Nokea
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.
You may also like to solve these questions
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 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.
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.
A client requesting a chlamydia test asks why it is necessary to receive a test for gonorrhea and syphilis at the same time. Which response from the nurse is the correct explanation?
- A. The symptoms of these diseases are the same, and culture tests alone can determine the disease that has infected the client.
- B. The infecting bacterium in all cases is the same, and therefore, clients have concurrent infections.
- C. The infections spread through the same medium, and therefore, clients have concurrent infections.
- D. It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).
Correct Answer: D
Rationale: It is common practice to test clients for chlamydia, gonorrhea, syphilis, and HIV because it is not unusual for clients to have concurrent infections with more than one STI. For chlamydia, the causative microorganism is a bacterium named Chlamydia trachomatis. For gonorrhea, the infection is caused by a bacterium named Neisseria gonorrhoeae. The spirochete Treponema pallidum is the causative microorganism of syphilis. The symptoms of these conditions are not identical. The causative microorganisms do not spread through the same medium.
The nurse is discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification?
- A. HPV transmission may occur when the client is asymptomatic.
- B. HPV is spread during sexual intercourse.
- C. HPV may be spread to a newborn at the time of delivery.
- D. HPV can be spread by autoinoculation.
Correct Answer: B
Rationale: The nurse is correct to clarify that sexual penetration is not necessary to transmit HPV; the warts can also be spread by autoinoculation. The other options are correct statements that need no clarification.