ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 74 : Care of Patients with Sexually Transmitted Diseases Questions
Question 1 of 5
A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV). Which is a support group.
Correct Answer: A
Rationale: Gardasil protects against HPV types 6, 11, 16, and 18, which are high-risk for cervical cancer and genital warts, but not all strains. The vaccine is recommended for ages 9 to 45, so the client is not too young. It is most effective before exposure, and condoms reduce but do not eliminate HPV transmission risk.
Question 2 of 5
A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge. Because the results from the culture of the cervical cells are not available, the client will be treated for both Chlamydia and gonorrhea. Which explanation by the nurse is best?
Correct Answer: A
Rationale: Chlamydia and gonorrhea often co-occur, so empirical treatment for both is standard when culture results are pending to prevent complications. Antibiotics treat but do not guarantee a permanent cure, especially if re-infection occurs. Waiting for symptom persistence delays care, and condoms, while not foolproof, reduce transmission risk.
Question 3 of 5
A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge. Because the results from the culture of the cervical cells are not available, the client will be treated for both Chlamydia and gonorrhea. Which question by the nurse is best?
Correct Answer: D
Rationale: Identifying and treating sexual partners is critical to prevent the spread of Chlamydia and gonorrhea. While history, timing of last encounter, and symptom onset are useful, contacting and treating partners is the priority to break the chain of transmission.
Question 4 of 5
Before marriage, a female client has a blood test drawn for syphilis. The test reveals a positive Venereal infection. What information should the nurse give the client?
Correct Answer: C
Rationale: A positive syphilis screening test may be a false positive due to conditions like hepatitis or lupus. A more specific treponemal test, such as the fluorescent treponemal antibody absorption test, is needed to confirm the diagnosis before treatment. Checking sexual activity or pregnancy status is secondary, and multiple doses of penicillin are not standard for early syphilis.
Question 5 of 5
A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?
Correct Answer: D
Rationale: Chills and a fever of 101°F suggest a persistent infection, requiring immediate adjustment of antibiotic therapy. Anger is a normal emotional response, and gastrointestinal symptoms like anorexia and nausea are common antibiotic side effects, but they do not warrant urgent action compared to signs of ongoing infection.