Deck 67: Coordinating Care for Patients With Sexually Transmitted Infection

Question 1

Which patient is at greatest risk for developing chlamydia trachomatis infection?
1)16-year-old, sexually active female, using no contraceptive
2)22-year-old mother of two, who has dyspareunia
3)35-year-old woman on oral contraceptives
4)48-year-old woman with hot flashes and night sweats

Answer 1

1

Question 2

During a physical assessment, the nurse notes vesicles and correlates this to which disease process?
1)Primary syphilis
2)Herpes simplex virus
3)Chlamydia
4)Gonorrhea

Answer 2

2

Question 3

Which statement by the patient diagnosed with genital herpes indicates the need for additional teaching?
1)"I will experience clear vesicles or blisters during an outbreak."
2)"I will begin antibiotics as soon as I experience prodromal symptoms."
3)"Warm salt baths will dry up the lesions and ease physical discomfort."
4)"My doctor will consider suppressive therapy if I experience six or more outbreaks in a year."

Answer 3

2

Question 4

The nurse monitors for which assessment findings in the patient diagnosed with Fitz-Hugh-Curtis syndrome secondary to a chlamydia infection?
1)Right upper quadrant pain
2)Hematuria
3)Hyperglycemia
4)Proteinuria

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?
1)Instruction to limit sexual contact until recovered from illness
2)Plan for the patient to contact sexual partners regarding the diagnosis
3)Need to increase fluids and rest
4)Importance of adequate nutrition

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?
1)2 or more outbreaks a year
2)4 or more outbreaks a year
3)6 or more outbreaks a year
4)10 or more out breaks a year

Question 7

The nurse implements which actions to decrease discomfort for the patient with genital herpes?
1)Use a heating pad to decrease pain
2)Clean lesions two or three times a day with warm water and soap
3)Avoid tub baths
4)Wear tight cotton clothing

Question 8

The nurse correlates a systemic rash on a female patient to which sexually transmitted infection?
1)Herpes simplex virus
2)Gonorrhea
3)Secondary syphilis
4)Chlamydia

Question 9

The nurse monitors for which clinical manifestation in the female patient diagnosed with genital herpes?
1)Anorexia
2)Dysuria
3)Fatigue
4)Incontinence

Question 10

The nurse monitors for which clinical manifestation as a prodromal sign of genital herpes?
1)Dysuria
2)Muscle pain
3)Abnormal sensation
4)Swollen lymph nodes

Question 11

The nurse monitors for which clinical manifestation in the female patient diagnosed with chlamydia?
1)Constipation
2)Dyspareunia
3)Rectal pain
4)Vaginal dryness

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?
1)"Itching may occur before an outbreak."
2)"Burning may occur before an outbreak."
3)"Tingling may occur before an outbreak."
4)"Headache may occur before an outbreak."

Question 13

Which statement by the pregnant female patient indicates the need for further teaching about genital warts associated with human papillomavirus?
1)"I should not use the prescribed cream to treat my genital warts."
2)"I may need a caesarian section if the genital warts obstruct the vaginal opening."
3)"I will get the HPV vaccination to decrease my baby's risk of this infection."
4)"I may be able to have the warts surgically removed after delivery."

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?
1)Syphilis
2)Human papillomavirus (HPV)
3)Genital herpes
4)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?
1)Ablation
2)Excision
3)Colposcopy
4)Laser conization

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?
1)Doxycycline
2)Amoxicillin
3)Gentamicin
4)Erythromycin

Question 17

Which statement by the female patient diagnosed with human papillomavirus (HPV) indicates the need for further teaching?
1)"I will contact my doctor if I experience vaginal discharge."
2)"I can use the cream prescribed to treat genital warts during pregnancy."
3)"I will tell my sexual partners that I have HPV so that they can be tested."
4)"I will use a condom with sexual intercourse to decrease the risk of transmitting HPV."

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?
1)Penicillin desensitization
2)Tetracycline
3)Doxycycline
4)Ceftriaxone

Question 19

The nurse correlates an increased risk of cervical and penile cancer in patients who have a history of which sexually transmitted infection?
1)Chlamydia trachomatis
2)Gonorrhea
3)Human papillomavirus
4)Syphilis

Question 20

In providing care to the patient scheduled for removal of abnormal cervical tissue via cryosurgery, the nurse describes which procedure?
1)Ablation
2)Excision
3)Colposcopy
4)Laser conization

Question 21

The nurse instructs a married couple on the importance of treatment for a chlamydia infection. Which statements indicate that teaching was effective? Select all that apply.
1)"He could get an infection in the tube that carries the urine out."
2)"She could have severe vaginal itching."
3)"It could cause us to develop rashes."
4)"She could develop a worse infection of the uterus and tubes."
5)"She could become pregnant."

Question 22

The nurse monitors for which clinical manifestations in the male patient with chlamydia? Select all that apply.
1)Diarrhea
2)Dysuria
3)Incontinence
4)Rectal discharge
5)Urethral discharge

Question 23

The nurse monitors for which clinical manifestation in the male patient diagnosed with genital herpes? Select all that apply.
1)Burning and itching in the groin area
2)Swollen lymph nodes in the groin area
3)Incontinence
4)Constipation
5)Fever

Question 24

The nurse determines which patient is at greatest risk for the development of pelvic inflammatory disease (PID)?
1)25-year-old female who uses a diaphragm for contraception
2)25-year-old female who uses oral contraceptives
3)25-year-old female who recently became sexually active
4)25-year-old female who is in a monogamous relationship

Question 25

The nurse monitors for which clinical manifestations in the female patient diagnosed with genital herpes? Select all that apply.
1)Hematuria
2)Headache
3)Fever
4)Back pain
5)Vaginal dryness

Question 26

Which statement by the patient diagnosed with pelvic inflammatory disease (PID) indicates the need for further teaching regarding management of this disorder?
1)"I should take showers instead of tub baths during active infection."
2)"I can have sexual intercourse as long as it is not too painful."
3)"I will take the entire course of antibiotics even if I begin to feel better."
4)"Lower abdominal pain and vaginal bleeding are both symptoms of PID."

Question 27

In reviewing a patient's health record, the nurse notes that the patient has been treated for salpingitis in the past. The nurse understands this to explain which disorder?
1)Inflammation of the cervix
2)Inflammation of the fallopian tubes
3)Inflammation of the endometrium
4)Inflammation of the ovaries

Question 28

The nurse determines which patient is at greatest risk for acquiring gonorrhea?
1)Men who have sex with men (MSM)
2)Men who had their first sexual encounter before age 15
3)Men who use condoms and spermicidal gels
4)Men who have sexual intercourse with women who use oral contraceptives

Question 29

The nurse monitors for which clinical manifestations in the patient diagnosed with primary syphilis? Select all that apply.
1)Chancre
2)Genital ulcer
3)Cranial neuropathies
4)Regional lymphadenopathy
5)Diffuse macular rash on the palms of the hands

Question 30

The nurse monitors for which clinical manifestations in the patient diagnosed with pelvic inflammatory disease (PID)?
1)Adnexal tenderness
2)Periumbilical pain
3)Urinary frequency
4)Rectal tenderness