NMNC 3210 Exam #3 Questions and Answers Solved 100%
A young male patient is seeking treatment for recurrence of genital tingling, burning, and itching. The
nurse will expect a prescription for which class of medications?
- Antivirals
- Antibiotics
- Vaccination
- Contraceptives - Answers - Antivirals
Rationale:
This patient has a reoccurrence of genital herpes (HSV2). Although not a cure, he will be treated with
antiviral medications to decrease the duration of viral shedding and the healing time of genital lesions
and reduce outbreaks. Antibiotics and contraceptives are not used to treat acute HSV2. There are no
vaccinations for HSV.
A 22-yr-old man is being treated at a college health care clinic for gonorrhea. What should the nurse
include in patient teaching?
- "While being treated for the infection, you will not be able to pass this infection on to your sexual
partner."
- "It is important to complete your full course of antibiotics in order to ensure that you become resistant
to reinfection."
- "While you're taking the antibiotics, you will need to abstain from participating in sexual activity and
drinking alcohol."
- "The symptoms will resolve on their own, but it is important for you to abstain from sexual activity
while this is occurring." - Answers - "While you're taking the antibiotics, you will need to abstain from
participating in sexual activity and drinking alcohol."
Rationale:
Treatment for gonorrhea necessitates abstinence from sexual activity (to prevent infection of partners)
and alcohol (to avoid urethral irritation). The disease is not self-limiting, nor does successful treatment
confer future resistance.
A 24-yr-old patient is at the clinic with symptoms of purulent vaginal discharge, dysuria, and
dyspareunia. She is sexually active and has multiple partners. What should the nurse explain as the
rationale for Chlamydia screening?
- Chlamydia is frequently comorbid with HIV.
,- Untreated chlamydia infections can lead to sepsis.
- Untreated chlamydia infections may cause infertility.
- Chlamydia infections are treatable only in the early stages. - Answers - Untreated chlamydia infections
may cause infertility.
Rationale:
Because of the potential for infertility, routine screening for Chlamydia is recommended for women
sexually active younger than age 25 years and annually for those older than 25 years with one or more
risk factors for the infection. Chlamydia is not a primary risk for sepsis and is not noted to be strongly
correlated with HIV infection. The disease is treatable at all stages of infection.
The nurse administers a Gardasil vaccine to an 18-yr-old female patient. After the injection, which
patient instruction is priority?
- Avoid sexual activity for 24 to 48 hours.
- Remain lying down for at least 15 minutes.
- Return to the clinic in 6 months for a second dose.
- Use two methods of birth control to avoid pregnancy. - Answers - Remain lying down for at least 15
minutes.
Rationale:
To prevent syncope (fainting) during and after the administration of Gardasil, the patient should remain
sitting or lying down for 15 minutes. The vaccine is not recommended during pregnancy. Gardasil
vaccine is given in three IM doses over a 6-month period. There are no sexual activity restrictions after
administration of Gardasil.
A man with a primary infection of genital herpes was prescribed acyclovir (Zovirax) orally for 10 days.
The patient returns to the clinic for a follow-up visit. Which finding indicates that treatment is effective?
- Negative bacterial culture
- Absence of genital lesions
- Reduction of genital warts
- No drainage from chancre sore - Answers - Absence of genital lesions
Rationale:
Primary genital herpes is a viral disorder caused by the herpes simplex virus. Genital herpes results in
painful, vesicular lesions. The lesions rupture, form crusts, and heal in 17 to 21 days. Genital warts are
,caused by the human papillomavirus. Genital herpes is caused by a viral infection (not bacterial). Syphilis
is caused by a bacterial organism and results in a chancre, which is a painless, indurated lesion.
A patient comes to the clinic after being informed by a sexual partner of possible recent exposure to
syphilis. The nurse will examine the patient for what characteristic finding of syphilis in the primary
clinical stage?
- Chancre
- Alopecia
- Condylomata lata
- Regional adenopathy - Answers - Chancre
Rationale:
Chancres appear in the primary stage of the bacterial invasion of Treponema pallidum, the causative
organism of syphilis. The other findings do not appear until the secondary stage of syphilis, occurring a
few weeks after the chancres appear.
Which event discovered during pregnancy would alert the nurse that a cesarean section delivery is
indicated?
- Contact with a person with syphilis 2 weeks ago
- Treatment for gonococcal pharyngitis before conception
- Treatment for C. trachomatis at her 20th week of gestation
- Active herpes simplex virus type 2 vesicles on her cervix at the time of delivery - Answers - Active
herpes simplex virus type 2 vesicles on her cervix at the time of delivery
Rationale:
The woman with active herpes simplex virus type 2 at the time of delivery has the greatest risk for the
fetus, and the baby will be delivered by cesarean section to prevent infection. Syphilis has an average
incubation period of 21 days, so even if the contact was sexual, the syphilis should not infect the baby at
birth. The woman treated for gonococcal pharyngitis should have been cured with treatment, but the
baby's eyes will be treated at birth to prevent gonorrheal eye infection regardless. Treatment of the
pregnant woman with C. trachomatis prevents transfer of the infection to the fetus.
