Chapter 53: Nursing Management: Sexually Transmitted Diseases

Chapter 53: Nursing Management: Sexually Transmitted Diseases

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. A man who has a profuse, purulent urethral discharge with painful urination is seen at the
sexually transmitted disease (STD) clinic. Which information will be most important for
the nurse to obtain?
a. Contraceptive use
b. Sexual orientation
c. Immunization history
d. Recent sexual contacts
ANS: D
Information about sexual contacts is needed to help establish whether the patient has been
exposed to an STD and because sexual contacts also will need treatment. The other
information also may be gathered, but is not as important in determining the plan of care
for the patient’s current symptoms.
DIF: Cognitive Level: Application REF: 1331-1333
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A 21-year-old woman is being seen in the family medicine clinic for an annual physical
exam. The nurse will plan to teach the patient about
a. testing for chlamydia infection.
b. immunization for herpes simplex.
c. the relationship between the herpes virus and cervical cancer.
d. the risk of infertility associated with the human papillomavirus (HPV).
ANS: A
Testing for chlamydia is recommended for all sexually active females under age 25 by
the Centers for Disease Control and Prevention. HPV infection does not cause infertility.
There is no vaccine available for herpes simplex, and herpes simplex infection does not
cause cervical cancer.
DIF: Cognitive Level: Application REF: 1340 TOP: Nursing Process:
Planning
MSC: NCLEX: Health Promotion and Maintenance
3. A patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and
is given a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse
explains to the patient that this combination of antibiotics is prescribed to
a. prevent reinfection during treatment.
b. treat any coexisting chlamydial infection.
c. eradicate resistant strains of N. gonorrhoeae.
Test Bank 53-2
d. prevent the development of resistant organisms.
ANS: B
Because there is a high incidence of co-infection with gonorrhea and chlamydia, patients
are usually treated for both. The other explanations about the purpose of the antibiotic
combination are not accurate.
DIF: Cognitive Level: Application REF: 1332-1333
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
4. A patient who has labs drawn for an insurance screening has a positive Venereal Disease
Research Laboratory (VDRL) test. Which action should the nurse take next?
a. Ask the patient about past treatment for syphilis.
b. Discuss the need for blood and spinal fluid cultures.
c. Obtain a specimen for fluorescent treponemal antibody absorption (FAT-ABS)
testing.
d. Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the
trunk.
ANS: A
Once antibody testing is positive for syphilis, the antibodies remain present for an
indefinite period of time even after successful treatment, so the nurse should inquire
about previous treatment before doing other assessments or testing. Culture, FAT-ABS
testing, and assessment for symptoms may be appropriate, based on whether the patient
has been previously treated for syphilis.
DIF: Cognitive Level: Application REF: 1333-1335
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
5. A male patient who has been diagnosed with gonococcal urethritis tells the nurse about
recent sexual contact with a woman but says she did not appear to have any disease. In
responding to the patient, the nurse explains that
a. women do not develop gonorrhea infections but can serve as carriers to spread the
disease to males.
b. women develop subclinical cases of gonorrhea that do not cause tissue damage or
clinical manifestations.
c. many women are not aware they have gonorrhea because they often do not have
symptoms of infection.
d. when gonorrhea infections occur in women, the disease affects only the ovaries
and not the genital organs.
ANS: C
Many women with gonorrhea are asymptomatic or have minor symptoms that are
overlooked. The disease may affect both the genitals and the other reproductive organs
and cause complications such as pelvic inflammatory disease (PID). Women who can
transmit the disease have active infections.
DIF: Cognitive Level: Comprehension REF: 1331-1332
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity