Chapter 41: Care of Patients with Sexually Transmitted Infections

Chapter 41: Care of Patients with Sexually Transmitted Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse cautions the homosexual man that his inflamed rectal tissue and rectal tear put him at risk for:

a.	an abscess.
b.	human immunodeficiency virus (HIV) infection.
c.	hemorrhoids.
d.	rectal hemorrhage.

 

 

ANS:  B

Open lesions and inflamed tissue increase the risk of HIV infection.

 

DIF:    Cognitive Level: Comprehension     REF:   938                OBJ:   7 (theory)

TOP:   Exposure to HIV                             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

2. The nurse instructs a sexually active teenager that frequent douching can cause:

a.	a sexually transmitted infection.
b.	bacterial vaginosis.
c.	pelvic inflammatory disease.
d.	purulent vaginitis.

 

 

ANS:  B

Bacterial vaginosis is caused when frequent douching changes the pH of the vaginal vault and creates an environment conducive to bacterial invasion. Sexually transmitted infections are not transferred by douching. Pelvic inflammatory disease is a condition that most often results from an untreated infection. Vaginitis is an inflammatory condition that does not result from douching.

 

DIF:    Cognitive Level: Comprehension     REF:   939                OBJ:   9 (theory)

TOP:   Vaginosis: Douching                       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

3. The nurse is aware that women are at a greater risk for contracting sexually transmitted infections (STIs) than men because:

a.	of longer period of time during which male secretions are in contact with female mucous membranes.
b.	estrogens make vaginal membranes more susceptible.
c.	penile friction to the vaginal wall encourages STIs.
d.	changing hormonal levels create a conducive vaginal environment.

 

 

ANS:  A

Male secretions are in contact with female mucous membranes longer than female secretions are in contact with the penis. Estrogen provides for vaginal lubrication and therefore reduces friction and tissue tearing.

 

DIF:    Cognitive Level: Comprehension     REF:   939                OBJ:   1 (theory)

TOP:   Female Incidence of STIs                KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance

 

4. The nurse cautions that infections can enter the upper genital tract as the mucous plug becomes more permeable:

a.	during intercourse.
b.	during premenstrual period.
c.	during postmenstrual period.
d.	while on oral birth control pills.

 

 

ANS:  B

The mucous plug in the cervix of women provides protection to the upper genital tract. The hormonal changes make it become more permeable around the menstrual period. This change can result in an increased risk for infections in the upper genital tract, such as pelvic inflammatory disease (PID).

 

DIF:    Cognitive Level: Comprehension     REF:   939                OBJ:   3 (clinical)

TOP:   Pelvic Inflammatory Disease: Etiology

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

5. The nurse identifies a misconception about the vaccination against human papillomavirus (HPV) when the patient says:

a.	“I know I must have three doses of the vaccine.”
b.	“Girls as young as 9 years of age may be vaccinated.”
c.	“I am relieved that the vaccine protects me from all HPV infections.”
d.	“I know I should continue having regular Pap smears.”

 

 

ANS:  C

The vaccine protects against the most prevalent infections, genital warts and precancerous cervical lesions, but not against all HPV infections. The remaining statements are correct.

 

DIF:    Cognitive Level: Application           REF:   940                OBJ:   3 (clinical)

TOP:   HPV: Vaccinations                          KEY:  Nursing Process Step: Evaluation

MSC:   NCLEX: Health Promotion and Maintenance