Maternity and Pediatric Nursing 1st Edition by Ricci, Susan Scott - Test Bank Instant Download - Complete Test Bank With Answers Sample Questions Are Posted Below Ch. 5: Sexually Transmitted Infections Page: 164 1. The nurse is developing a plan of care for a client who is receiving aggressive drug …
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Maternity and Pediatric Nursing 1st Edition by Ricci, Susan Scott – Test Bank
Instant Download – Complete Test Bank With Answers
Sample Questions Are Posted Below
Ch. 5: Sexually Transmitted Infections
| Page: 164 | ||
| 1. | The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to: | |
| A) | Promote the progression of disease | |
| B) | Intervene in late-stage AIDS | |
| C) | Improve survival rates | |
| D) | Conduct additional drug research | |
| Ans: | C | |
| Response: | ||
| Aggressive antiretroviral therapy aims to reduce HIV morbidity and mortality, thereby improving survival rates. Drug therapy also aims to decrease the HIV viral load, restore the body’s ability to fight off infection, and improve the quality of life. Drug therapy does not promote the progression of the disease. It is started at the time of the first infection, not in late-stage AIDS. Treatment advances have been based on research, but drug therapy is not prescribed to conduct additional research. | ||
| Page: 164 | ||
| 2. | A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which of the following areas would be most important to assess initially? | |
| A) | The woman’s beliefs and education | |
| B) | The woman’s financial situation and insurance | |
| C) | The woman’s activity level and nutrition | |
| D) | The woman’s family and living arrangements | |
| Ans: | A | |
| Response: | ||
| The most important area to assess initially would be the client’s beliefs and knowledge about the disease and its treatment. A common barrier is a lack of understanding about the link between drug resistance and nonadherence. Once this area is assessed, the nurse can assess for other barriers, such as finances and insurance, nutrition and activity level, and family issues, including living arrangements (for example, the woman may be afraid that her HIV status would be revealed if others see her taking medication). | ||
| Page: 162 | ||
| 3. | When developing a teaching plan for a community group about HIV infection, which group would the nurse identify as an emerging risk group for HIV infection? | |
| A) | Native Americans | |
| B) | Heterosexual women | |
| C) | New health care workers | |
| D) | Asian immigrants | |
| Ans: | B | |
| Response: | ||
| According to statistics, more than 90% of all HIV infections have resulted from heterosexual intercourse, making heterosexual women particularly vulnerable due to substantial mucosal exposure to seminal fluids. HIV disproportionately affects African-American and Hispanic women, but together they represent less than 25% of all U.S. women. New health care workers and Asian immigrants account for only a very small number of HIV-positive cases. | ||
| Page: 162 | ||
| 4. | After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which of the following? | |
| A) | Sexual intercourse | |
| B) | Sharing needles for IV drug use | |
| C) | Perinatal transmission | |
| D) | Blood transfusion | |
| Ans: | A | |
| Response: | ||
| Most HIV-infected adolescents are exposed to the virus through sexual intercourse, with recent data suggesting that the majority of HIV-infected adolescent males are infected through sex with men. Only a few adolescent males appear to be exposed through injection of drugs or heterosexual contact. Adolescent females are mostly exposed through heterosexual contact, with a small percentage exposed through injected drug use. Although perinatal transmission can occur, it is not the major means of transmission for adolescents. Exposure to the virus via blood transfusions had dropped significantly with the testing of blood and blood products. | ||
| Page: 123 | ||
| 5. | The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which of the following would indicate to the nurse that the client has AIDS? | |
| A) | 1,000 cells/mm3 | |
| B) | 700 cells/mm3 | |
| C) | 450 cells/mm3 | |
| D) | 200 cells/mm3 | |
| Ans: | D | |
| Response: | ||
| When the CD4 T-cell count reaches 200 or less, the person has reached the stage of AIDS as per the CDC. A CD4 T-cell count between 450 and 1,200 is considered normal. | ||
| Page: 166 | ||
| 6. | When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)? | |
| A) | Hive-like rash for the past 2 days | |
| B) | Five different sexual partners | |
| C) | Weight gain of 5 lbs in one year | |
| D) | Clear vaginal discharge | |
| Ans: | B | |
| Response: | ||
| The number of sexual partners is a risk factor for the development of STIs. A rash could be related to numerous underlying conditions. A weight gain of 5 lbs in one year is not a factor increasing one’s risk for STIs. A change in the color of vaginal discharge such as yellow, milky, or curd-like, not clear, would suggest a STI. | ||
| Page: 143 | ||
| 7. | Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: | |
| A) | Trichomoniasis | |
| B) | Bacterial vaginosis | |
| C) | Candidiasis | |
| D) | Genital herpes simplex | |
| Ans: | C | |
| Response: | ||
| A thick, white vaginal discharge accompanied by intense itching and dyspareunia suggest vulvovaginal candidiasis. Trichomoniasis is characterized by a heavy yellow, green, or gray frothy or bubbly discharge. Bacterial vaginosis is manifested by a thin, white homogenous vaginal discharge with a characteristic stale fish-like odor. Genital herpes simplex involves genital ulcers. | ||
| Page: 149 | ||
| 8. | A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug? | |
| A) | Alcohol | |
| B) | Nicotine | |
| C) | Chocolate | |
| D) | Caffeine | |
| Ans: | A | |
| Response: | ||
| The client should be instructed to avoid consuming alcohol when taking metronidazole because severe nausea and vomiting could occur. There is no need to avoid nicotine, chocolate, or caffeine when taking metronidazole. | ||
| Page: 153 | ||
| 9. | A woman gives birth to a healthy newborn. As part of the newborn’s care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? | |
| A) | Genital herpes | |
| B) | Hepatitis B | |
| C) | Syphilis | |
| D) | Gonorrhea | |
| Ans: | D | |
| Response: | ||
| To prevent gonococcal ophthalmia neonatorum, erythromycin or tetracycline ophthalmic ointment is instilled into the eyes of all newborns. This action is required by law in most states. The ointment is not used to prevent conditions related to genital herpes, hepatitis B, or syphilis. | ||
| Page: 151 | ||
| 10. | Which findings would the nurse expect to find in a client with bacterial vaginosis? | |
| A) | Vaginal pH of 3 | |
| B) | Fish-like odor of discharge | |
| C) | Yellowish-green discharge | |
| D) | Cervical bleeding on contact | |
| Ans: | B | |
| Response: | ||
| Manifestations of bacterial vaginosis include a thin, white homogenous vaginal discharge with a characteristic stale fish odor, vaginal pH greater than 4.5, and clue cells on wet-mount examination. A yellowish-green discharge with cervical bleeding on contact would be characteristic of trichomoniasis. | ||
| Page: 155 | ||
| 11. | A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: | |
| A) | Amniotic fluid | |
| B) | Placenta | |
| C) | Birth canal | |
| D) | Breast milk | |
| Ans: | B | |
| Response: | ||
| The syphilis spirochete can cross the placenta at any time during pregnancy. It is not transmitted via amniotic fluid, passage through the birth canal, or breast milk. | ||
| Page: 158 | ||
| 12. | The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for: | |
| A) | Infertility | |
| B) | Dyspareunia | |
| C) | Cervical cancer | |
| D) | Dysmenorrhea | |
| Ans: | C | |
| Response: | ||
| Clinical studies have confirmed that HPV is the cause of essentially all cases of cervical cancer. Therefore, the client needs continued follow-up for Pap smears. HPV is not associated with an increased risk for infertility, dyspareunia, or dysmenorrhea. | ||
| Page: 157 | ||
| 13. | A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the client’s medical record, which of the following would the nurse expect to find? Select all that apply. | |
| A) | Oral temperature of 100.4 degrees F | |
| B) | Dysmenorrhea | |
| C) | Dysuria | |
| D) | Lower abdominal tenderness | |
| E) | Discomfort with cervical motion | |
| F) | Multiparity | |
| Ans: | B, C, D, E | |
| Response: | ||
| History and physical examination findings of PID include dysmenorrhea, dysuria, lower abdominal tenderness, and cervical motion tenderness. Typically the client has a fever above 101 degrees F and is nulliparous. | ||
| Page: 161 | ||
| 14. | Which instructions would the nurse include when teaching a woman with pediculosis pubis? | |
| A) | “Take the antibiotic until you feel better.” | |
| B) | “Wash your bed linens in bleach and cold water.” | |
| C) | “Your partner doesn’t need treatment at this time.” | |
| D) | “Remove the nits with a fine-toothed comb.” | |
| Ans: | D | |
| Response: | ||
| The nurse should instruct the client to remove the nits from the hair using a fine-toothed comb. Permethrin cream and lindane shampoo are used as treatment, not antibiotics. Bedding and clothing should be washed in hot water to decontaminate it. Sexual partners should be treated also, as well as family members who live in close contact with the infected person. | ||
| Page: 154 | ||
| 15. | A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate? | |
| A) | “There is a new vaccine available that prevents the infection from returning.” | |
| B) | “All you need is a dose of penicillin and the infection will be gone.” | |
| C) | “There is no cure, but drug therapy helps to reduce symptoms and recurrences.” | |
| D) | “Once you have the infection, you develop an immunity to it.” | |
| Ans: | C | |
| Response: | ||
| Genital herpes is a life-long viral infection. No cure exists, but antiviral drug therapy helps to reduce or suppress symptoms, shedding, and recurrent episodes. A vaccine is available for HPV infection but not genital herpes. Penicillin is used to treat syphilis. No immunity develops after a genital herpes infection. | ||
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
