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26 Cards in this Set
- Front
- Back
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The current incidence of STDs is related in part to:
a. increased virulence of organisms causing STDS b. development of resistance of organisms to antibiotics c. increase in homosexuality |
a. increased virulence of organisms causing STDS
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A female patient with a purulent vaginal discharge is seen at an outpatient clinci. the nurse would expect a dx of gonorrhea to:
a. be treated with benathine penicillin G b. indicate PID c. be confirmed with a Gram's stain d. be treated wit hceftriaxone (Rocephine) and doxycycline (Vibramycin) |
d. be treated wit hceftriaxone (Rocephine) and doxycycline (Vibramycin)
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A 22 yr old woman with multiple sexual partners seeks care after several weeks of experiencing painful and frequent urination and vaginal discharge. Altho the results of a culture of cervical secretions are not yet available, the nurse explains to the patient that she will be treated as if she has gonorrhea and chlamydia in order to prevent
a. obstruction of the fallopian tubes b. endocarditis and aortic aneurysms c. disseminated gonococcal infection |
a. obstruction of the fallopian tubes
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A premarital blood test for syphilis reveals that a woman has a positive VDRL test. The nurse advises the patient that
a. a single dose of penicillin will cure the syphilis b. she should question her fiance about prior sexual contacts c. additional testing to detect specific antitreponomal antibodies is necessary |
c. additional testing to detect specific antitreponomal antibodies is necessary
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The nurse encourages serologic testing for HIV in the patient with syphilis primarily because
a. syphi8lis is more difficult to treat in patients with HIV b. CNS involvement is more common in patients wit HIV c. the incidence of syphilis is highest in those with high rates of sexual promiscuity and drug abuse |
c. the incidence of syphilis is highest in those with high rates of sexual promiscuity and drug abuse
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In establishing screening programs for populations at high risk for chlamydial infections, the nurse recognizes that in women, C trachomatis infection most often results in
a. cervicitis b. No symptoms c. acute arethritis |
b. No symptoms
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A male patient returns to the clinic with a recurrent urethral discharge after being treated for a chlamydial infection 2 weeks ago. Which statement made by the patient indicates the most likely cause of the recurrance?
a. "I took the vibramycin twice a day for a week." b. "I haven't told my girlfriend about my infection yet." c. "I had a couple beers while on the medication" d. "I've only had sex once since i finished the meds." |
b. "I haven't told my girlfriend about my infection yet."
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A diagnosis of chlamydial infection is made in a male patient with a purulent urethral discharge when
a. cultures for chlamydial organisms are positive b. Gram's stains and cultures are negative for gonorrhea c. signs and symptoms of epididymitis or procititis are also present |
b. Gram's stains and cultures are negative for gonorrhea
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During the physical assessment of a female patient with HPV, the nurse would expect to find
a. purulent discharge b. painless, indurated lesion on the vulva c.multiple coalescing gray warts in the perineal area |
c.multiple coalescing gray warts in the perineal area
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It is most important for the nurse t oteach the female patient with warts to
a. have annual pap smears b. apply topical acyclovir faithfully as directed c. have her sexual partner treated for the condition |
a. have annual pap smears
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Based on incidence of STDs in the US, the nurse informs individuals who have unprotected sex that they are at high risk for contracting:
a. syphilis b. gonorrhea c. chlamydia d. genital warts |
c. chlamydia
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The nurse counsels the sexually active individual that the best prevention of STDs include:
a. using condoms with spermicides b. voiding immediately after intercourse c. thorough hand washing after contact with genitals |
a. using condoms with spermicides
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Teh patient who is most likely to have a nursing dx of risk for noncompliance is the patient with
a. syphilis b. gonorrhea c. herpes d. HPV |
a. syphilis
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When caring for a patient with an STD, it is most important that the nurse teach the patient to:
a. use a barrier contraceptive during sex b. advise all sexual partners of the need for treatment c. take the full course of antibiotics d. return to clinic for retesting |
b. advise all sexual partners of the need for treatment
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The nurse teaches the patient with genital herpes about the use of:
a. oral acylovir (Zovirax) b. acyclovir ointment c. podofilox topical gel d. HPV vaccine |
a. oral acylovir (Zovirax)
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Which STD is considered a "silent disease" due to being asymptomatic, & superfial that becomes invasive
a. gonorrhea b. chlamydia c. HPV d. syphilis |
b. chlamydia
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This STD is characterized by a frothy, foamy, gray-green, smelly discharge and caused by a flagelated protozoan:
a. condyloma acuminata b. gonorrhea c. trichomosis |
c. trichomosis
Tx with big gun antibiotic, can't drink with these meds Men - asymptomatic |
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Syphilis is Diagnosed and treated with:
a. FTA & EDS blood tests, with 3 dif types of antibiotics and injections b. gram stains and general antibiotics c. test for WBC and penicilin |
a. FTA & EDS blood tests, with 3 dif types of antibiotics and injections
Dx in the late stage. requires 3 injections a week apart and then oral antibiotics Doxicyclen, Tetrycyline, & Penicilin |
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True or False:
When taking Nitroglycerin for treatment of a post- MI. It is safe for the patient to resume sexual activity and take Viaga for impotence. |
FALSE. NEVER take viagra with Nitro because of severe hypotension
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The individual with the lowest risk for sexually transmitted pelvic inflammatory disease is a woman who
A. uses oral contraceptives. B. uses barrier methods of contraception. C. uses an intrauterine device for contraception. D. uses a Norplant implant or injectible Depo-Provera for contraception. |
B. uses barrier methods of contraception.
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While obtaining subjective assessment data from a woman reported as a sexual contact of a man with chlamydia, the nurse understands that symptoms of chlamydial infections in women
A. are frequently absent. B. mimic those of genital herpes. C. include a macular palmar rash in later stages. D. may involve chancres hidden inside the vagina. |
A. are frequently absent.
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A primary HSV infection differs from recurrent episodes in that
A. it is of shorter duration than recurrent episodes. B. only primary infections are sexually transmissible. C. systemic manifestations such as fever and myalgia are more common. D. transmission of the virus to a fetus is less likely during primary infection. |
C. systemic manifestations such as fever and myalgia are more common.
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The nurse explains to a patient with gonorrhea that treatment will include both ceftriaxone and doxycycline because
A. most patients do not respond to ceftriaxone alone. B. coverage with more than one antibiotic prevents reinfection. C. no single agent successfully eradicates all strains of gonorrhea. D. the high rate of coexisting chlamydia and gonorrhea indicates dual coverage. |
D. the high rate of coexisting chlamydia and gonorrhea indicates dual coverage.
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A patient with an STD who is most likely to have a nursing diagnosis of disturbed body image that hinders future sexual relationships is the patient with
A. syphilis. B. gonorrhea. C. genital warts. D. chlamydial infection. |
C. genital warts.
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Teaching by the nurse to prevent infection and transmission of STDs includes explanations of
A. the appropriate use of birth control pills. B. sexual positions used to avoid infection. C. sexual practices that are considered high risk. D. the necessity of annual Pap smears for patients with HPV. |
C. sexual practices that are considered high risk.
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An appropriate nursing intervention to provide emotional support to a patient with an STD is to
A. use concerned listening when the patient expresses negative feelings. B. reassure the patient that the disease is curable with appropriate treatment. C. offer many alternatives that the patient can use to change sexual relationships. D. help the patient who is an innocent sexual partner forgive the infecting partner. |
A. use concerned listening when the patient expresses negative feelings.
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