Nokea
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.
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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 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.
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.
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 addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which is the main reason that statistics are underreported?
- A. Clients do not often seek treatment for STIs.
- B. Only certain STIs are reported to the Centers for Disease Control and Prevention.
- C. Poor communication is suffered between their physician offices and reporting agency.
- D. Reporting physicians are afraid of being sued for a breach in confidentiality.
Correct Answer: B
Rationale: The nurse is most correct to state that only certain sexually transmitted infections are mandated to be reported to the Centers for Disease Control and Prevention, thus providing incomplete data. Most clients with an infection report for treatment to a physician's office, clinic, or emergency department. Although communication between government agencies and local offices can always be improved, mandated reporting is specific to the information needed. There is no breach in confidentiality.