Question 1

The gynecologist caring for a pregnant patient who has gonorrhea prescribed cefixime (Suprax)instead of the more common tetracycline hydrochloride (Achromycin).The nurse is aware that the rationale for this decision is that:

Accepted Answer

A)  Gonorrhea is less likely to be resistant to Suprax. 
B)  Achromycin requires a longer treatment protocol than Suprax. 
C)  Suprax is a more potent drug that Achromycin. 
D)  Achromycin is contraindicated in a patient who is pregnant.

Question 2

A pregnant patient with HSV type 2 has a Herp-Test performed in the physician's office 1 day before she is due to deliver by cesarean section.The test is negative.The nurse is aware that this means the:

Accepted Answer

A)  Delivery must be by cesarean section. 
B)  Patient must start on an antiviral protocol today. 
C)  Baby will have to have antiviral medication 24 hours after birth. 
D)  Delivery may be accomplished vaginally.

Question 3

A health educator,giving a presentation on how to use condoms correctly,would include instruction that:

Accepted Answer

A)  Condoms are 100% effective when used correctly. 
B)  The effectiveness of condoms deteriorates in heat. 
C)  Any style and material of condom is safe to use. 
D)  Use of petroleum jelly will ease application.

Question 4

The nurse in the outpatient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years.The nurse explains that the antibiotic treatment this time will consist of one injection of:

Accepted Answer

A)  Penicillin G 
B)  Penicillin G today and a follow-up with another injection in 1 month 
C)  Penicillin G today and 3 months of oral tetracycline antibiotic medications 
D)  Penicillin G today and a 2-month protocol of oral antiviral agents

Question 5

A patient has been diagnosed with herpes simplex virus,type 2 (HSV type 2).The nurse should instruct the patient to:

Accepted Answer

A)  Avoid telling anyone about the condition. 
B)  Wear close-fitting undergarments. 
C)  Wash towels and personal items daily. 
D)  Soak the sores with peroxide every day.

Question 6

Doxycycline (Vibramycin)has been prescribed for a patient who has gonorrhea.Before beginning the medication,the nurse would instruct the patient to:

Accepted Answer

A)  Take the medication with food or crackers. 
B)  Refrain from sexual relations for 4 weeks. 
C)  Follow-up to determine if the treatment was effective. 
D)  Keep the medication in the refrigerator.

Question 7

When the female patient who is newly diagnosed with gonorrhea screams,"I am going to kill my husband.I mean it." The nurse's best response would be:

Accepted Answer

A)  "Are you sure it is your husband who gave you gonorrhea?" 
B)  "Yikes! Killing your spouse seems extreme." 
C)  "Shall I report your spouse as a sexual contact?" 
D)  "I can understand your anger. How best can you deal with it?"

Question 8

The nurse explains that an antiviral drug commonly used to relieve symptoms of HSV is:

Accepted Answer

A)  Tetracycline (Achromycin) 
B)  Acyclovir (Zovirax) 
C)  Erythromycin (E-Mycin) 
D)  Metronidazole (Flagyl)

Exam 49: Sexually Transmitted Infections

The gynecologist caring for a pregnant patient who has gonorrhea prescribed cefixime (Suprax) instead of the more common tetracycline hydrochloride (Achromycin) .The nurse is aware that the rationale for this decision is that:

A pregnant patient with HSV type 2 has a Herp-Test performed in the physician's office 1 day before she is due to deliver by cesarean section.The test is negative.The nurse is aware that this means the:

A health educator,giving a presentation on how to use condoms correctly,would include instruction that:

The nurse in the outpatient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years.The nurse explains that the antibiotic treatment this time will consist of one injection of:

A patient has been diagnosed with herpes simplex virus,type 2 (HSV type 2) .The nurse should instruct the patient to:

Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea.Before beginning the medication,the nurse would instruct the patient to:

When the female patient who is newly diagnosed with gonorrhea screams,"I am going to kill my husband.I mean it." The nurse's best response would be:

The nurse explains that an antiviral drug commonly used to relieve symptoms of HSV is: