Quiz 2: Sexually Transmitted Infections

A nurse in the outpatient clinic notes that a patient has been treated for syphilis three separate times in the past 2 years. What should the antibiotic treatment for this patient consist of this time?

c. Penicillin G today and 3 months of oral tetracycline antibiotic medications

A nurse is completing a history of illnesses for a young woman who suspects she may have a sexually transmitted infection (STI). What specific symptom(s) should the nurse ask this patient if she experienced?

b. Genital discharge

A patient has been diagnosed with herpes simplex virus, type 2 (HSV type 2). What instruction should the nurse provide?

c. Wash towels and personal items daily.

A nurse is caring for a patient taking acyclovir (Zovirax). Which side effects of this drug should the nurse be alert for?

c. Dizziness, headache, and nausea

A woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI. What should the nurse explain about gonorrhea?

a. It produces no symptoms in half of those in the early stages of the infection.

A nurse giving instruction to a patient with an STI says, "I am supposed to tell you about STIs, but you probably know more about them than I do." What is this nurse doing?

d. Making a judgmental statement

A patient at the outpatient clinic is reluctant to identify her sexual contacts. Why is the reporting of contacts essential?

a. Slows transmission and spread of infections.

A patient with gonorrhea is taking a protocol of tetracycline antibiotics. Which statement by the nurse is most likely to help overcome patient noncompliance?

b. "Failing to take the entire medicine amount will make your disease resistant to it."

A patient with syphilis is seen at the clinic and complains of body aches, pustules, fever, and sore throat. Which stage of syphilis should the nurse recognize these symptoms identify?

b. Secondary

Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. What instruction should the nurse provide to the patient before beginning the medication?

c. Follow-up to determine if the treatment was effective.

A couple comes to the emergency department for the treatment of an STI. The man's presenting symptoms include a creamy penile discharge and frequent urination. The woman has lower abdominal pain and a vaginal discharge. What should the nurse recognize these symptoms to characterize?

a. Chlamydial infection

A pregnant patient with HSV type 2 has a Herp-Test performed in the physician's office 1 day before she is due to deliver by cesarean section. The test result is negative. What should the nurse know this means?

d. The delivery may be accomplished vaginally.

Which method is used to identify organisms of gonorrhea?

a. Smears and cultures

What instruction should be included by a health educator giving a presentation on how to use condoms correctly?

b. The effectiveness of condoms deteriorates in heat.

A nurse asks a patient to repeat the instructions to evaluate her knowledge about safe sex practices. Which statement indicates an understanding?

a. "Body massage would be considered safe."

A female patient, newly diagnosed with gonorrhea, screams, "I am going to kill my husband. I mean it." What is the nurse's best response?

d. "I can understand your anger. How best can you deal with it?"

What is characteristic of the primary stage syphilis?

a. Chancre

What does diagnosis with the human papilloma virus (HPV) increase a person's risk for?

d. Cervical cancer

Which antiviral drug is commonly used to relieve symptoms of herpes simplex virus (HSV)?

b. Acyclovir (Zovirax)

What does chlamydial infection place a person at greater risk for?

a. HIV if exposed to it

A patient at the outpatient clinic who has received an intramuscular dose of ceftriaxone sodium (Rocephin) calls and complains of pain and induration at the injection site. What should the nurse advise the patient to do?

d. Place a warm compress on the area.

What should a nurse caution a patient taking Flagyl for Trichomonas to do?

d. Abstain from alcohol while taking the drug.

A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin). What information should the nurse provide?

c. Delay sexual activity until cured.

A nurse explains that STIs must be reported to the local public health department. Which are considered reportable diseases? (Select all that apply.)

A. HIV

B. Acquired immunodeficiency syndrome (AIDS)

C. Gonorrhea

D.Chlamydia

E.Viral hepatitis

What body areas might systemic (disseminated) gonorrhea involve? (Select all that apply.)

a. Heart

c. Meninges

d. Skin

e. Joints

A nurse recognizes that a patient with an STI may not cooperate in reporting sexual contacts. What fears might prevent reporting? (Select all that apply.)

a. Judgment by health care workers

b. Identifying self as infected

c. Rejection by contacts

e. Reprisal from identified contacts

A person who develops a rash on the hands, flu-like symptoms, and hair loss about five months after sex with a person who could have had an STI should seek treatment for a possible infection of which of the following diseases?

C. syphilis

How can a pregnant woman's STI affect her unborn fetus?

D.all of the above

Which of the following statements BEST describes the effects of an STI on physical health?

C. Some STIs can attack vital organs, leading to death or continual major health issues.

A person who begins to feel fatigued and notices his or her skin and eyes beginning to appear yellow a few months after sex with a person who was possibly infected with an STI should be tested for which of the following STIs?

B.hepatitis B

What percentage of all cases of STIs involve people between that ages of 15 and 24?

a. 50%