Chapter 53 Nursing Management Sexually Transmitted Diseases
Chapter 53: Nursing Management: Sexually Transmitted Infections
Test Bank
MULTIPLE CHOICE
1. A 32-year-old man who has a profuse, purulent urethral discharge with painful urination is
seen at the clinic. Which information will be most important for the nurse to obtain?
a. Contraceptive use
b. Sexual orientation
c. Immunization history
d. Recent sexual contacts
ANS: D
Information about sexual contacts is needed to help establish whether the patient has been exposed to a sexually transmitted infection (STI) and because sexual contacts also will need treatment. The other information also may be gathered but is not as important in determining the plan of care for the patient’s current symptoms.
DIF: Cognitive Level: Apply (application)
REF:
1272
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. A 20-year-old woman who is being seen in the family medicine clinic for an annual physical
exam reports being sexually active. The nurse will plan to teach the patient about
a. testing for Chlamydia infection.
b. immunization for herpes simplex.
c. infertility associated with the human papillomavirus (HPV).
d. the relationship between the herpes virus and cervical cancer.
ANS: A
Testing for Chlamydia is recommended for all sexually active females under age 25 by the
Centers for Disease Control and Prevention. HPV infection does not cause infertility. There is no vaccine available for herpes simplex, and herpes simplex infection does not cause cervical cancer. DIF: Cognitive Level: Apply (application)
REF:
1267
TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
3. A 22-year-old 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. prevent reinfection during treatment.
b. treat any coexisting chlamydial infection.
c. eradicate
Test Bank
MULTIPLE CHOICE
1. A 32-year-old man who has a profuse, purulent urethral discharge with painful urination is
seen at the clinic. Which information will be most important for the nurse to obtain?
a. Contraceptive use
b. Sexual orientation
c. Immunization history
d. Recent sexual contacts
ANS: D
Information about sexual contacts is needed to help establish whether the patient has been exposed to a sexually transmitted infection (STI) and because sexual contacts also will need treatment. The other information also may be gathered but is not as important in determining the plan of care for the patient’s current symptoms.
DIF: Cognitive Level: Apply (application)
REF:
1272
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. A 20-year-old woman who is being seen in the family medicine clinic for an annual physical
exam reports being sexually active. The nurse will plan to teach the patient about
a. testing for Chlamydia infection.
b. immunization for herpes simplex.
c. infertility associated with the human papillomavirus (HPV).
d. the relationship between the herpes virus and cervical cancer.
ANS: A
Testing for Chlamydia is recommended for all sexually active females under age 25 by the
Centers for Disease Control and Prevention. HPV infection does not cause infertility. There is no vaccine available for herpes simplex, and herpes simplex infection does not cause cervical cancer. DIF: Cognitive Level: Apply (application)
REF:
1267
TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
3. A 22-year-old 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. prevent reinfection during treatment.
b. treat any coexisting chlamydial infection.
c. eradicate