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 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 2 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 3 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.
Question 4 of 5
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?
Correct Answer: D
Rationale: Clients who are allergic to penicillin are given a 14-day regimen of tetracycline or doxycycline. Acyclovir is used to treat genital herpes. Ceftriaxone may be used for gonorrhea. Podophyllum resin is used to treat genital warts.
Question 5 of 5
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which as the cause of condylomata?
Correct Answer: B
Rationale: Genital warts or condylomata are caused by the human papilloma virus (HPV). Herpes virus causes genital herpes. Treponema pallidum is the cause of syphilis. Hemophilus ducreyi bacillus is the cause of chancroid.