Question 1

A patient diagnosed with a sexually transmitted infection reports having "no idea" how the illness was contracted.Which nursing diagnosis would be appropriate for the patient at this time?

Accepted Answer

A patient reporting "no idea" how a sexually transmitted infection was contracted likely indicates a lack of knowledge about safe sex practices and ways to prevent transmission of STIs. Therefore, the appropriate nursing diagnosis would be Knowledge Deficit.

Question 2

The nurse is planning care to address pain in the patient with genital herpes.Which intervention would be appropriate for this patient?

Accepted Answer

Clean lesions two or three times a day with warm water and soap is appropriate to address pain in a patient with genital herpes. Increasing cranberry juice intake and wearing tight cotton clothing are not appropriate interventions for pain management in patients with genital herpes. Drying lesions with a hair dryer turned to the hot setting can cause further irritation and is not recommended.

Question 3

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

A

Question 4

The nurse is planning care for a patient with a history of sexually transmitted infections.What should be included in this plan of care?

Accepted Answer

It is important for the patient to inform their sexual partners of the diagnosis so they can seek testing and treatment. Limiting sexual activity until recovered and focusing on general wellness (increasing fluids, rest, and nutrition) may be included in the plan of care, but informing sexual partners is the priority in preventing further spread of sexually transmitted infections.

Question 5

Which diagnostic test should the nurse question when prescribed for a patient diagnosed with pelvic inflammatory disease (PID)?

Accepted Answer

Throat culture for Streptococcus A is not necessary or relevant for the diagnosis and treatment of pelvic inflammatory disease. The other diagnostic tests listed (CBC with differential, vaginal culture for Neisseria gonorrhoeae, and nucleic acid amplification test) are all commonly used in diagnosing and managing PID.

Question 6

Which is not considered a risk factor for male patients in terms of contracting a sexually transmitted infection (STI)?

Accepted Answer

Smoking is not considered a risk factor for contracting a sexually transmitted infection (STI). However, having multiple sexual partners, engaging in unprotected sex, and intravenous (IV) drug use are all known risk factors for STIs in male patients.

Question 7

An adolescent patient worriedly shows the nurse a wart located on her vulva.Based on this data which diagnosis does the nurse suspect?

Accepted Answer

A wart located on the vulva is highly suggestive of a genital wart or condyloma, which is caused by the human papillomavirus (HPV). Genital herpes is characterized by ulcers or blisters on the genital area and is not typically described as a wart. A chancre is a painless sore that is characteristic of primary syphilis, but it typically appears on the external genitalia, anus, or inside the mouth. Secondary syphilis may present with skin rashes and lesions, but they are not typically described as a wart.

Question 8

A patient is experiencing dysuria,urinary frequency,and vaginal discharge.For which sexually transmitted infection should the nurse prepare the patient for testing?

Accepted Answer

Dysuria, urinary frequency, and vaginal discharge are symptoms commonly associated with chlamydia, a sexually transmitted infection. Syphilis does not typically present with these symptoms, and vaginitis is a broad term referring to inflammation or infection of the vagina which can have multiple causes, including not only sexually transmitted infections, but also other factors such as an overgrowth of normal vaginal bacteria, allergic reaction, or use of certain medications. Trichomoniasis can also cause dysuria and vaginal discharge, but urinary frequency is not typically listed as a symptom of this infection.

Question 9

During a physical assessment,the nurse notes vesicles.Which disease process is associated with this clinical manifestation?

Accepted Answer

Vesicles are commonly seen in herpes simplex virus infection. Secondary syphilis may present with skin rash including macules and papules, but typically not vesicles. Hyperthyroidism may present with symptoms such as weight loss, heat intolerance, and palpitations, but not vesicles. Gonorrhea may present with discharge, pain during urination, but typically not vesicles.

Question 10

After a 5% acetic acid wash is applied to the cervix,the cervix blanches white.Based on this data,which conclusion by the nurse is appropriate?

Accepted Answer

The blanching of the cervix to white after applying acetic acid is indicative of HPV (Human Papillomavirus) infection, as it causes acetowhite changes.

Question 11

Which is a clinical manifestation associated with neurosyphilis?

