Nokea
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.
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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 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.
The nurse is giving a presentation about chlamydia to a group of adult women. Which female client should the nurse use as an example of an individual for whom annual screening is recommended?
- A. 43-year-old client who practices consistent condom use
- B. 32-year old client with one long-term, exclusive sex partner
- C. 23-year-old client who is not sexually active
- D. 18-year old client who is pregnant
Correct Answer: D
Rationale: The US Preventive Services Task Force (2021) recommends annual screening for chlamydia for all pregnant and nonpregnant sexually active women younger than 24 years. It is not recommended to conduct screening for the client who practices condom use and the client with one long-term, exclusive sex partner, as they are both over 24 years old. The 23-year-old client is not sexually active and therefore does not require an annual screening.
The nurse is instructing an adolescent female client who is not sexually active on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?
- A. Hepatitis B
- B. Human papilloma viral (HPV)
- C. Herpes zoster
- D. Meningococcal
Correct Answer: B
Rationale: Human papilloma viral (HPV) infection is the most commonly transmitted sexual disease in the United States. A strain of this infection can cause cervical cancer. An HPV vaccine is available to both females and males. For females, the vaccine decreases the risk of cervical cancer and genital warts. For males, the vaccine decreases the risk of genital warts and anal cancers. Hepatitis B vaccine protects against a liver disease. Herpes zoster is the vaccine for shingles. The meningococcal vaccine protects against several diseases including meningitis.
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.