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 working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?
Correct Answer: C
Rationale: The nurse is most accurate to prepare for a cesarean section because the mother has an active lesion and does not want to transmit the virus to the newborn. Antibiotic therapy does not prevent the transmission of the infection. A full assessment is always completed on the newborn and is not an adjustment in the plan of care. Antibacterial ointment is not placed on the mother's lesions.
Question 2 of 5
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?
Correct Answer: A
Rationale: The spread of the infection could quickly multiply if the client's sexual partners are infected and continue to spread the virus to others; thus, it is most important to emphasize that all sexual partners must be informed. All of the other options are correct but not most important.
Question 3 of 5
The nurse is providing teaching for a client newly diagnosed with a sexually transmitted infection. Which instruction is most helpful to prevent autoinoculation of the STI?
Correct Answer: C
Rationale: Autoinoculation means to 'self-infect.' The nurse is most helpful to stress that handwashing helps prevent the spread of infection to others and to other parts of one's own body. Patting lesions can still spread the infection. The client should use a different towel to clean non-infected parts of the body. Sharing personal items spreads the infection to others.
Question 4 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 5 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.