Chapter 44. Nursing Care of Patients With Sexually Transmitted Infections

Chapter 44. Nursing Care of Patients With Sexually Transmitted Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   During data collection the nurse notes the presence of a chancre on a male patient’s penis. For which sexually transmitted infection should the nurse focus additional data collection?

a.	Herpes
b.	Syphilis
c.	Gonorrhea
d.	Chlamydia

 

 

____     2.   A patient is diagnosed with a parasitic infection caused by close contact with another person’s genitals. For which infection should the nurse plan care?

a.	Phthirus pubis
b.	Treponema pallidum
c.	Neisseria gonorrhoeae
d.	Chlamydia trachomatis

 

 

____     3.   It is documented in the medical record that a patient has gummas. For which sexually transmitted infection should the nurse plan care?

a.	Syphilis
b.	Gonorrhea
c.	Chlamydia
d.	Genital herpes

 

 

____     4.   The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI). She says, “I don’t understand. My boyfriend always wears a condom.” Which understanding by the nurse should guide teaching in this situation?

a.	Condoms are a reliable source of protection against STIs.
b.	It is a myth that condoms provide any protection against STIs.
c.	Condoms can decrease the risk of STIs, but they are not foolproof.
d.	Condoms must be used with a spermicide to guarantee protection against STIs.

 

 

____     5.   The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term should the nurse use to describe these lesions to the patient?

a.	Warts
b.	Rashes
c.	Blisters
d.	Papules

 

MULTIPLE CHOICE

 

1. ANS:  B

The primary stage of syphilis begins with the entry of the Treponema pallidum spirochete through the skin or mucous membranes. Between 3 and 90 days later, a papule develops at the site of entry, then sloughs off, leaving a painless, red, ulcerated area called a chancre. A. Herpes is associated with vesicular skin lesions. C. D. Gonorrhea and Chlamydia are not associated with skin lesions.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

 

2. ANS:  A

Genital parasites are not a true sexually transmitted infection (STI), but they may be transmitted during close body contact. The two most commonly seen parasites are pubic lice (Phthirus pubis, commonly called “crabs” because of the shape of the lice) and scabies (Sarcoptes scabiei). B. C. D. Treponema pallidum, Neisseria gonorrhoeae, and Chlamydia trachomatis are not parasites.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

 

3. ANS:  A

In the tertiary stage of syphilis, the spirochete may form gummas, which are tumors of a rubbery consistency that can break down and ulcerate, leaving holes in body tissues. D. Herpes is associated with vesicular skin lesions. B. C. Gonorrhea and Chlamydia are not associated with skin lesions.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

 

4. ANS:  C

Condoms can greatly decrease the risk of STIs, but condoms can have tiny channels in the rubber (or other elastic material) that can allow microorganisms to pass through. Condoms can break, slip off, or be applied improperly. Petroleum-based lubricants may weaken latex condoms. A. Condoms do not provide a barrier for any area other than the penis and most of the vagina (or anus). B. Some STIs may still be transmitted by contact of surrounding uncovered tissues. D. Spermicide helps protect against pregnancy.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

5. ANS:  C

Vesicles are small blisters. A. B. D. Warts, rashes, and papules do not have the same characteristics.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application