermatitis), and joints (arthritis).

Question 6

A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin).What information should the nurse provide?

Accepted Answer

Delaying sexual activity until cured will prevent the spread of the infection to others. Follow-up culture may or may not be indicated, but it is not necessary to instruct the patient to return in 1 month. Doxycycline should be taken with plenty of fluids to decrease the risk of esophageal irritation, so taking it on an empty stomach is not recommended. Genital or anal itching or burning is not a common side effect of doxycycline.

Question 7

What should a nurse caution a patient taking Flagyl for Trichomonas to do?

Accepted Answer

The nurse should caution the patient to abstain from alcohol while taking Flagyl as it can cause a severe reaction known as the disulfiram reaction. Symptoms of this reaction include flushing, headache, nausea, vomiting, and rapid heartbeat. This reaction can occur for up to 2 weeks after the patient stops taking Flagyl. Therefore, it is important for the patient to avoid alcohol during this time. The other options are incorrect as the patient should not double the dose if any doses are missed, should not report dark urine, and should take the drug with food to decrease GI upset.

Quiz 55: Sexually Transmitted Infections

A patient who is using imiquimod (Aldara)for genital warts asks the outpatient clinic nurse how long she must use the medication.The nurse replies that she must apply the medication for ______ weeks.(Use numeric characters only.)

A nurse recognizes that a patient with an STI may not cooperate in reporting sexual contacts.What fears might prevent reporting? (Select all that apply.)

A patient at the outpatient clinic who has received an intramuscular dose of ceftriaxone sodium (Rocephin) calls and complains of pain and induration at the injection site.What should the nurse advise the patient to do?

A nurse explains that STIs must be reported to the local public health department.Which are considered reportable diseases? (Select all that apply.)

What body areas might systemic (disseminated) gonorrhea involve? (Select all that apply.)

A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin) .What information should the nurse provide?

What should a nurse caution a patient taking Flagyl for Trichomonas to do?