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
The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which is the main reason that statistics are underreported?
Correct Answer: B
Rationale: The nurse is most correct to state that only certain sexually transmitted infections are mandated to be reported to the Centers for Disease Control and Prevention, thus providing incomplete data. Most clients with an infection report for treatment to a physician's office, clinic, or emergency department. Although communication between government agencies and local offices can always be improved, mandated reporting is specific to the information needed. There is no breach in confidentiality.
Question 2 of 5
The nurse is caring for a female client diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for women obtaining infections more frequently than men?
Correct Answer: A
Rationale: The vagina's warm, moist environment is more conducive to microbial growth compared to male anatomy, increasing the likelihood of infections in women. Menstrual flow may facilitate bacterial growth but is not the primary reason. Hygiene practices vary individually and are not a primary cause. Hormonal changes can alter vaginal pH, but the vaginal environment itself is the key factor.
Question 3 of 5
The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?
Correct Answer: C
Rationale: The nurse is most correct to instruct the sexually active client on the proper use of a latex condom. A latex condom with nonoxynol-9 is best to be used when having oral, vaginal, or anal intercourse. Having one sexual partner does not mean that the partner does not have a sexually transmitted infection. The client states being sexually active, thus, abstinence is not an option. Urinating after intercourse reduces the risk of an STI, however, providing a barrier between the partners is a better option.
Question 4 of 5
The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?
Correct Answer: B
Rationale: The nurse's first question focuses on the treatment needed, which is the dose of penicillin. The other questions are valid questions, which can be asked later.
Question 5 of 5
The nurse is instructing an adolescent female client who is not sexually active on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?
Correct Answer: B
Rationale: Human papilloma viral (HPV) infection is the most commonly transmitted sexual disease in the United States. A strain of this infection can cause cervical cancer. An HPV vaccine is available to both females and males. For females, the vaccine decreases the risk of cervical cancer and genital warts. For males, the vaccine decreases the risk of genital warts and anal cancers. Hepatitis B vaccine protects against a liver disease. Herpes zoster is the vaccine for shingles. The meningococcal vaccine protects against several diseases including meningitis.