STD

43問 • 2年前

問題一覧

A nurse is teaching a client with genital herpes. Education for this client should include an explanation of:

Importance of informing his partners of the disease.

Katrina Sterrett, a 26-year-old preschool teacher, is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and up- coming wedding. She is returning for her results and is devastated tolearnthatshehasthesexually-transmittedinfection,gonorrhea. What would contribute to her ignorance of her condition?

Being asymptomatic

Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact upon public health. Which is the fastest-spread- ing bacterial STI in the United States?

Chlamydia

A nurse is caring for a client diagnosed with a chlamydia infection. The nurse teaches the client about disease transmission and advises the client to inform his sexual partners of the infection. The client refuses, stating, "This is my business and I'm not telling anyone. Beside, chlamydia doesn't cause any harm like the other STDs." How should the nurse proceed?

Educate the client about why it's important to inform sexual contacts so they can receive treatment.

A nurse is teaching a health class to a group of clients likely to be at highest risk for gonorrhea. What is the age range of the clients?

15 to 24 years

A 16-year-old patient comes to the free clinic and is diagnosed with primary syphilis. The patient states that she contracted this disease by holding hands with someone who has syphilis. What is the most appropriate nursing diagnosis for this patient?

Knowledge deficit related to modes of transmission.

A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:

human papillomavirus (HPV)

A female college student is distressed at the recent appearance of genital warts, an assessment finding that her care provider has confirmed as attributable to human papillomavirus (HPV) infection. Which of the following information should the nurse give the patient?

There is a chance that these will clear up on their own without any tx

A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe?

Ceftriaxone

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

Inform all potential sexual partners about the infection, even if its inactive.

A male client reports urethral pain and a creamy yellow, bloody discharge from the penis. The nurse associates these character- istics with which of the following sexually transmitted infections?

Gonorrhea

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Tetracycline

After teaching a group of students about sexually transmitted in- fections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

Genital herpes

A student nurse is caring for a male patient diagnosed with gon- orrhea. The patient is receiving ceftriaxone and doxycycline. The nursing instructor asks the student why the patient is receiving two antibiotics. What is the student nurse's best response?

Many people infected with gonorrhea are infected with chlamydia as well

A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding?

Genital chancres

A patient has herpes simplex 2 viral infection (HSV-2). The nurse recognizes that which of the following should be included in teaching the patient?

Treatment is focused on relieving symptoms

A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?

Foul smelling discharge from the penis

Max Thornton, a 24-year-old chef, is being seen by a physician at the urology group where you practice nursing. He has developed a painless ulcer on his penis and is rather concerned about his health. The urologist will be communicating his diagnosis of syphilis and prescribing treatment. What is the typical span of time between infection and developing symptoms with syphilis?

21 Days

A client is diagnosed with chlamydia and is distraught. "How can I have this problem? I don't have any symptoms!" she says. The nurse teaches the client that the percentage of women with chlamydia who are asymptomatic is as high as

75%

A nurse is teaching a community health class of women and explains that a sexually transmitted infection (STI) is associated with an increased risk of infertility in women.Which of the following STIs would the nurse identify?

Chlamydia

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Syphilis

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate?

Even though you don't have symptoms, you could still spread the infection

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?

Five different sexual partners

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?

A nurse is assessing a woman with vaginal discharge. The nurse suspects bacterial vaginosis when the client states which of the following?

I noticed a strange fishy odor during my period

A nurse is developing a plan of care for a female client experiencing her first outbreak of genital herpes. Which nursing diagnosis would the nurse most likely identify as the priority?

Acute pain related to the development of the genital lesions

The nurse is gathering data from a male client who is suspected of having gonorrhea. Which of the following would the nurse most likely find?

Pain on urination

A nurse is assisting with a physical examination of a male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes?

Itching, pain, and the emergence of pustules on the penis

A nurse is providing care to a client with chlamydia. The nurse anticipates that the client will also receive treatment for which of the following?

Gonorrhea

When teaching a patient infected with HIV regarding transmission of the virus to others, which of the following statements made by the patient would identify a need for further education?

I will need to isolate any tissues I use so as not to infect my family.

A hospital has seen a recent increase in the incidence of hos- pital-acquired infections (HAIs). Which of the following measures should be prioritized in the response to this trend?

Frequent and thorough hand washing

A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea has presented at the clinic. The student knows that the care plan for this patient should be include what in the treatment of gonorrhea?

Concurrent treatment for chlamydia

A mother brings her young child to the clinic for an evaluation of an infection. The mother states, "He's been taking antibiotics now for more than 2 months and still doesn't seem any better. It's like he's always sick." During the history and physical examination, which of the following would alert the nurse to suspect a primary immunodeficiency?

Ten ear infections in the past year

Which information would be most appropriate for a nurse to pro- vide to a client who has never used a condom?

A new condom should be used for each sex act

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?

