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 discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification?
Correct Answer: B
Rationale: The nurse is correct to clarify that sexual penetration is not necessary to transmit HPV; the warts can also be spread by autoinoculation. The other options are correct statements that need no clarification.
Question 2 of 5
The nurse is evaluating the therapeutic outcome of medication therapy for a client with herpes simplex virus (HSV). Which client statement best confirms medication use?
Correct Answer: B
Rationale: The best evidence confirming a therapeutic outcome of medication use is the client's statement of having less symptom breakouts and fewer symptoms. This indicates that the medication is being effective to contain the disease. It is good that the client administers the medications per physician's order and is able to tolerate the medication with food. Although it is a positive statement that things are going better in the client's life, it does not necessarily mean that the effect stems from the medication therapy.
Question 3 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 4 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 5 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.