Question 1

A patient recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should the nurse provide for this patient?

Accepted Answer

Gentle soap and water can be used to clean the lesions. It is important to keep the lesions clean in order to prevent the spread of the virus and infection. However, harsh soaps should be avoided as they can further irritate the lesions. It is also important to avoid touching or scratching the lesions as this can cause the virus to spread.

Question 2

A patient diagnosed with gonorrhea has not been adhering to the prescribed medication regime. What findings indicate the patient is experiencing complications of the disease?

Accepted Answer

A,C,D

Question 3

A male patient experiencing a small, painless lesion on the side of his penis is sexually active with multiple partners and does not use a condom. Which STI should the nurse realize this patient's history suggests?

Accepted Answer

The description of a small, painless lesion on the penis is characteristic of the primary stage of syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum.

Question 4

A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should be provided to the patient?

Accepted Answer

Herpes simplex virus can be transmitted even when lesions are not present, especially during the prodromal period. It is important to avoid sexual contact during this time and until lesions are fully healed to reduce the risk of transmission.

Question 5

A patient asks which method of contraception will provide the greatest protection against sexually transmitted infections. What method should the nurse recommend?

Accepted Answer

The method of contraception that provides the greatest protection against sexually transmitted infections is barrier methods such as male or female condoms. These methods can create a physical barrier to prevent the exchange of bodily fluids and reduce the risk of transmission of sexually transmitted infections. Other methods such as oral contraceptives, sponges, or spermicides do not provide protection against sexually transmitted infections.

Question 6

A patient diagnosed with latent syphilis asks about transmitting the disease to his spouse. What information should be provided to the patient?

Accepted Answer

The answer of A patient diagnosed with latent syphilis asks...

Question 7

A patient has contracted syphilis from a sexual partner and has infected his spouse. What interventions should the nurse plan for this couple?

Accepted Answer

The nurse should plan to explain the need for follow-up testing to ensure the infection is cleared (A), administer penicillin G as it is the standard treatment for syphilis (C), and discuss abstaining from sexual activity to prevent further transmission until they are cured (D).

Question 8

The nurse is preparing to teach a patient newly diagnosed with chlamydia trachomatis on the pathophysiology of the disease process. In which order should the nurse explain this process to the patient? Standard Text: Click and drag the options below to move them up or down.
A) Organism enters a cell and changes into a reticulate body. 
B) Reticulate body divides within the cell. Choice
C) The cell bursts. 
D) Organism enters the body as an elementary body. 
E) The reticulate body infects the adjoining cells.
F) none of the above

Accepted Answer

The answer of The nurse is preparing to teach a...

Question 9

A 20-year-old patient has developed small painful blisters on her labia that occurred after having sex with her new boyfriend about six days ago. Which STI should the nurse suspect this patient is experiencing?

Accepted Answer

The symptoms of small painful blisters on the labia after sexual contact are consistent with genital herpes, which is caused by the herpes simplex virus (HSV). Syphilis, gonorrhea, and chlamydia do not typically present with blisters or sores.

Question 10

The nurse is reviewing a list of patients seen in the community clinic. Which patients should the nurse identify as having a reportable sexually transmitted disease?

Accepted Answer

Syphilis and gonorrhea are reportable sexually transmitted diseases in most countries. The other conditions listed are not reportable STIs.

Question 11

The nurse is planning to teach a group of adolescents about sexually transmitted infections. What information concerning genital warts should be included?

Accepted Answer

The answer of The nurse is planning to teach a...

Question 12

A teenage female patient tells the nurse that she has been sexually active with her boyfriend for two months. For which sexually transmitted infection should this patient be assessed?

Accepted Answer

Chlamydia is a common sexually transmitted infection that can be asymptomatic in many cases, making it important to assess sexually active patients for this infection. While the other options listed are also sexually transmitted infections, they may not be as commonly associated with initial sexual activity or may present with different symptoms.

Question 13

During a physical examination a young patient asks for information about birth control. What information in the patient's history should the nurse use to guide teaching?

Accepted Answer

The answer of During a physical examination a young patient...

Question 14

A female patient is experiencing intense vaginal itching with a cheesy discharge after using an over-the-counter vaginal cleanser daily for three weeks. Which disorder should the nurse suspect this patient is experiencing?

Accepted Answer

The symptoms of intense vaginal itching and cheesy discharge are common with candidiasis, which is a type of yeast infection. Overuse of vaginal cleansers can actually disrupt the natural pH balance of the vagina, making it more susceptible to yeast infections. The symptoms listed do not match those of syphilis, gonorrhea, or genital herpes.

Question 15

A patient is prescribed Zovirax 300 mg. The medication is available in 200 mg tablets. How many tablets should the nurse provide to the patient for each dose? _______ tabs
[NOTE: Don't add Standard Text, as correct answer is not a whole number.]

Accepted Answer

The answer of A patient is prescribed Zovirax 300 mg....

Question 16

The nurse is providing community education to a large group of high school students about the characteristics of sexually transmitted infections (STIs). Which characteristics would be beneficial for the students to understand?

Accepted Answer

A) Most STIs can be prevented by the use of latex condoms: This is important for the students to understand and encourages safe sexual practices.
C) For treatment to be effective, both partners must be treated for STIs: It is important for both partners to receive treatment to prevent re-infection and further spread of the infection.
E) A person with multiple sexual partners is at a greater risk for STIs: This is an important factor to understand and encourages individuals to practice safe sex and limit their number of sexual partners. 
B and D are incorrect because STIs can occur from the first sexual experience and delayed treatment can lead to complications such as infertility, pelvic inflammatory disease, and increased risk of HIV transmission.

Question 17

The nurse instructs a patient diagnosed with pelvic inflammatory disease regarding the use of tampons. Which patient statements indicate that teaching has been effective?

Accepted Answer

The answer of The nurse instructs a patient diagnosed with...

Question 18

A female patient diagnosed with a chlamydial infection denies any symptoms of the disease and asks when she contracted the disease. What information should the nurse provide to the patient?

Accepted Answer

Chlamydial infections can be asymptomatic for an indefinite period, making it difficult to determine exactly when the infection was contracted.

Question 19

A patient is experiencing a painless, ulcerated area on her labia. What should the nurse suspect is occurring with this patient?

Accepted Answer

Syphilis is known for causing painless ulcers, known as chancres, on the genitals, including the labia. This is a characteristic sign of primary syphilis.

Question 20

A patient recently treated for pelvic inflammatory disease asks how she can best prevent a recurrence of the disease. What information should the nurse provide for the patient?

Accepted Answer

Using condoms can help prevent sexually transmitted infections, which are a common cause of pelvic inflammatory disease, thereby reducing the risk of recurrence.

Quiz 50: Nursing Care of Patients With Sexually Transmitted Infections