Chapter 54: Sexually Transmitted Infections

Chapter 54: Sexually Transmitted Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl). What will the nurse teach the patient about this medication?

a.	“Abstain from sexual intercourse while taking this medication.”
b.	“Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription.”
c.	“Take this medication on an empty stomach to increase absorption.”
d.	“Topical preparations are ineffective for treating bacterial vaginosis.”

 

 

ANS:   B

Metronidazole can cause a disulfiram-like reaction when taken with alcohol, so patients should be cautioned against using foods or drug products that contain alcohol. There is no need to abstain from sexual intercourse. Metronidazole should be taken with food. The topical preparation is effective against bacterial vaginosis.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 804

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. The nurse is teaching the parent of an 11-year-old girl about the Gardasil vaccine. What will the nurse include in teaching?

a.	“Gardasil is given to females and not to males.”
b.	“Gardasil protects against cervical dysplasia.”
c.	“Gardasil reduces the need for routine Pap smears.”
d.	“Gardasil will be given as a single injection.”

 

 

ANS:   B

Gardasil protects against human papillomavirus, which is a cause of cervical dysplasia and cancer. It is offered to both females and males. The vaccine does not decrease the need for regular cervical cancer screening. It is given in a 3-vaccine series, with the second dose in 2 months and the third dose in 6 months.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 7

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient is taking azithromycin to treat a chancroid infection. What nonpharmacologic measures will the nurse recommend as adjunct therapy to treat this infection?

a.	Apply a bacteriostatic ointment to the lesions twice daily.
b.	Avoid washing the lesions to prevent spread of the infection.
c.	Cover the lesions with gauze at all times to minimize discomfort.
d.	Use compresses to remove necrotic material and clean the lesions three times daily.

 

 

ANS:   D

Patients should be counseled to cleanse the lesions three times daily and to use compresses to remove necrotic material. It is not necessary to apply bacteriostatic ointment or to cover the lesions with gauze. Washing the lesions is recommended.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 803

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A woman is diagnosed with gonorrhea and asks the nurse about treatment. Which statement will the nurse include in teaching?

a.	“Ceftriaxone IM is prescribed.”
b.	“Erythromycin ointment is prescribed.”
c.	“IM ceftriaxone and oral azithromycin are prescribed.”
d.	“Oral doxycycline is prescribed.”

 

 

ANS:   C

A single dose of IM ceftriaxone and a single dose of azithromycin are prescribed for gonorrhea. The use of two drugs improves treatment efficacy and slows the development of drug resistance. Erythromycin ophthalmic ointment is used on the neonate.

 

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 805

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies