Question 1

Which patient is at greatest risk for developing chlamydia trachomatis infection?

Accepted Answer

The 16-year-old, sexually active female, using no contraceptive, is at the greatest risk for developing Chlamydia trachomatis infection due to her age, sexual activity, and lack of contraceptive use, which may also indicate a lack of barrier protection against sexually transmitted infections (STIs).

Question 2

During a physical assessment, the nurse notes vesicles and correlates this to which disease process?

Accepted Answer

Vesicles are characteristic of the Herpes Simplex Virus (HSV) infection, presenting as small, fluid-filled blisters on the skin or mucous membranes.

Question 3

Which statement by the patient diagnosed with genital herpes indicates the need for additional teaching?

Accepted Answer

Antibiotics are not effective against viruses, including the herpes simplex virus that causes genital herpes. Antiviral medications, not antibiotics, are used to manage symptoms and outbreaks of genital herpes.

Question 4

The nurse monitors for which assessment findings in the patient diagnosed with Fitz-Hugh-Curtis syndrome secondary to a chlamydia infection?

Accepted Answer

Fitz-Hugh-Curtis syndrome is characterized by inflammation of the liver capsule and surrounding peritoneum, often secondary to pelvic inflammatory disease caused by infections such as chlamydia. This inflammation can lead to right upper quadrant pain, which is a hallmark symptom of the condition. Hematuria, hyperglycemia, and proteinuria are not typical findings associated with Fitz-Hugh-Curtis syndrome.

Question 5

In planning care for a patient recently diagnosed with a sexually transmitted illness, what is most important to include in the plan of care?

Accepted Answer

It is crucial for the patient to inform sexual partners about the diagnosis to prevent further transmission and allow partners to seek testing and treatment.

Question 6

In reviewing the health record of a patient with genital herpes, the nurse recommends the patient discuss suppressive therapy with the primary healthcare provider based on which outbreak frequency?

Accepted Answer

The answer of In reviewing the health record of a...

Question 7

The nurse implements which actions to decrease discomfort for the patient with genital herpes?

Accepted Answer

Cleaning lesions with warm water and soap helps keep the area clean and can decrease discomfort for patients with genital herpes. Other options can actually increase discomfort or are not recommended for managing symptoms.

Question 8

The nurse correlates a systemic rash on a female patient to which sexually transmitted infection?

Accepted Answer

Secondary syphilis is known to cause systemic symptoms, including a characteristic rash that can cover the entire body, distinguishing it from the other listed sexually transmitted infections which typically cause localized symptoms or different systemic effects.

Question 9

The nurse monitors for which clinical manifestation in the female patient diagnosed with genital herpes?

Accepted Answer

Dysuria, or painful urination, is a common symptom of genital herpes due to the lesions and inflammation caused by the virus.

Question 10

The nurse monitors for which clinical manifestation as a prodromal sign of genital herpes?

Accepted Answer

Abnormal sensations, such as tingling or itching, are common prodromal signs of a genital herpes outbreak, indicating that the virus is becoming active before lesions appear.

Question 11

The nurse monitors for which clinical manifestation in the female patient diagnosed with chlamydia?

Accepted Answer

Dyspareunia, or painful intercourse, is a common symptom of chlamydia in women, indicating inflammation and infection in the reproductive tract.

Question 12

The nurse educates a patient who is diagnosed with genital herpes about the prodromal symptoms that may occur indicating an outbreak is about to occur. Which patient statement indicates the need for additional teaching?

Accepted Answer

Headache is not typically considered a prodromal symptom of a genital herpes outbreak. Prodromal symptoms usually include localized sensations such as itching, burning, or tingling in the area where the outbreak will occur.

Question 13

Which statement by the pregnant female patient indicates the need for further teaching about genital warts associated with human papillomavirus?

Accepted Answer

The HPV vaccination is not given during pregnancy to decrease the baby's risk of infection. The vaccine is typically recommended before an individual becomes sexually active to prevent HPV infection. Pregnant women are advised against receiving the vaccine until after pregnancy.

Question 14

In reviewing laboratory results in a patient being evaluated for possible sexual transmitted infection (STI), the nurse correlates the nucleic acid amplification test to the diagnosis of which STI?

Accepted Answer

Nucleic acid amplification tests (NAATs) are highly sensitive tests used to diagnose various infections, including sexually transmitted infections (STIs). Among the options listed, NAATs are particularly used for the diagnosis of Chlamydia trachomatis infections, making Chlamydia the correct answer. These tests detect the genetic material (DNA or RNA) of the pathogen, providing a reliable method for identifying the presence of Chlamydia.

Question 15

In providing care to the patient scheduled for removal of advanced cervical lesions via cold knife conization, the nurse provides information about which procedure?

Accepted Answer

Cold knife conization is an excisional procedure where a cone-shaped sample of tissue is removed from the cervix. This method involves cutting away the tissue, unlike ablation or laser techniques which destroy or remove tissue using heat or cold.

Question 16

A patient with syphilis is allergic to penicillin. Based on this data, which medication does the nurse anticipate as appropriate for this patient?

Accepted Answer

Doxycycline is an appropriate alternative for patients with syphilis who are allergic to penicillin.

Question 17

Which statement by the female patient diagnosed with human papillomavirus (HPV) indicates the need for further teaching?

Accepted Answer

The use of certain creams prescribed for genital warts, such as those containing imiquimod, is not recommended during pregnancy. This indicates a misunderstanding and the need for further teaching.

Question 18

In planning care for a 28 weeks pregnant female patient who is diagnosed with syphilis and allergic to penicillin, the nurse is aware that which is the best treatment for this patient?

Accepted Answer

Penicillin desensitization is the recommended approach for pregnant patients with syphilis who are allergic to penicillin. This is because penicillin is the only antibiotic proven to be effective for preventing maternal transmission of syphilis to the fetus. Other antibiotics like tetracycline and doxycycline are contraindicated in pregnancy, and ceftriaxone is not considered a first-line treatment for syphilis in pregnant women.

Question 19

The nurse correlates an increased risk of cervical and penile cancer in patients who have a history of which sexually transmitted infection?

Accepted Answer

Human papillomavirus (HPV) is strongly associated with an increased risk of cervical and penile cancer, among other cancers. HPV is a common sexually transmitted infection known to cause almost all cases of cervical cancer and a significant proportion of penile cancer cases.

Question 20

In providing care to the patient scheduled for removal of abnormal cervical tissue via cryosurgery, the nurse describes which procedure?

Accepted Answer

Cryosurgery involves the use of extreme cold to destroy abnormal or diseased tissue, which is a form of ablation.

Quiz 67: Coordinating Care for Patients With Sexually Transmitted Infection