Chapter 76: Care of Patients with Sexually Transmitted Disease

Chapter 76: Care of Patients with Sexually Transmitted Disease

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is teaching a young woman about her risk of contracting a sexually transmitted disease (STD). Which statement by the client indicates that further instruction is needed?

a.	“I am at decreased risk for an STD if I don’t rely on contraceptive sponges or foams to protect me.”
b.	“I am at decreased risk for an STD because I am using an intrauterine device for contraception.”
c.	“I am at increased risk for an STD because of the way that my body is designed as a woman.”
d.	“I will be at increased risk for an STD if I rely on oral contraceptives to protect me from contracting a disease.”

 

 

ANS:  B

Using an intrauterine device provides no protection against contracting a sexually transmitted disease. Other risk factors that increase a young woman’s chances of contracting a sexually transmitted disease include the vascularity of the vagina and reliance on contraceptive sponges or foams or on oral contraceptives for protection against pregnancy and STDs.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Health Promotion and Maintenance (Self-Care)

MSC:  Integrated Process: Teaching/Learning

 

2. Which statement by a middle-aged woman indicates that further instruction is needed for her and her partner regarding prevention of sexually transmitted diseases (STDs)?

a.	“I’m glad we don’t have to use condoms anymore because I can’t get pregnant.”
b.	“Changes in my vagina may make me more likely to be at risk for an STD.”
c.	“I told my partner that we need to switch to condoms instead of the pill now.”
d.	“I should report any evidence of infection, even if symptoms are minor.”

 

 

ANS:  A

The female who is probably postmenopausal should still use barrier protection to decrease the risk of contracting a sexually transmitted disease. Unfortunately, many women forget that they need barrier protection (i.e., condoms) once the need for contraception is gone. Any evidence of infection should be reported promptly because vaginal atrophy makes this client more vulnerable to develop an STD.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Health Promotion and Maintenance (Self-Care)

MSC:  Integrated Process: Teaching/Learning

 

3. The nurse is conducting an assessment on a client and identifies a lesion that appears as a smooth indurated area. Which is the highest priority action on the part of the nurse?

a.	Question the client further regarding sexual practices.
b.	Ask the client about any associated symptoms.
c.	Document the findings and obtain a specimen of fluid from the lesion.
d.	Don gloves before continuing to assess the lesion any further.

 

 

ANS:  D

The lesion could be a chancre, which is highly contagious. The nurse should be wearing gloves. The nurse should finish assessment of the lesion before continuing to interview the client and documenting findings. The nurse does need to collect fluid for a culture, but the nurse’s safety is the priority.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Safe and Effective Care Environment (Safety and Infection Control—Standard Precautions/Transmission-Based Precautions/Surgical Asepsis)

MSC:  Integrated Process: Nursing Process (Implementation)

 

4. The nurse is counseling a client who has recently been diagnosed with syphilis. Which is the highest priority instruction that the nurse provides to the client regarding sexual partners?

a.	“As long as both of you are being treated, abstinence is not necessary.”
b.	“If you both have the same disease, you can continue to have sex.”
c.	“Your partner must be treated with antibiotics within the next 90 days.”
d.	“Once the health department gets your partner’s name, confidentiality is not considered to be important.”

 

 

ANS:  C

Once a client has been diagnosed with syphilis, his or her partner must be prophylactically treated as soon as possible, preferably within the next 90 days. Sexual abstinence is required of both partners until they complete treatment. Although the disease will be reported to the local health department, all information will be held in strictest confidence.

 

DIF:    Cognitive Level: Comprehension/Understanding               REF:   p. 1656

TOP:    Client Needs Category: Physiological Integrity (Physiological Adaptation—Illness Management) MSC:            Integrated Process: Teaching/Learning