What should general teaching for patients with a sexually transmitted infection (STI) include? (Select all
that apply.)
- Treatment of sexual partners.
- Douching will help to provide relief of itching.
, - Importance of retesting after treatment to confirm cure.
- Cotton undergarments are preferred over synthetic materials.
- Sexual abstinence is needed during the communicable phase of a disease.
- Condoms should be used during and after treatment during sexual activity. - Answers - Treatment of
sexual partners.
- Importance of retesting after treatment to confirm cure.
- Cotton undergarments are preferred over synthetic materials.
- Sexual abstinence is needed during the communicable phase of a disease.
- Condoms should be used during and after treatment during sexual activity.
Rationale:
Teaching for patients with an STI should include the treatment of all sexual partners, retesting after
treatment to confirm cure, cotton undergarments are more comfortable, sexual abstinence is needed
during the communicable phase of the infection to prevent spread, and condoms should be used for
sexual activity during and after treatment to prevent spread and reinfection. Douching may spread the
infection or alter the local immune responses and is therefore contraindicated in patients with STIs
The nurse obtains a history from a 34-year-old man diagnosed with chlamydia. Which patient statement
indicates additional teaching is required?
- "This infection can be cured by taking antibiotics."
- "It is important to use condoms for all sexual activity."
- "I will avoid sexual contact for 1 week after taking the antibiotics."
- "My sexual partner does not have symptoms and will not need treatment." - Answers - "My sexual
partner does not have symptoms and will not need treatment."
Rationale:
All sexual partners require treatment. Most men and women with chlamydial infections are either
asymptomatic or have minor symptoms. Chlamydial infections are caused by Chlamydia trachomatis, a
gram-negative bacterium. Antibiotics will cure this disease. Patients should avoid sexual intercourse for
7 days after completing treatment with antibiotics. Condoms should be used for all sexual contacts.
A patient comes to the outpatient clinic for treatment of uncomplicated gonorrhea. Which patient
statement requires immediate clarification by the nurse?
- "I should avoid alcohol use for at least 2 weeks."
A young male patient is seeking treatment for recurrence of genital tingling, burning, and itching. The
nurse will expect a prescription for which class of medications?
- Antivirals
- Antibiotics
- Vaccination
- Contraceptives - Answers - Antivirals
Rationale:
This patient has a reoccurrence of genital herpes (HSV2). Although not a cure, he will be treated with
antiviral medications to decrease the duration of viral shedding and the healing time of genital lesions
and reduce outbreaks. Antibiotics and contraceptives are not used to treat acute HSV2. There are no
vaccinations for HSV.
A 22-yr-old man is being treated at a college health care clinic for gonorrhea. What should the nurse
include in patient teaching?
- "While being treated for the infection, you will not be able to pass this infection on to your sexual
partner."
- "It is important to complete your full course of antibiotics in order to ensure that you become resistant
to reinfection."
- "While you're taking the antibiotics, you will need to abstain from participating in sexual activity and
drinking alcohol."
- "The symptoms will resolve on their own, but it is important for you to abstain from sexual activity
while this is occurring." - Answers - "While you're taking the antibiotics, you will need to abstain from
participating in sexual activity and drinking alcohol."
Rationale:
Treatment for gonorrhea necessitates abstinence from sexual activity (to prevent infection of partners)
and alcohol (to avoid urethral irritation). The disease is not self-limiting, nor does successful treatment
confer future resistance.
A 24-yr-old patient is at the clinic with symptoms of purulent vaginal discharge, dysuria, and
dyspareunia. She is sexually active and has multiple partners. What should the nurse explain as the
rationale for Chlamydia screening?
- Chlamydia is frequently comorbid with HIV.
,- Untreated chlamydia infections can lead to sepsis.
- Untreated chlamydia infections may cause infertility.
- Chlamydia infections are treatable only in the early stages. - Answers - Untreated chlamydia infections
may cause infertility.
Rationale:
Because of the potential for infertility, routine screening for Chlamydia is recommended for women
sexually active younger than age 25 years and annually for those older than 25 years with one or more
risk factors for the infection. Chlamydia is not a primary risk for sepsis and is not noted to be strongly
correlated with HIV infection. The disease is treatable at all stages of infection.
The nurse administers a Gardasil vaccine to an 18-yr-old female patient. After the injection, which
patient instruction is priority?
- Avoid sexual activity for 24 to 48 hours.