Accepted Answer

Neurosyphilis can present with a variety of neurological and psychiatric symptoms such as psychosis, mood changes, cognitive impairment, and sensory deficits. Systemic rash (A) and vesicles (B) are not commonly associated with neurosyphilis, while penile discharge (C) is more commonly seen in early syphilis.

Question 12

When conducting a physical examination,the nurse notes that the patient has a systemic rash.Which sexually transmitted infection may be the cause for this clinical manifestation?

Accepted Answer

A systemic rash is a clinical manifestation of secondary syphilis, which is a sexually transmitted infection caused by the bacterium Treponema pallidum. Herpes simplex virus can cause localized genital lesions, but not a systemic rash. Gonorrhea and Chlamydia may cause genital discharge and pain, but they do not typically cause a systemic rash.

Question 13

Which is not a warning sign of a sexually transmitted infection (STI)?

Accepted Answer

Testicular mass is not a typical symptom of a sexually transmitted infection. Rather, it may indicate a separate health concern and should be evaluated by a healthcare provider. Penile discharge, penile lesions, and dysuria are commonly associated with STIs and should prompt further testing and treatment.

Question 14

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

Accepted Answer

The greatest risk for developing chlamydia trachomatis infection is being sexually active and not using any form of contraceptive, as this increases the chance of exposure to the bacteria during sexual contact. The other answer choices do not have as high of a risk factor for chlamydia infection.

Question 15

The health-care provider prescribes metronidazole (Flagyl)for a woman diagnosed with trichomoniasis.Which statement should the nurse include in the discharge instructions for this patient?

Accepted Answer

Trichomoniasis is a sexually transmitted infection, so it is important that both partners are treated to prevent re-infection. Choice B is incorrect because alcohol should be avoided while taking metronidazole due to the risk of a disulfiram-like reaction. Choice C is incorrect because metronidazole may turn urine dark or reddish-brown, not orange. Choice D is incorrect because while metronidazole may produce side effects such as nausea and headache, drowsiness is not typically reported.

Question 16

A public health nurse is educating a group of adults regarding sexually transmitted infections.Which is an appropriate statement by the nurse?

Accepted Answer

This statement is correct and highlights an important issue related to STI diagnosis and treatment in women. Men and women both can be affected by STIs, but women often experience few or no symptoms in the early stages of the infection, which can delay diagnosis and treatment.

Question 17

A gray vaginal discharge with an unpleasant fishy or musty odor is likely to be a symptom of which infection?

Accepted Answer

A gray vaginal discharge with an unpleasant fishy or musty odor is a classic symptom of trichomoniasis, a common sexually transmitted infection caused by the parasite Trichomonas vaginalis. Candidiasis usually presents with a thick, white, and cottage cheese-like discharge, while gonorrhea and chlamydia may cause abnormal vaginal discharge but typically without the characteristic odor.

Question 18

Which patient should the nurse anticipate a prescription for ceftriaxone (Rocephin)IM and doxycycline (Vibramycin)orally?

Accepted Answer

Ceftriaxone is an antibiotic used to treat gonorrhea, while doxycycline is effective against both gonorrhea and chlamydia. Option B is the only choice that includes both gonorrhea and chlamydia in a nonpregnant patient, making it the most appropriate option for this antibiotic regimen.

Question 19

A young adult patient reports penile discharge and dysuria for three days.Which is the most likely cause of the patient's clinical manifestations?

Accepted Answer

Penile discharge and dysuria are common symptoms of sexually transmitted infections such as chlamydia, gonorrhea, or trichomoniasis. Orchitis is inflammation of the testicles and is not typically associated with penile discharge, while spermatoceles are noncancerous cysts that typically do not cause symptoms such as penile discharge or dysuria. Therefore, the most likely cause of the patient's symptoms is a sexually transmitted infection.

Question 20

A patient reports an open area on the penis.Which question will help the nurse with data collection?

Accepted Answer

The question "When did you initially notice this open area?" will help the nurse gather important information about the duration of the symptoms and potentially identify any recent exposures or events that could have contributed to the development of the open area. The other options are likely to be perceived as judgmental and could make the patient uncomfortable or hesitant to share important information.

Quiz 67: Coordinating Care for Patients With Sexually Transmitted Infection