Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 51: Sexually Transmitted Infections
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Penicillin G |
| b. | Penicillin G today and a follow-up with another injection in 1 month |
| c. | Penicillin G today and 3 months of oral tetracycline antibiotic medications |
| d. | Penicillin G today and a 2-month protocol of oral antiviral agents |
ANS: C
The patient who has had syphilis for more than 1 year will need a long-term antimicrobial remedy, as well as an initial dose of penicillin G. Antiviral agents are not used in the treatment of a bacterial disease.
DIF: Cognitive Level: Comprehension REF: p. 1172-1173
OBJ: 4 TOP: Drug Protocol for Syphilis
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Pharmacological Therapies
| a. | Lethargy and fatigue |
| b. | Genital discharge |
| c. | Abdominal cramps |
| d. | Heavy menses |
ANS: B
With an STI, the patient usually complains of genital discharge.
DIF: Cognitive Level: Application REF: p. 1176 OBJ: 7
TOP: Collecting Data KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Physiological Adaptation
| a. | Avoid telling anyone about the condition. |
| b. | Wear close-fitting undergarments. |
| c. | Wash towels and personal items daily. |
| d. | Soak the sores with peroxide every day. |
ANS: C
Inform the patient that the virus can survive on objects such as towels.
DIF: Cognitive Level: Application REF: p. 1174 OBJ: 8
TOP: Herpes Simplex Virus, Type 2 KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | Fever and bone marrow suppression |
| b. | Vaginal burning and skin irritation |
| c. | Dizziness, headache, and nausea |
| d. | Leukopenia and peripheral neuropathy |
ANS: C
Side effects include dizziness, headache, nausea and vomiting, renal failure, and seizures.
DIF: Cognitive Level: Comprehension REF: p. 1168 OBJ: 6
TOP: Drugs to Treat STIs KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | It produces no symptoms in half of those in the early stages of the infection. |
| b. | It always produces a foul vaginal discharge. |
| c. | It causes a vaginal chancre that is not easily detected. |
| d. | It may appear to be an upper respiratory infection in the early stages of the infection. |
ANS: A
More than half of those in the early stages of gonorrhea have no symptoms at all. Symptoms of gonorrhea typically occur 3 days to 3 weeks after exposure and are more apparent in men than in women. No chancre is exhibited, as with syphilis, and gonorrhea does not produce a foul discharge.
DIF: Cognitive Level: Application REF: p. 1170 OBJ: 4
TOP: Gonorrhea KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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