Chapter 95: Drug Therapy of Sexually Transmitted Diseases

Chapter 95: Drug Therapy of Sexually Transmitted Diseases

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. During a routine screening, an asymptomatic, pregnant patient at 37 weeks’ gestation learns that she has an infection caused by Chlamydia trachomatis. The nurse will expect the provider to order which drug?

a.	Azithromycin
b.	Doxycycline
c.	Erythromycin ethylsuccinate
d.	Sulfisoxazole

 

 

ANS:  A

The preferred treatment for C. trachomatis during pregnancy is either azithromycin or amoxicillin. Doxycycline can be used for nonpregnant patients. Erythromycin is used for infants. Sulfisoxazole is not recommended for pregnant woman near term, because it can cause kernicterus in the infant.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 1167 | p. 1170

TOP:   Nursing Process: Assessment

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

 

2. A nurse is teaching a group of adolescent students about sexually transmitted diseases. Which statement by a student indicates understanding of infections caused by C. trachomatis?

a.	“C. trachomatis conjunctivitis in newborns can result in blindness.”
b.	“The CDC recommends screening for chlamydial infections in all sexually active men.”
c.	“Treatment for C. trachomatis should be initiated when infections are symptomatic.”
d.	“Women with asymptomatic Chlamydia trachomatis infections can become sterile.”

 

 

ANS:  D

Chlamydial infections are frequently asymptomatic in women and may be asymptomatic in men; they can cause sterility in women. C. trachomatis conjunctivitis in newborns does not result in blindness. The Centers for Disease Control and Prevention (CDC) recommends routine screening for sexually active women under age 25 and for those over age 25 with new partners or multiple partners. Treatment should begin when infections are identified, regardless of whether they are symptomatic.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 1167 | p. 1170

TOP:   Nursing Process: Assessment

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Physiologic Adaptation

 

3. An adolescent patient comes to the clinic complaining of a burning sensation upon urination and a pus-like discharge from the penis. The nurse is correct to suspect that the patient has which disorder?

a.	Gonorrhea
b.	Herpes simplex
c.	Nongonococcal urethritis
d.	Syphilis

 

 

ANS:  A

This patient has signs and symptoms consistent with gonorrhea. Herpes simplex manifests as vesicles on the penis or testes (or both) with a watery discharge. Nongonococcal urethritis results in ulcers on the urethral site. Syphilis is characterized by chancres and skin lesions.

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   pp. 1170-1171

TOP:   Nursing Process: Assessment

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Physiologic Adaptation

 

4. A newborn infant has been given erythromycin ophthalmic ointment as a routine postpartum medication. The infant’s mother learns that she has a C. trachomatis infection and asks the nurse if her baby will need to be treated. Which response by the nurse is correct?

a.	“The erythromycin ointment will prevent your baby from developing conjunctivitis.”
b.	“Without additional treatment, your baby could develop blindness.”
c.	“Your baby will need to be treated with oral erythromycin.”
d.	“Your baby will need to take doxycycline [Vibramycin] for 10 days.”

 

 

ANS:  C

Infants born to women with cervical C. trachomatis are at risk for conjunctivitis and pneumonia. Topical erythromycin may help prevent conjunctivitis, but it is not completely effective and does not prevent pneumonia; therefore, this infant will need treatment with oral erythromycin. Blindness will not occur as a result of C. trachomatis conjunctivitis. Doxycycline is contraindicated, because it causes staining of the teeth in children under 8 years of age.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 1167

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential