Exam 74: Care of Patients with Sexually Transmitted Diseases

A nurse is assessing a client who presents with a scaly rash over the palms and soles of the feet and the feeling of muscle aches and malaise.The nurse suspects syphilis.Which action by the nurse is appropriate?

A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago.Which statement by the client alerts the nurse that there may be a recurrence of the infection?

The nurse teaches a client with genital herpes about effective comfort measures.Which statement by the client indicates a need for further teaching by the nurse?

An African-American female with blisters on the vagina is being treated with acyclovir (Zovirax)for genital herpes.She is angry at her partner for transmitting the infection.Which action by the nurse is best?

A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge.Because the results from the culture of the cervical cells are not available,the client will be treated for both Chlamydia and gonorrhea.Which explanation by the nurse is best?

A nurse wants to reduce the risk potential for transmission of chlamydia and gonorrhea with a female client diagnosed with both diseases.Which items should be included in the client's teaching plan? (Select all that apply.)

A 23-year-old female has been diagnosed with genital warts.Which action by the nurse is best?

A 19-year-old college student seeks information from the school's nurse about how to avoid sexually transmitted diseases (STDs)without abstinence as a choice.Which statement by the nurse is best?

A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics.Which finding leads the nurse to take immediate action?

A male client is diagnosed with primary syphilis.Which question by the nurse is a priority at this time?

A primary care clinic sees some clients with sexually transmitted diseases.Which clients would the nurse be required to report to the local authority in every state,according to the Centers for Disease Control and Prevention? (Select all that apply.)

A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STDs)seen in practice.Which statement by the student indicates a lack of understanding?

A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV).Which statement by the nurse is accurate?

A 23-year-old female was admitted to the hospital for intravenous antibiotic treatment of pelvic inflammatory disease.The provider has ordered cefazolin (Ancef)to be administered every 8 hours.At what rate should the nurse infuse the medication if the pharmacy provides 1 g of the medication in 50 mL of 0.9% NaCl to infuse in 30 minutes? (Record your answer using a whole number.)_____ mL/hr

Which risk factors would the nurse teach a 23-year-old client about to prevent pelvic inflammatory disease (PID)? (Select all that apply.)

Before marriage,a female client has a blood test drawn for syphilis.The test reveals a positive Venereal Disease Research Laboratory (VDRL)serum test.What is the advice that the nurse should give the client?

A woman is admitted to the hospital for antibiotic therapy for pelvic inflammatory disease.She is in pain,with a rating of 7 on a scale of 0 to 10.What comfort measure can the nurse delegate to the unlicensed assistive personnel (UAP)?

A client being treated for syphilis visits the office with a possible allergic reaction to benzathine penicillin G.Which abnormal findings would the nurse expect to document? (Select all that apply.)

While evaluating a male client for treatment of gonorrhea,which question is the most important for the nurse to ask?

The nurse is teaching a client who is taking an oral antibiotic for treatment of a sexually transmitted disease (STD).Which statements by the client indicate a correct understanding of the treatment? (Select all that apply.)