ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 55 Questions
Question 1 of 5
The nurse is assessing a male patient who has a profuse, purulent urethral discharge with painful urination. Which of the following information is most important for the nurse to obtain?
Correct Answer: D
Rationale: Information about sexual contacts is needed to help establish whether the patient has been exposed to an STI and because sexual contacts will also need treatment. The other information may also be gathered but is not as important in determining the plan of care for the patient's current symptoms.
Question 2 of 5
The nurse is assessing a 22-year-old female patient who being seen in the family medicine clinic for an annual physical exam. Which of the following information should the nurse plan to teach the patient about?
Correct Answer: A
Rationale: Gonorrheal and chlamydial testing during pelvic examinations and prenatal visits is becoming a major routine part of these programs. Mass application of screening programs for genital chlamydial infections, genital herpes, and HPV infections may also be possible with the advent of rapid, cost-effective tests. HPV infection does not cause infertility. There is no vaccine available for herpes simplex, and herpes simplex infection does not cause cervical cancer.
Question 3 of 5
A patient with gonorrhea is treated with a single IM dose of ceftrixaone and is given a prescription for doxyeycline $100 \mathrm{mg}$ bid for 7 days. Which of the following explanations should the nurse tell the patient about this combination of antibiotics?
Correct Answer: B
Rationale: Because there is a high incidence of co-infection with gonorrhea and chlamydia, patients are usually treated for both. The other explanations about the purpose of the antibiotic combination are not accurate.
Question 4 of 5
A patient who has blood drawn for screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Once antibody testing is positive for syphilis, the antibodies remain present for an indefinite period of time even after successful treatment, so the nurse should inquire about previous treatment before doing other assessments or testing. Culture, FTA-ABS testing, and assessment for symptoms may be appropriate, based on whether the patient has been previously treated for syphilis.
Question 5 of 5
A male patient who has been diagnosed with gonococcal urethritis tells the nurse about recent sexual contact with a woman but says she did not appear to have any disease. Which of the following information should the nurse provide in response to the patient's statement?
Correct Answer: C
Rationale: Many women with gonorrhea are asymptomatic or have minor symptoms that are overlooked. The disease may affect both the genitals and the other reproductive organs and cause complications such as pelvic inflammatory disease (PI
D). Women who can transmit the disease have active infections.