Nokea
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?
- A. Acyclovir
- B. Ceftriaxone
- C. Podophyllum resin
- D. Tetracycline
Correct Answer: D
Rationale: Clients who are allergic to penicillin are given a 14-day regimen of tetracycline or doxycycline. Acyclovir is used to treat genital herpes. Ceftriaxone may be used for gonorrhea. Podophyllum resin is used to treat genital warts.
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A female client with an anal gonorrhea infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would predict which symptom as most likely to develop as the microorganism disseminates throughout the body?
- A. Painful joints
- B. Sore throat
- C. Intermenstrual bleeding
- D. Painful urination
Correct Answer: A
Rationale: The client with an anal gonorrhea infection experiences symptoms of gonorrhea where the microorganism has invaded the rectum. After the microorganism disseminates throughout the body, the client may manifest a skin rash, fever, and painful joints. Other symptoms such as infections of the urinary tract or vagina, sore throat, intermenstrual bleeding due to cervicitis, and painful urination are associated with the organism's invasion of those structures, depending on the nature of the sexual contact.
The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, requires correction from the nurse?
- A. If I use barrier protection, it will reduce my risk of exposure to STIs.
- B. You cannot always know everything about a person.
- C. I consider myself protected because I am on birth control pills.
- D. I refrain from sexual contact or use protection to keep myself safe.
Correct Answer: C
Rationale: The nurse is most correct to clarify that although birth control pills are effective at preventing pregnancy, they do not prevent against exposure to STIs. The other statements have no inaccurate content as can be determined at this time.
The nurse is providing teaching for a client newly diagnosed with a sexually transmitted infection. Which instruction is most helpful to prevent autoinoculation of the STI?
- A. Pat lesions instead of scratching.
- B. Use different sections of a towel to dry areas with lesions.
- C. Perform thorough handwashing.
- D. Do not share personal items with others.
Correct Answer: C
Rationale: Autoinoculation means to 'self-infect.' The nurse is most helpful to stress that handwashing helps prevent the spread of infection to others and to other parts of one's own body. Patting lesions can still spread the infection. The client should use a different towel to clean non-infected parts of the body. Sharing personal items spreads the infection to others.
The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?
- A. Having one sexual partner
- B. Abstinence
- C. Use a latex condom with a spermicide.
- D. Urinating after sexual intercourse
Correct Answer: C
Rationale: The nurse is most correct to instruct the sexually active client on the proper use of a latex condom. A latex condom with nonoxynol-9 is best to be used when having oral, vaginal, or anal intercourse. Having one sexual partner does not mean that the partner does not have a sexually transmitted infection. The client states being sexually active, thus, abstinence is not an option. Urinating after intercourse reduces the risk of an STI, however, providing a barrier between the partners is a better option.
The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point is most important for the nurse to emphasize?
- A. Common age-groups for clients with sexually transmitted diseases are in their late teens and 20s.
- B. Many people are asymptomatic and show no symptoms contributing to the spread of the disease.
- C. Some sexually transmitted diseases can cause infertility caused by scarring of reproductive organs.
- D. Some sexually transmitted diseases can be transmitted to newborns through the birth canal.
Correct Answer: B
Rationale: The nurse is most correct to emphasize information regarding prevention of sexually transmitted diseases. The information that many people are asymptomatic and show no symptoms is an important point to stress. Common age-groups are an interesting fact. Repercussions of the disease are also important to highlight; however, prevention is most important.