Nokea
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.
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The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?
- A. Administer an intravenous antibiotic to the mom while in labor.
- B. Complete a full assessment of the newborn on delivery.
- C. Prepare for a cesarean section.
- D. Place an antibacterial ointment on the mother's lesions.
Correct Answer: C
Rationale: The nurse is most accurate to prepare for a cesarean section because the mother has an active lesion and does not want to transmit the virus to the newborn. Antibiotic therapy does not prevent the transmission of the infection. A full assessment is always completed on the newborn and is not an adjustment in the plan of care. Antibacterial ointment is not placed on the mother's lesions.
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 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.
A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which response would be appropriate?
- A. Use a condom during sexual activity if the infection becomes active again.
- B. If the infection has healed, you probably don't have to use a condom.
- C. Inform all potential sexual partners about the infection, even if it is inactive.
- D. Refrain from all sexual activity until you don't have another outbreak for a year.
Correct Answer: C
Rationale: The nurse should advise the client to inform all potential sexual partners of the HSV infection even if it is in an inactive state. The nurse should also advise the client to use a condom during sexual activity even if the disease is dormant and to avoid sexual contact if the infection is active. Condoms do not protect skin and mucous membranes left exposed.
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.