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
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 2 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.
Question 3 of 5
A 23-year-old female was admitted to the hospital for intravenous antibiotic treatment of pelvic inflammatory disease. The provider has ordered ceftazidime (Ancef) to be administered every 8 hours. At what rate should the nurse infuse the medication if the pharmacy provides 1 g of the medication in 50 mL of 0.9% NaCl to infuse in 30 minutes? (Record your answer using a whole number) mL/hr.
Correct Answer: C
Rationale:
To calculate the infusion rate: (50 mL / 30 min) ? (60 min / 1 hr) = 100 mL/hr. This ensures the medication is delivered at the correct rate over the specified time.
Question 4 of 5
A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STD's) seem in practice. Which statement by the student indicates a lack of understanding?
Correct Answer: D
Rationale: There is no evidence that the organisms that cause STDs are becoming more virulent. Improved diagnostic techniques, increased incidence of sexual abuse and trafficking, and reliance on oral contraceptives without condoms contribute to the rise in STDs, as they reflect real trends or misconceptions.
Question 5 of 5
A nurse is assessing a client who presents with a scale in rash over the palms and soles of the feet and the feel, a client is assessing a client who presents with a scale in syphilis. Which statement of the nurse is appropriate?
Correct Answer: C
Rationale: The client's symptoms suggest secondary syphilis, characterized by a rash on the palms and soles due to spirochetes in the bloodstream. Further assessment of lesions is critical to confirm the diagnosis and guide treatment. Reassuring about non-infectiousness is incorrect, as secondary syphilis is highly infectious, and cardiovascular symptoms are more relevant in tertiary syphilis.