Exam 55: Nursing Management Sexually Transmitted Infections

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A client is treated for chlamydia that was detected during a routine pelvic examination. Which of the following client statements indicate that teaching regarding the management of the condition has been effective?

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B

The nurse is assessing a female client who being seen in the family medicine clinic for an annual physical exam. Which of the following information should the nurse plan to teach the client about?

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A

The nurse is assessing a client at the community clinic who has a long history of IV drug use and 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. Which of the following assessments should the nurse implement based on the client history? (Select all that apply.)

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A, D, E

Aclient 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 of the following actionsshould the nurse include in the plan of care?

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A client 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 of the following nursing diagnoses is best?

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The nurse is caring for a client who is diagnosed with chlamydia and tells the nurse that she is very angry because her husband is her only sexual partner. Which of the following responses should the nurse make first?

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Aclient who has blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which of the following actions should the nurse take next?

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Aclient with gonorrhea is treated with a single IM dose of ceftriaxone and is given a prescription for doxycycline 100 mg bid for 7 days. Which of the following explanations should the nurse tell the client about this combination of antibiotics?

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The nurse is counselling a client who is having difficulty in conceiving. Which of the following infections is of most concern to the nurse?

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Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?

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The nurse is teaching a client who has primary genital herpes about management of the disease. Which of the following client statements indicate that the teaching has been effective?

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When a client 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 of the following questions is best for the nurse to ask the client?

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Amale client 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. Which of the following information should the nurse provide in response to the client'sstatement?

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The nurse is caring for a client who is 6 weeks' pregnant and is diagnosed with primary syphilis. Which of the following information should the nurse plan to discuss with the client?

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The nurse is assessing a male client who has a profuse, purulent urethral discharge with painful urination. Which of the following information is most important for the nurse to obtain?

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A client in the sexually transmitted infection (STI) clinic expresses concern about possible exposure to gonorrhea by her partner. Which of the following actions should the nurse take to determine if the client has gonorrhea?

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