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 caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?
Correct Answer: C
Rationale: The client in the tertiary stage of a syphilis infection is expected to have central nervous system complications including dementia. In the primary stage, a chancre appears on the genitals. In the secondary stage, a fever, malaise, rash, headache, and sore throat are anticipated. There are no musculoskeletal symptoms associated with syphilis.
Question 2 of 5
The nurse is caring for a group of clients at a public health clinic. For which sexually transmitted disease would the nurse focus the client education on curative goals?
Correct Answer: A
Rationale: Chlamydia is a common and fast-spreading bacterium. Because it is a bacterium, with proper treatment, chlamydia is able to be cured. Sexually transmitted diseases that are viruses, such as HIV, HPV, and herpes, can lie dormant in the body and thus are difficult to treat.
Question 3 of 5
The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which infection(s) does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Reporting new sexually transmitted infections (STIs) to the CDC is the responsibility of either the healthcare provider or the testing laboratory. Chlamydia, syphilis, HIV, hepatitis B, and gonorrhea are all reportable infections. Venereal warts are not reportable.
Question 4 of 5
A client requesting a chlamydia test asks why it is necessary to receive a test for gonorrhea and syphilis at the same time. Which response from the nurse is the correct explanation?
Correct Answer: D
Rationale: It is common practice to test clients for chlamydia, gonorrhea, syphilis, and HIV because it is not unusual for clients to have concurrent infections with more than one STI. For chlamydia, the causative microorganism is a bacterium named Chlamydia trachomatis. For gonorrhea, the infection is caused by a bacterium named Neisseria gonorrhoeae. The spirochete Treponema pallidum is the causative microorganism of syphilis. The symptoms of these conditions are not identical. The causative microorganisms do not spread through the same medium.
Question 5 of 5
A female client with an anal gonorrhea infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would predict which symptom as most likely to develop as the microorganism disseminates throughout the body?
Correct Answer: A
Rationale: The client with an anal gonorrhea infection experiences symptoms of gonorrhea where the microorganism has invaded the rectum. After the microorganism disseminates throughout the body, the client may manifest a skin rash, fever, and painful joints. Other symptoms such as infections of the urinary tract or vagina, sore throat, intermenstrual bleeding due to cervicitis, and painful urination are associated with the organism's invasion of those structures, depending on the nature of the sexual contact.