Painful joints

A patient comes to the free clinic complaining of urethral dis- charge. On assessment, the nurse notes that the patient is fever- ish. During the assessment, the patient admits to having unpro- tected sex. The nurse suspects the patient may have a diagnosis of what?

Gonorrhea

In her regular CD counts, what factor will indicate she has progressed from HIV to AIDS?

CD count <200/mm

After teaching a client with immunodeficiency about ways to pre- vent infection, the nurse determines that teaching was successful when the client states which of the following?

I should avoid being around other people who have an infection.

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

Human papilloma virus

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate?

There is no cure, but drug therapy helps to reduce symptoms and recurrences

A client visits the nurse complaining of diarrhea every time they eat. The client has AIDS and wants to know what they can do to stop having diarrhea. What should the nurse advise?

Avoid residue, lactose, fat, and caffeine

A client is prescribed didanosine (Videx) as part of his highly active antiretroviral therapy (HAART). Which instruction would the nurse emphasize with this client?

Be sure to take this drug about 1/2 hour before or 2 hours after you eat

When developing the plan of care for a client with a primary immunodeficiency, which nursing diagnosis would be the priority?

Risk for infections related to altered immune cell function

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NCM 112 QUIZZES PERIOP

ユーザ名非公開 · 39問 · 1年前

NCM 112 QUIZZES PERIOP

39問 • 1年前

ユーザ名非公開

問題一覧

A nurse is teaching a client with genital herpes. Education for this client should include an explanation of:

Importance of informing his partners of the disease.

Being asymptomatic

Chlamydia

Educate the client about why it's important to inform sexual contacts so they can receive treatment.

A nurse is teaching a health class to a group of clients likely to be at highest risk for gonorrhea. What is the age range of the clients?

15 to 24 years

Knowledge deficit related to modes of transmission.

A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:

human papillomavirus (HPV)

There is a chance that these will clear up on their own without any tx

A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe?

Ceftriaxone

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

Inform all potential sexual partners about the infection, even if its inactive.

A male client reports urethral pain and a creamy yellow, bloody discharge from the penis. The nurse associates these character- istics with which of the following sexually transmitted infections?

Gonorrhea

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Tetracycline

Genital herpes

Many people infected with gonorrhea are infected with chlamydia as well

A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding?

Genital chancres

A patient has herpes simplex 2 viral infection (HSV-2). The nurse recognizes that which of the following should be included in teaching the patient?

Treatment is focused on relieving symptoms

A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?

Foul smelling discharge from the penis

21 Days

75%

Chlamydia

Syphilis

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate?

Even though you don't have symptoms, you could still spread the infection

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?

Five different sexual partners

A nurse is assessing a woman with vaginal discharge. The nurse suspects bacterial vaginosis when the client states which of the following?

I noticed a strange fishy odor during my period

A nurse is developing a plan of care for a female client experiencing her first outbreak of genital herpes. Which nursing diagnosis would the nurse most likely identify as the priority?

Acute pain related to the development of the genital lesions

The nurse is gathering data from a male client who is suspected of having gonorrhea. Which of the following would the nurse most likely find?

Pain on urination

A nurse is assisting with a physical examination of a male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes?

Itching, pain, and the emergence of pustules on the penis

A nurse is providing care to a client with chlamydia. The nurse anticipates that the client will also receive treatment for which of the following?

Gonorrhea

When teaching a patient infected with HIV regarding transmission of the virus to others, which of the following statements made by the patient would identify a need for further education?

I will need to isolate any tissues I use so as not to infect my family.

A hospital has seen a recent increase in the incidence of hos- pital-acquired infections (HAIs). Which of the following measures should be prioritized in the response to this trend?

Frequent and thorough hand washing

Concurrent treatment for chlamydia

Ten ear infections in the past year

Which information would be most appropriate for a nurse to pro- vide to a client who has never used a condom?

A new condom should be used for each sex act

Painful joints

Gonorrhea

In her regular CD counts, what factor will indicate she has progressed from HIV to AIDS?

CD count <200/mm

After teaching a client with immunodeficiency about ways to pre- vent infection, the nurse determines that teaching was successful when the client states which of the following?

I should avoid being around other people who have an infection.

Human papilloma virus

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate?

There is no cure, but drug therapy helps to reduce symptoms and recurrences

A client visits the nurse complaining of diarrhea every time they eat. The client has AIDS and wants to know what they can do to stop having diarrhea. What should the nurse advise?

Avoid residue, lactose, fat, and caffeine

A client is prescribed didanosine (Videx) as part of his highly active antiretroviral therapy (HAART). Which instruction would the nurse emphasize with this client?

Be sure to take this drug about 1/2 hour before or 2 hours after you eat

When developing the plan of care for a client with a primary immunodeficiency, which nursing diagnosis would be the priority?

Risk for infections related to altered immune cell function