Nokea
The nurse is caring for a female client diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for women obtaining infections more frequently than men?
- A. The vagina is more conducive to microbial growth.
- B. Menstrual flow provides the medium for growth.
- C. Women have a more difficult time with hygiene.
- D. Hormones alter the pH of the vagina.
Correct Answer: A
Rationale: The vagina's warm, moist environment is more conducive to microbial growth compared to male anatomy, increasing the likelihood of infections in women. Menstrual flow may facilitate bacterial growth but is not the primary reason. Hygiene practices vary individually and are not a primary cause. Hormonal changes can alter vaginal pH, but the vaginal environment itself is the key factor.
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The nurse is evaluating the therapeutic outcome of medication therapy for a client with herpes simplex virus (HSV). Which client statement best confirms medication use?
- A. I take my medication per physician's order.
- B. I seem to have fewer breakouts with fewer symptoms.
- C. I am able to take the medication with food to prevent nausea.
- D. I feel that things are going better in my life.
Correct Answer: B
Rationale: The best evidence confirming a therapeutic outcome of medication use is the client's statement of having less symptom breakouts and fewer symptoms. This indicates that the medication is being effective to contain the disease. It is good that the client administers the medications per physician's order and is able to tolerate the medication with food. Although it is a positive statement that things are going better in the client's life, it does not necessarily mean that the effect stems from the medication therapy.
The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse?
- A. Your partner could have been asymptomatic at that time.
- B. You should have asked your partner if they have any infections.
- C. Sexually transmitted infections have obvious signs of their presence.
- D. Your partner should have told you of a previous infection.
Correct Answer: A
Rationale: The nurse is most correct to support the client and provide information on how the infection could have been spread. It is true that the client's partner could have been asymptomatic during their sexual contact. The nurse should not be judgmental or accusing in nature as in the other responses.
The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?
- A. Have you had sexual relations with anyone?
- B. Are you allergic to penicillin?
- C. When did you first notice symptoms?
- D. Are you having any pain?
Correct Answer: B
Rationale: The nurse's first question focuses on the treatment needed, which is the dose of penicillin. The other questions are valid questions, which can be asked later.
The nurse is caring for a group of clients at a public health clinic. For which sexually transmitted disease would the nurse focus the client education on curative goals?
- A. Chlamydia
- B. HIV
- C. HPV
- D. Genital herpes
Correct Answer: A
Rationale: Chlamydia is a common and fast-spreading bacterium. Because it is a bacterium, with proper treatment, chlamydia is able to be cured. Sexually transmitted diseases that are viruses, such as HIV, HPV, and herpes, can lie dormant in the body and thus are difficult to treat.
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.