Term 3 MS II Quiz 2 STI and meds

A patient has been diagnosed with herpes simplex. What is the HIGHEST priority nursing action related to this diagnosis?

Ensure that the patient notifies his sexual contacts of the diagnosis.

A patient has been diagnosed with gonorrhea. He tells the nurse that he has been taking his medication and is no longer symptomatic. What should be the HIGHEST priority instruction that the LPN provides to the patient?

Take all of prescribed medication even if symptoms are gone.

A patient is scheduled to be treated with penicillin G (Bicillin). What should be the HIGHEST priority postadministration action by the licensed practical nurse (LPN)?

Monitor the patient for 30 minutes for an allergic reaction.

An LPN is teaching a patient about taking metronidazole (Flagyl). Which statement by the patient indicates a need for further teaching?

"I can still drink a beer every night."

A patient has been diagnosed with primary syphilis. What should be the HIGHEST priority nursing action related to the administration of the medication used to treat this disease?

Observe the patient for 30 minutes for allergic reactions.

A male patient is newly diagnosed with HIV and is informed that he needs to wear condoms. Which statement by the patient would suggest that further education is required?

"I am not going to be able to use spermicidal agents."

Which infections are classified as sexually transmitted infections?

Chlamydia, gonorrhea, cytomegalovirus, and hepatitis B

A patient with bacterial vaginosis is being treated with metronidazole (Flagyl). A few days after beginning the treatment, the patient begins to experience vomiting and has a blood pressure of 90/60 mm Hg and a pulse of 110 beats/min. What would the nurse suspect?

The patient has consumed alcohol and is experiencing a disulfiram-like reaction.

A patient comes to the outpatient clinic and is diagnosed with gonorrhea. What initial treatment would the nurse anticipate will be initiated?

Ceftriaxone (Rocephin) and cefixime (Suprax)

A patient is diagnosed with Chlamydia. What should the nurse recognize as the priority for optimizing the patient's health?

Diagnostic testing for other STIs

The nursing supervisor becomes concerned after overhearing a nurse state, "People who get sexually transmitted infections (STIs) deserve whatever happens to them. They shouldn't have been engaging in promiscuous behavior." Which statement best describes the reason the nursing supervisor is concerned?

Patients may be reluctant to seek care when they fear being judged.

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?

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?

Genital discharge

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

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?

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?

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?

Making a judgmental statement

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

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?

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?

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?

Follow up to determine if the treatment was effective.

A couple comes to the emergency department for the treatment of an STI. The mans 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?

Chlamydial infection

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

The delivery may be accomplished vaginally.

Which method is used to identify organisms of gonorrhea?

Smears and cultures

A gynecologist caring for a pregnant patient who has gonorrhea prescribed cefixime (Suprax) instead of the more common tetracycline hydrochloride (Achromycin). What is the rationale for this decision?

Achromycin is contraindicated in a patient who is pregnant.

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

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?

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 nurses best response?

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

What is characteristic of the primary stage syphilis?

Chancre

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

Cervical cancer

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

Acyclovir (Zovirax)

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

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?

Place a warm compress on the area.

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

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?

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.)

-HIV

-Acquired immunodeficiency syndrome (AIDS)

-Gonorrhea

-Viral hepatitis

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

-Heart

-Meninges

-Skin

-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.)

-Judgment by health care workers

-Identifying self as infected

-Rejection by contacts

-Reprisal from identified contacts

A patient who is using imiquimod (Aldara) for genital warts asks the outpatient clinic nurse how long she must use the medication. The nurse replies that she must apply the medication for _____ weeks.

16

Which of the following is the purpose of reporting STIs?

To reduce transmission of the infection by treating all infected persons

Nurses in the newborn nursery anticipate that erythromycin ophthalmic ointment will be ordered for the newborn of a mother who has (SATA):

-chlamydia

-gonorrhea

A patient who was diagnosed with gonorrhea did not return for treatment. When contacted, she reported that her symptoms had gone away so she thought she had recovered from the infection. The most appropriate response by the nurse would be which of the following?

"Without treatment, the bacteria remain in your body and you remain highly infectious."

A patient whom was admitted to the hospital after an injury is diagnosed with syphilis in the primary stage. During the nursing assessment, the nurse is likely to find:

A reddish papule or painless red ulcer on the genitals, anus, or mouth

The patient with untreated syphilis may develop which of the following? (SATA):

Blindness, mental illness, paralysis, heart disease

Which of the following STIs can usually be cured with antimicrobials? (SATA):

-gonorrhea

-syphilis

-trichomonas

-chlamydia

A patient is taking androgen receptor antagonists (blockers) such as glutamine (Eulexin) should know that they may experience which drug effects?

Hot flashes

A patient completed a 6-month course of danazol (Danocrine) for treatment of endometriosis. She would like to become pregnant. Which of the following is it important for her to understand?

She should not become pregnant for 1 month because danazol can cause birth defects.

The nurse is taking care of a patient with genital warts . Which medical treatment should the nurse expect the physician to use for this patient?

-cryotherapy

-surgical removal

-injection of interferon

A patient is placed on estramustine (Emeyt) for prostate cancer. What should the nurse explain a possible side effect of the medication?

Gynecomastia

What should a nurse inform a 50-year-old patient who has been prescribed nilutamide (Nilandron), a testosterone blocker, to expect while taking this drug?

Liver functions will need to be monitored.

Which medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility?

Clomiphene citrate (Clomid)

A nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER positive) and has been placed on a protocol of tamoxifen. The patient then asks the nurse, "Do you think I should take this medication?" Which statement is the most appropriate?

"Tamoxifen is an option to consider, because your tumor was ER positive."