Deck 67: Coordinating Care for Patients With Sexually Transmitted Infection

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?

A) Anxiety
B) Knowledge Deficit
C) Ineffective Coping
D) Sexual Dysfunction

Answer 1

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?

A) Increase the intake of cranberry juice
B) Clean lesions two or three times a day with warm water and soap
C) Dry lesions with a hair dryer turned to the hot setting
D) Wear tight cotton clothing

Answer 2

Clean lesions two or three times a day with warm water and soap

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?

A) Doxycycline
B) Amoxicillin
C) Gentamicin
D) Erythromycin

Answer 3

Doxycycline

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?

A) Instruction to limit sexual contact until recovered from illness
B) Plan for the patient to contact sexual partners regarding the diagnosis
C) Need to increase fluids and rest
D) Importance of adequate nutrition

Question 5

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

A) CBC (complete blood count)with differential
B) Vaginal culture for Neisseria gonorrhoeae
C) Throat culture for Streptococcus A
D) Nucleic acid amplification test (NAAT)

Question 6

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

A) Multiple sexual partners
B) Smoking
C) Intravenous (IV)drug use
D) Unprotected sex

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?

A) Condyloma
B) Genital herpes
C) Chancre
D) Secondary syphilis

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?

A) Syphilis
B) Vaginitis
C) Chlamydia
D) Trichomoniasis

Question 9

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

A) Secondary syphilis
B) Herpes simplex virus
C) Hyperthyroidism
D) Gonorrhea

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?

A) Bacterial vaginosis
B) Monilial vaginitis
C) HPV
D) Cervical cancer

Question 11

Which is a clinical manifestation associated with neurosyphilis?

A) Systemic rash
B) Vesicles
C) Penile discharge
D) Psychosis

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?

A) Herpes simplex virus
B) Gonorrhea
C) Secondary syphilis
D) Chlamydia

Question 13

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

A) Penile discharge
B) Penile lesion
C) Testicular mass
D) Dysuria

Question 14

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

A) 16-year-old,sexually active,using no contraceptive
B) 22-year-old mother of two,developed dyspareunia
C) 35-year-old woman on oral contraceptives
D) 48-year-old woman with hot flashes and night sweats

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?

A) "Both partners must be treated with the medication."
B) "Alcohol does not need to be avoided while taking this medication."
C) "It will turn your urine orange."
D) "This medication could produce drowsiness."

Question 16

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

A) "Males have higher rates of gonorrhea and chlamydia,whereas women have higher rates of syphilis."
B) "Men are disproportionately affected by STIs compared to women and infants."
C) "Women often experience few early manifestations of the infection,delaying diagnosis and treatment."
D) "The incidence of STIs is highest among young Caucasian females."

Question 17

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

A) Candidiasis
B) Trichomonas
C) Gonorrhea
D) Chlamydia

Question 18

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

A) A pregnant patient with gonorrhea and a yeast infection
B) A nonpregnant patient with gonorrhea and chlamydia
C) A pregnant patient with syphilis
D) A nonpregnant patient with chlamydia and trichomoniasis

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?

A) Sexually transmitted infection
B) Orchitis
C) Spermatocele
D) All of the above

Question 20

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

A) "Do you think you have a disease?"
B) "Have you had sexual intercourse recently?"
C) "Are you promiscuous?"
D) "When did you initially notice this open area?"

Question 21

Which clinical manifestation noted during the physical examination is a prodromal sign for genital herpes?

A) Dysuria
B) Muscle pain
C) Abnormal sensation
D) Swollen lymph nodes

Question 22

The nurse is providing care to a patient who will have advanced cervical lesions removed via cold knife conization.Which term should the nurse use when educating the patient about this procedure?

A) Ablation
B) Excision
C) Hysterectomy
D) Chemotherapy

Question 23

The nurse is providing care to a patient who will receive toxic medication via intravenous infusion to treat cancer.Which term should the nurse use when educating the patient about this procedure?

A) Ablation
B) Excision
C) Hysterectomy
D) Chemotherapy

Question 24

The nurse is providing care to a patient who will have abnormal cervical tissue removed via cryosurgery.Which term should the nurse use when educating the patient about this procedure?

A) Ablation
B) Excision
C) Hysterectomy
D) Chemotherapy

Question 25

The nurse is providing care to a patient who will have the uterus removed due to uterine cancer.Which term should the nurse use when educating the patient about this procedure?

A) Ablation
B) Excision
C) Hysterectomy
D) Chemotherapy