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A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge. Because the results from the culture of the cervical cells are not available, the client will be treated for both Chlamydia and gonorrhea. Which question by the nurse is best?
- A. Do you have a history of sexually transmitted disease?
- B. When was your last sexual encounter?
- C. What did your symptoms begin?
- D. What are the names of your recent sexual partners?
Correct Answer: D
Rationale: Identifying and treating sexual partners is critical to prevent the spread of Chlamydia and gonorrhea. While history, timing of last encounter, and symptom onset are useful, contacting and treating partners is the priority to break the chain of transmission.
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A nurse is assessing a client who presents with a scale in rash over the palms and soles of the feet and the feel, a client is assessing a client who presents with a scale in syphilis. Which statement of the nurse is appropriate?
- A. Reasure the client that this stage is not infectious unless she is pregnant.
- B. Assess the client that he is not being generalized weakness.
- C. Data gives and further assess the clients, lesions.
- D. Take a history regarding any cardiovascular symptoms.
Correct Answer: C
Rationale: The client's symptoms suggest secondary syphilis, characterized by a rash on the palms and soles due to spirochetes in the bloodstream. Further assessment of lesions is critical to confirm the diagnosis and guide treatment. Reassuring about non-infectiousness is incorrect, as secondary syphilis is highly infectious, and cardiovascular symptoms are more relevant in tertiary syphilis.
The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
- A. Sitz baths three times a day may help ease the pain.
- B. I can use anesthetic sprays or ointments for relief.
- C. Wearing loose clothing can reduce irritation.
- D. I really should try to limit irritation due to the pain.
Correct Answer: D
Rationale: The statement about limiting irritation due to pain is vague and suggests a misunderstanding of specific comfort measures. Sitz baths, anesthetic sprays, and loose clothing are appropriate measures to reduce discomfort and irritation from genital herpes lesions.
A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STD's) seem in practice. Which statement by the student indicates a lack of understanding?
- A. There are improved techniques to diagnose an STD used in practice.
- B. There is increased incidence of sexual abuse and sexual trafficking.
- C. Females feel safe using oral agents rather than a condom as contraception.
- D. The organisms causing STD's are all becoming more virulent.
Correct Answer: D
Rationale: There is no evidence that the organisms that cause STDs are becoming more virulent. Improved diagnostic techniques, increased incidence of sexual abuse and trafficking, and reliance on oral contraceptives without condoms contribute to the rise in STDs, as they reflect real trends or misconceptions.
Before marriage, a female client has a blood test drawn for syphilis. The test reveals a positive Venereal infection. What information should the nurse give the client?
- A. Check with your future husband about last sexual activity.
- B. You must determine if you are pregnant at this time.
- C. Submit to a more specific treppmental test to confirm the infection.
- D. Agree to a benzathline penicillin G injection in multiple doses.
Correct Answer: C
Rationale: A positive syphilis screening test may be a false positive due to conditions like hepatitis or lupus. A more specific treponemal test, such as the fluorescent treponemal antibody absorption test, is needed to confirm the diagnosis before treatment. Checking sexual activity or pregnancy status is secondary, and multiple doses of penicillin are not standard for early syphilis.
A 19-year-old college student seeks information from the school's nurse about how to avoid sexually transmitted diseases (STDs) without abstinence as a choice. Which statement by the nurse is best?
- A. Urinating after intercourse will eliminate the risk of infection.
- B. A vaccine can prevent the sexually transmitted by some amount of the human papilloma virus (HPV).
- C. Oral contraception can prevent pregnancy and STDs.
- D. Good handwashing helps prevent infection associated with STDs.
Correct Answer: B
Rationale: The HPV vaccine (Gardasil) protects against high-risk HPV strains, reducing the risk of cervical cancer and genital warts. Urination after intercourse may reduce but does not eliminate infection risk. Oral contraceptives do not prevent STDs, and handwashing, while hygienic, is not a primary STD prevention method.