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 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.
Question 2 of 5
A woman is admitted to the hospital for antibiotic therapy for pelvic inflammatory disease. She is in pain, with a rating of 7 on a scale of 0 to 10. What comfort measure can the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Positioning the client in a semi-Fowler's position can be delegated to a UAP to help alleviate discomfort. Administering medication, applying a heating pad, and teaching are tasks reserved for the nurse, as they require clinical judgment or specialized training.
Question 3 of 5
A 19-year-old college student seeks information from the school's nurse about how to avoid sexually transmitted diseases (STDs) without abstinence as a choice. Which statement by the nurse is best?
Correct Answer: B
Rationale: The HPV vaccine (Gardasil) protects against high-risk HPV strains, reducing the risk of cervical cancer and genital warts. Urination after intercourse may reduce but does not eliminate infection risk. Oral contraceptives do not prevent STDs, and handwashing, while hygienic, is not a primary STD prevention method.
Question 4 of 5
The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: The statement about limiting irritation due to pain is vague and suggests a misunderstanding of specific comfort measures. Sitz baths, anesthetic sprays, and loose clothing are appropriate measures to reduce discomfort and irritation from genital herpes lesions.
Question 5 of 5
A client being treated for syphilis visits the office with a possible allergic reaction to benzathine penicillin G. What abnormal findings would the nurse expect to document? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Allergic reactions to benzathine penicillin G may include rash, shortness of breath, chest tightness, and anxiety, indicating possible anaphylaxis or serum sickness. Heart irregularity is not typically associated with allergic reactions to penicillin.