Chapter 53 Nursing Administration Sexually Sent Diseases Article

Part 53 Nursing Management Sexually Transmitted Diseases

Section 53: Nursing jobs Management: Sexually Transmitted Attacks Test Financial institution

MULTIPLE CHOICE

1 . A 32-year-old guy who has a profuse, purulent urethral discharge with unpleasant urination is definitely

seen with the clinic. Which will information will be most important pertaining to the doctor to obtain? a. Contraceptive work with

b. Intimate orientation

c. Immunization record

d. New sexual contacts

ANS: D

Information about lovemaking contacts is necessary to help set up whether the sufferer has been exposed to a sexually transmitted infection (STI) and because sexual contacts also will need treatment. The other information also may be collected but is not because important in determining the plan of look after the patient's current symptoms.

DIF: Cognitive Level: Apply (application)

REF:

1272

BEST: Nursing Method: Assessment

MSC: NCLEX: Physical Integrity

installment payments on your A 20-year-old woman who may be being seen in the family medicine clinic for a physical

examination reports getting sexually active. The registered nurse will intend to teach the patient about a. screening for Chlamydia infection.

n. immunization for herpes simplex.

c. infertility associated with the human papillomavirus (HPV). d. the relationship between the herpes simplex virus and cervical cancer. ANS: A

Tests for Chlamydia is recommended for all those sexually active females beneath age 25 by the Centers for Disease Control and Prevention. HPV infection would not cause infertility. There is no vaccine available for herpes simplex, and herpes simplex infection will not cause cervical cancer.

DIF: Cognitive Level: Apply (application)

REF:

1267

TOP: Nursing Process: Planning

MSC: NCLEX: Health Promo and Routine service

3. A 22-year-old sufferer with gonorrhea is cared for with a one IM dosage of ceftriaxone

(Rocephin) and is also given a prescription pertaining to doxycycline (Vibramycin) 100 magnesium bid intended for 7 days. The nurse points out to the patient that this combination of antibiotics is prescribed to a. prevent reinfection during treatment.

b. take care of any coexisting chlamydial infection.

c. eliminate resistant pressures of D. gonorrhoeae.

m. prevent the advancement resistant creatures.

ANS: W

Because there is an increased incidence of co-infection with gonorrhea and chlamydia, individuals are usually cured for both. The other explanations about the purpose of the antibiotic blend are not appropriate.

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DIF: Intellectual Level: Apply (application)

REF:

1263-1264

TOP: Nursing Method: Implementation

MSC: NCLEX: Physical Integrity

4. A 46-year-old man who have had bloodstream drawn intended for an insurance screening contains a positive

Venereal Disease Exploration Laboratory (VDRL) test. Which in turn action should the nurse have next?

a. Ask the person about past treatment pertaining to syphilis.

m. Explain the advantages of blood and spinal fluid cultures.

c. Obtain a specimen for neon treponemal antibody absorption (FAT-Abs) testing.

d. Assess for the presence of chancres, flulike symptoms, or a zwischenstaatlich rash for the trunk.

ANS: A

When antibody testing is great for syphilis, the antibodies remain present for an imprecise period of time even after effective treatment, hence the nurse should certainly inquire regarding previous treatment before performing other assessments or assessment. Culture, FAT-Abs testing, and assessment to get symptoms could possibly be appropriate, depending on whether the patient has been recently treated pertaining to syphilis.

DIF: Cognitive Level: Apply (application)

REF:

1264-1265

TOP: Breastfeeding Process: Execution

MSC: NCLEX: Physiological Integrity

5. A 48-year-old man patient who have been diagnosed with gonococcal urethritis tells the nurse

he previously recent intimate contact with a lady but says she would not appear to possess any disease. In responding to the patient, the nurse points out that

a. women usually do not develop gonorrhea infections yet can serve as companies to propagate the disease to males.

b. women will not be aware they have gonorrhea because they often you don't have symptoms of illness.

c. ladies develop subclinical cases of gonorrhea...