Nokea
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.
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The nurse is assessing an older adult client with a sexually transmitted infection (STI). Which of the following should inform the nurse's assessment?
- A. Older adults can be sexually active, and it is important to abandon biases suggesting otherwise.
- B. Older adults, because of their maturity, are rarely embarrassed to talk about this.
- C. Older adults know the ways to prevent STIs.
- D. Older adults who are sexually active have less risk for STIs than other age groups.
Correct Answer: A
Rationale: Nurses should abandon biases that older adults are sexually inactive. Therefore, when taking a health history, nurses should include questions about sexuality and behaviors that put them at risk for STIs. Older clients who are sexually active have the same risks of acquiring an STI as other age groups. Older adults who are not in monogamous relationships may not understand ways that are appropriate for preventing STIs. Some older adults with an STI are embarrassed and may not seek medical attention. Careful assessment is necessary to help the older adult receive medical treatment as quickly as possible.
The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which infection(s) does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply.
- A. Venereal warts
- B. Chlamydia
- C. Hepatitis B
- D. Syphilis
- E. HIV
- F. Gonorrhea
Correct Answer: B,C,D,E,F
Rationale: Reporting new sexually transmitted infections (STIs) to the CDC is the responsibility of either the healthcare provider or the testing laboratory. Chlamydia, syphilis, HIV, hepatitis B, and gonorrhea are all reportable infections. Venereal warts are not reportable.
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?
- A. One or two treatments should get rid of the warts.
- B. I'm temporarily not contagious once the warts are destroyed.
- C. Once the warts are gone, then I know I'm cured.
- D. My partner doesn't need to be treated.
Correct Answer: B
Rationale: Genital warts when treated chemically will most likely be eradicated after three to six cycles of treatment. Eradication does not mean the condition is cured; the person is temporarily noncontagious once the warts are destroyed. All sexual contacts of the client need to be examined and treated.
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.
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.