Exam 53: Nursing Management: Sexually Transmitted Diseases

A 47-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 my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests. Based on the patient history, the nurse will assess which of the following (select all that apply)?

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. Which action will the nurse include in the plan of care?

A woman who is 6 weeks' pregnant is diagnosed with primary syphilis. The nurse will plan to teach the patient about

A patient who has labs drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which action should the nurse take next?

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 21-year-old woman is being seen in the family medicine clinic for an annual physical exam. The nurse will plan to teach the patient about

When a patient returns to the clinic for follow-up after treatment for gonococcal 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?

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

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 woman in the sexually transmitted disease ( 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

After the nurse teaches the patient who has primary genital herpes about management of the disease, which statement by the patient indicates that the teaching has been effective?

A 23-year-old patient has genital warts around her external genitalia and perianal area. She tells the nurse that she has not had treatment until now because "the warts are so disgusting." Which nursing diagnosis is most appropriate?

A woman who is diagnosed with chlamydia tells the nurse that she is very angry because her husband is her only sexual partner. Which response should the nurse make first?

A man who has a profuse, purulent urethral discharge with painful urination is seen at the sexually transmitted disease ( STD ) clinic. Which information will be most important for the nurse to obtain?

A male patient who has been diagnosed with gonococcal urethritis 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

Which of these patients will the nurse plan on teaching about the Gardasil vaccine?