OB : Ch 32

1. A patient is being treated for chlamydia at the urgent care facility and is to receive the first medication dose. Which priority nursing action should be undertaken by the nurse at this time?

C. Administer and document the first dose has been given

2. A patient is being treated for gonorrhea. Which type of therapy should the nurse anticipate that the physician will order?

A. Combination therapy of ceftriaxone and doxycycline

3. A patient is undergoing a pelvic exam as part of her annual wellness checkup. Following the insertion of the speculum, the patient complains of pain. What finding should the nurse document?

B. Positive Chandelier sign

4. A 70-year-old male presents to the emergency department with complaints of bone pain and stating that his heart feels like it is racing. Confirmatory testing reveals a negative RPR but a positive FTA-ABS. How should the nurse interpret this result?

C. Latent syphilis

5. Which of the following would be considered as an unsafe sex practice and potentially lead to HIV and STDs?

C. Blood contact during sexual relations

6. A patient is asking a nurse about "safe sex" practices but appears very nervous and avoids eye contact. What response by the nurse would best facilitate a therapeutic relationship?

B. Tell the patient that you understand that talking about this matter can be uncomfortable

7. Which statement indicates that additional teaching is needed for a group of nursing students related to safe sex practice?

D. Women having sex with women (WSW) are not at risk to develop STDs.

8. A patient with herpes simplex virus (HSV) presents with complaints of pain but doesn't want to take pain medication and prefers to use natural therapies. What should the nurse recommend?

B. Application of cool soaked black tea bags to lesions as needed

9. A patient who has hepatitis D (HSV) asks the nurse about safe sex practice. How should the nurse respond?

C. Preferred method of birth control would be to use latex condoms

10. An 18-year-old male presents to an urgent care clinic and states that he has been exposed to hepatitis B. Which priority action should the nurse take?

B. Find out when the exposure occurred

11. A patient admitted to the hospital for a 23-hour stay has complaints of abdominal pain. Which information would support testing for hepatitis C virus (HCV)?

D. HIV-positive

12. The charge nurse is teaching a group of staff nurses about the importance of STD counseling. Which statement indicates that additional training is needed?

A. It is not necessary to include this information for older adult patients admitted to the hospital.

13. A nurse is providing STD counseling to an adolescent community group. Which nursing action would require a private counseling session?

B. Asking questions about substance/drug use

14. A pregnant patient presents for her first prenatal visit. What priority action should the nurse take about determination of HIV status?

C. Schedule testing as part of routine prenatal screening

15. A patient diagnosed with Pediculosis Pubis presents to the clinic with a new outbreak. What information should the nurse anticipate led to this reoccurrence?

B. Patient did not apply the second application of the medicine

16. A group of nurses are working on a brochure containing information about sexually transmitted disease (STD). Which statement is accurate?

C. STI confirms the infection, but the patient is asymptomatic.

17. A nurse is preparing a community outreach program on chlamydia. What information should the nurse include in the teaching session? Select all that apply.

B! "This STD can appear in multiple areas."

D! "Annual screening is recommended for sexually active females, age 25 and younger."

E! "Condoms with spermicide can lead to increased transmission."

In this example, which clinical finding of the cervix is indicated?

Strawberry

In these examples, which STD is depicted?

Secondary syphilis

A patient has been screened for HIV with an ELISA test. Results are positive. What priority action should the nurse anticipate?

D. Western Blot test needs to be ordered.