TEST BANK FOR PORTH’S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS Chapter 46: Sexually Transmitted Infections

Document Content and Description Below

MULTIPLE CHOICE 1. A 32-year-old man who has a profuse, purulent urethral discharge with painful urination is seen at the clinic. Which information will be most important for the nurse to obtain?... a. Contraceptive use b. Sexual orientation c. Immunization history d. Recent sexual contacts ANS: D Information about sexual contacts is needed to help establish whether the patient has been exposed to a sexually transmitted infection (STI) and because sexual contacts also will need treatment. The other information also may be gathered but is not as important in determining the plan of care for the patient’s current symptoms. DIF: Cognitive Level: Apply (application) REF: 1272 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. A 20-year-old woman who is being seen in the family medicine clinic for an annual physical exam reports being sexually active. The nurse will plan to teach the patient about a. testing for Chlamydia infection. b. immunization for herpes simplex. c. infertility associated with the human papillomavirus (HPV). d. the relationship between the herpes virus and cervical cancer. ANS: A Testing for Chlamydia is recommended for all sexually active females under age 25 by the Centers for Disease Control and Prevention. HPV infection does not cause infertility. There is no vaccine available for herpes simplex, and herpes simplex infection does not cause cervical cancer. DIF: Cognitive Level: Apply (application) REF: 1267 TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 3. A 22-year-old patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse explains to the patient that this combination of antibiotics is prescribed to a. prevent reinfection during treatment. b. treat any coexisting chlamydial infection. c. eradicate resistant strains of N. gonorrhoeae. d. prevent the development of resistant organisms. ANS: B 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. DIF: Cognitive Level: Apply (application) REF: 1263-1264 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 4. A 46-year-old man who has had blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which action should the nurse take next? a. Ask the patient about past treatment for syphilis. b. Explain the need for blood and spinal fluid cultures. c. Obtain a specimen for fluorescent treponemal antibody absorption (FAT-Abs) testing. d. Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk. ANS: A 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, FAT-Abs testing, and assessment for symptoms may be appropriate, based on whether the patient has been previously treated for syphilis. DIF: Cognitive Level: Apply (application) REF: 1264-1265 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity [Show More]

Last updated: 1 year ago

Preview 1 out of 5 pages