Nokea
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.
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During a sexual history, the client states that having had multiple sex partners. Which statement by the nurse is appropriate?
- A. You are putting yourself at risk when you have multiple sex partners.
- B. The chance of acquiring a sexually transmitted disease increases with multiple sex partners.
- C. It is hard to find a good partner these days.
- D. What do you do to prevent sexually transmitted infections?
Correct Answer: D
Rationale: The nurse must obtain the client's feedback in a nonjudgmental way to open communication. When communication is open, the nurse has the best potential to provide nursing instruction and emphasize key points. Being judgmental or introducing the nurse's opinion does not promote therapeutic communication.
Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time?
- A. Chlamydia
- B. Herpes infection
- C. Gonorrhea
- D. Syphilis
Correct Answer: B
Rationale: The nurse is most accurate to highlight the herpes infection as the virus can remain dormant in the ganglia of the nerves. Symptoms are usually more severe with the initial outbreak. Subsequent episodes are usually shorter and less intense. The other infections are important to note in the history.
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.
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.
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which as the cause of condylomata?
- A. Herpes virus
- B. Human papilloma virus
- C. Treponema pallidum
- D. Hemophilus ducreyi bacillus
Correct Answer: B
Rationale: Genital warts or condylomata are caused by the human papilloma virus (HPV). Herpes virus causes genital herpes. Treponema pallidum is the cause of syphilis. Hemophilus ducreyi bacillus is the cause of chancroid.