ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 56 : Caring for Clients With Sexually Transmitted Infections Questions
Question 1 of 5
A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which symptoms would the nurse expect the client to exhibit?
Correct Answer: D
Rationale: The client with late or tertiary syphilis is noninfectious because the microorganism has invaded the central nervous system (CNS) as well as other organs of the body. Symptoms of tertiary syphilis include tabes dorsalis (a degenerative condition of the CNS that results in loss of peripheral reflexes and of vibratory and position senses), ataxia, and neuropathic joint disease, also called Charcot's joints. Symptoms of secondary syphilis include fever, malaise, rash, headache, sore throat, and lymph node enlargement. Ulcerated chancre occurs in the primary stage.
Question 2 of 5
A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which response would be appropriate?
Correct Answer: C
Rationale: The nurse should advise the client to inform all potential sexual partners of the HSV infection even if it is in an inactive state. The nurse should also advise the client to use a condom during sexual activity even if the disease is dormant and to avoid sexual contact if the infection is active. Condoms do not protect skin and mucous membranes left exposed.
Question 3 of 5
The nurse is assessing an older adult client with a sexually transmitted infection (STI). Which of the following should inform the nurse's assessment?
Correct Answer: A
Rationale: Nurses should abandon biases that older adults are sexually inactive.
Therefore, when taking a health history, nurses should include questions about sexuality and behaviors that put them at risk for STIs. Older clients who are sexually active have the same risks of acquiring an STI as other age groups. Older adults who are not in monogamous relationships may not understand ways that are appropriate for preventing STIs. Some older adults with an STI are embarrassed and may not seek medical attention. Careful assessment is necessary to help the older adult receive medical treatment as quickly as possible.
Question 4 of 5
The nurse is giving a presentation about chlamydia to a group of adult women. Which female client should the nurse use as an example of an individual for whom annual screening is recommended?
Correct Answer: D
Rationale: The US Preventive Services Task Force (2021) recommends annual screening for chlamydia for all pregnant and nonpregnant sexually active women younger than 24 years. It is not recommended to conduct screening for the client who practices condom use and the client with one long-term, exclusive sex partner, as they are both over 24 years old. The 23-year-old client is not sexually active and therefore does not require an annual screening.
Question 5 of 5
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STI's) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
Correct Answer: C
Rationale: The law mandates reporting of syphilis, chlamydia, gonorrhea, chancroid, and HIV/Aids, hepatitis B, and Zika virus. Genital herpes, venereal warts (condylomata acuminata), granuloma inguinale, and lymphogranuloma venereum are not reportable by law.