Exam 53: Nursing Management: Sexually Transmitted Diseases

During the nursing assessment of a 23-year-old female patient, the nurse considers the patient's risk for sexually transmitted diseases (STDs). Which statement by the patient indicates the most need for patient teaching?

A patient who has labs drawn for an insurance screening has a positive VDRL test. The nurse's first action should be to

A man seeks care at the health clinic because he has developed a profuse, purulent urethral discharge with painful urination. During assessment of the patient, it is most important that the nurse gather information related to

A woman in the STD clinic tells the nurse that she is concerned she may have been exposed to gonorrhea by her partner. To determine whether the patient has gonorrhea, the nurse will plan to

A patient is treated for chlamydia that was detected during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says,

A 37-year-old patient with a long history of IV drug use is seen at a community clinic, where the patient reports difficulty walking because "I don't know where her feet are." Diagnostic screening reveals a positive VDRL and fluorescent treponemal antibody absorption (FAT-Abs) test. Based on the patient history, the nurse will assess (Select all that apply.)

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 38-year-old married woman seeks health care for a change in vaginal discharge and pain on urination. When she is diagnosed with chlamydia, she is furious, saying that her husband is her only sexual contact, so he must have other sexual contacts. Which response by the nurse is most appropriate?

When counseling a woman who is having difficulty conceiving, the nurse will be most concerned about a history of infection with

When the nurse is talking to a group of young adults about prevention of sexually transmitted diseases (STDs), one of the participants states "I will just plan to take antibiotics if I get an STD." Which response by the nurse is appropriate?

When a patient returns to the clinic for follow-up after treatment for nongonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which question is most appropriate for the nurse to ask the patient?

A 23-year-old diabetic patient has large masses of genital warts around her external genitalia and perianal area. She tells the nurse she just tries to ignore them but knows the reason her boyfriend left her was because they are so disgusting. Based on the patient's remarks, the nurse identifies the nursing diagnosis of

A Gram stain smear of a patient's urethral discharge reveals the presence of Neisseria gonorrhoeae. The patient 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 patient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-Abs) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. While caring for the patient, it is important for the nurse to

Primary genital herpes is diagnosed in a patient seeking care for lesions on her vulva and perineum. After the nurse teaches the patient about management of the disease, which statement by the patient indicates that the teaching has been effective?

A woman who is 20 weeks pregnant is diagnosed with primary syphilis. She tells the nurse that she is very worried about the effect of the disease on the fetus. The most appropriate response by the nurse to the patient's concern is