Chapter 94: Drug Therapy of Sexually Transmitted Diseases

Chapter 94: Drug Therapy of Sexually Transmitted Diseases

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A 6-year-old girl is brought to the emergency department. Upon assessment of the patient, the nurse finds swollen, tender buboes and enlarged genitalia. The nurse understands that these findings are consistent with

a.	gonorrhea.
b.	bubonic plague.
c.	syphilis.
d.	lymphogranuloma venereum.

 

 

ANS:   D

Swollen, tender buboes and enlarged genitalia are consistent with lymphogranuloma venereum.

Signs and symptoms of gonorrhea range from mild cervicitis to burning upon urination, cutaneous lesions, and others.

Nothing indicates that this child has been exposed to bubonic plague, which is not typically (if ever) seen in the United States.

Syphilis manifests in various stages; chancres develop, and nearby lymph nodes may become swollen. However enlarged genitalia is not a symptom.

 

DIF:    Cognitive Level: Analysis                  REF:    pp. 1135-1136

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

 

2. An adolescent patient comes to the clinic complaining of a burning sensation upon urination and a puslike discharge from the penis. The nurse is correct to suspect that the patient has

a.	syphilis.
b.	nongonococcal urethritis.
c.	herpes simplex.
d.	gonorrhea.

 

 

ANS:   D

This patient has signs and symptoms consistent with gonorrhea.

Syphilis is characterized by chancres and skin lesions.

Nongonococcal urethritis results in ulcers on the urethral site.

Herpes simplex manifests as vesicles on the penis or testes (or both) with a watery discharge.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 1136

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation

 

3. A female patient with a history of Chlamydia trachomatis infection has just given birth. The nurse understands that the infant should receive

a.	erythromycin succinate.
b.	ofloxacin (Floxin).
c.	ceftriaxone (Rocephin).
d.	doxycycline (Vibramycin).

 

 

ANS:   A

Infants born to women with cervical C. trachomatis are at risk for conjunctivitis and pneumonia. The preferred treatment for both infections is systematic erythromycin succinate or erythromycin base.

Ofloxacin is not indicated for treatment of pneumonia in infants.

Ceftriaxone is not indicated in the treatment of chlamydia in infants.

Doxycycline is indicated for adults and adolescents, but not for infants.

 

DIF:    Cognitive Level: Application             REF:    p. 1132

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

4. When antibiotic therapy for pelvic inflammatory disease (PID) is to be continued orally at home after discharge, the nurse must inform the patient of the importance of taking the medication for _____ days.

a.	5
b.	7
c.	10
d.	14

 

 

ANS:   D

The medication should be taken for 14 days.

The medication should be taken for 14 days, not 5, 7, or 10 days.

 

DIF:    Cognitive Level: Application             REF:    p. 1137

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential