Nokea
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.
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Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?
- A. You must inform all sexual partners.
- B. Keep lesions dry with alcohol or peroxide.
- C. Wear loose underwear to promote air circulation.
- D. Use a condom during sexual activity.
Correct Answer: A
Rationale: The spread of the infection could quickly multiply if the client's sexual partners are infected and continue to spread the virus to others; thus, it is most important to emphasize that all sexual partners must be informed. All of the other options are correct but not most important.
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.
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.
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STI's) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
- A. Genital herpes
- B. Hepatitis B
- C. Syphilis
- D. Condylomata acuminata
Correct Answer: C
Rationale: The law mandates reporting of syphilis, chlamydia, gonorrhea, chancroid, and HIV/Aids, hepatitis B, and Zika virus. Genital herpes, venereal warts (condylomata acuminata), granuloma inguinale, and lymphogranuloma venereum are not reportable by law.
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?
- A. Acyclovir
- B. Ceftriaxone
- C. Podophyllum resin
- D. Tetracycline
Correct Answer: D
Rationale: Clients who are allergic to penicillin are given a 14-day regimen of tetracycline or doxycycline. Acyclovir is used to treat genital herpes. Ceftriaxone may be used for gonorrhea. Podophyllum resin is used to treat genital warts.