- Remain lying down for at least 15 minutes.
- Return to the clinic in 6 months for a second dose.
- Use two methods of birth control to avoid pregnancy. - Answers - Remain lying down for at least 15
minutes.
Rationale:
To prevent syncope (fainting) during and after the administration of Gardasil, the patient should remain
sitting or lying down for 15 minutes. The vaccine is not recommended during pregnancy. Gardasil
vaccine is given in three IM doses over a 6-month period. There are no sexual activity restrictions after
administration of Gardasil.
A man with a primary infection of genital herpes was prescribed acyclovir (Zovirax) orally for 10 days.
The patient returns to the clinic for a follow-up visit. Which finding indicates that treatment is effective?
- Negative bacterial culture
- Absence of genital lesions
- Reduction of genital warts
- No drainage from chancre sore - Answers - Absence of genital lesions
Rationale:
Primary genital herpes is a viral disorder caused by the herpes simplex virus. Genital herpes results in
painful, vesicular lesions. The lesions rupture, form crusts, and heal in 17 to 21 days. Genital warts are
,caused by the human papillomavirus. Genital herpes is caused by a viral infection (not bacterial). Syphilis
is caused by a bacterial organism and results in a chancre, which is a painless, indurated lesion.
A patient comes to the clinic after being informed by a sexual partner of possible recent exposure to
syphilis. The nurse will examine the patient for what characteristic finding of syphilis in the primary
clinical stage?
- Chancre
- Alopecia
- Condylomata lata
- Regional adenopathy - Answers - Chancre
Rationale:
Chancres appear in the primary stage of the bacterial invasion of Treponema pallidum, the causative
organism of syphilis. The other findings do not appear until the secondary stage of syphilis, occurring a
few weeks after the chancres appear.
Which event discovered during pregnancy would alert the nurse that a cesarean section delivery is
indicated?
- Contact with a person with syphilis 2 weeks ago
- Treatment for gonococcal pharyngitis before conception
- Treatment for C. trachomatis at her 20th week of gestation
- Active herpes simplex virus type 2 vesicles on her cervix at the time of delivery - Answers - Active
herpes simplex virus type 2 vesicles on her cervix at the time of delivery
Rationale:
The woman with active herpes simplex virus type 2 at the time of delivery has the greatest risk for the
fetus, and the baby will be delivered by cesarean section to prevent infection. Syphilis has an average
incubation period of 21 days, so even if the contact was sexual, the syphilis should not infect the baby at
birth. The woman treated for gonococcal pharyngitis should have been cured with treatment, but the
baby's eyes will be treated at birth to prevent gonorrheal eye infection regardless. Treatment of the
pregnant woman with C. trachomatis prevents transfer of the infection to the fetus.
What should general teaching for patients with a sexually transmitted infection (STI) include? (Select all
that apply.)
- Treatment of sexual partners.
- Douching will help to provide relief of itching.
, - Importance of retesting after treatment to confirm cure.
- Cotton undergarments are preferred over synthetic materials.
- Sexual abstinence is needed during the communicable phase of a disease.
- Condoms should be used during and after treatment during sexual activity. - Answers - Treatment of
sexual partners.
- Importance of retesting after treatment to confirm cure.
- Cotton undergarments are preferred over synthetic materials.
- Sexual abstinence is needed during the communicable phase of a disease.
- Condoms should be used during and after treatment during sexual activity.
Rationale:
Teaching for patients with an STI should include the treatment of all sexual partners, retesting after
treatment to confirm cure, cotton undergarments are more comfortable, sexual abstinence is needed
during the communicable phase of the infection to prevent spread, and condoms should be used for
sexual activity during and after treatment to prevent spread and reinfection. Douching may spread the
infection or alter the local immune responses and is therefore contraindicated in patients with STIs
The nurse obtains a history from a 34-year-old man diagnosed with chlamydia. Which patient statement
indicates additional teaching is required?
- "This infection can be cured by taking antibiotics."
- "It is important to use condoms for all sexual activity."
- "I will avoid sexual contact for 1 week after taking the antibiotics."
- "My sexual partner does not have symptoms and will not need treatment." - Answers - "My sexual
partner does not have symptoms and will not need treatment."
Rationale:
All sexual partners require treatment. Most men and women with chlamydial infections are either
asymptomatic or have minor symptoms. Chlamydial infections are caused by Chlamydia trachomatis, a
gram-negative bacterium. Antibiotics will cure this disease. Patients should avoid sexual intercourse for
7 days after completing treatment with antibiotics. Condoms should be used for all sexual contacts.
A patient comes to the outpatient clinic for treatment of uncomplicated gonorrhea. Which patient
statement requires immediate clarification by the nurse?
- "I should avoid alcohol use for at least 2 weeks."
