NMNC 3210 EXAM 3 QUESTIONS & ANSWERS
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.
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."
- "I will have my sexual partner come in for treatment."
- "After I start the antibiotic, it is safe to have sex again."
- "After treatment, I do not need to return to the clinic for retesting." - Answers - - "After
I start the antibiotic, it is safe to have sex again."
Rationale:
Patients should avoid sexual intercourse for 7 days after completing treatment with
antibiotics. All sexual contact of patients with gonorrhea must be evaluated and treated
to prevent reinfection. Patients should abstain from sexual intercourse and alcohol
during treatment. Sexual intercourse allows the infection to spread and can delay
healing. Alcohol is irritating to the healing urethral walls. Patients with uncomplicated
gonorrhea who are treated do not need to return to the clinic to confirm the disease has
been cured.
A 30-yr-old woman reports the recent appearance of itchy, slightly painful lesions on her
vulva, some of which have recently burst. Which STI should the nurse suspect first?
, - Gonorrhea
- Chlamydia
- Genital warts
- Genital herpes - Answers - - Genital herpes
Rationale:
A primary episode of genital herpes is often marked by multiple small, vesicular lesions
on the genitals. This symptomatology is not associated with genital warts, gonorrhea, or
Chlamydia.
The patient is being treated for a recurrent episode of Chlamydia. What should the
nurse include in patient teaching?
- If you are treated, your sexual partner will not need to be treated.
- Abstain from sexual intercourse for 7 days after finishing the treatment.
- You will probably get gonorrhea if you have another recurrence of Chlamydia.
- Because you have been treated before, you do not need to take all the medication this
time. - Answers - - Abstain from sexual intercourse for 7 days after finishing the
treatment.
Rationale:
Patients treated for Chlamydia infections should abstain from sexual intercourse for 7
days after treatment until all sexual partners have completed a full course of treatment
to prevent recurrence, and a follow-up culture is done. A single-dose treatment is also
available. Because Chlamydia and gonococcal infections are closely associated, they
are frequently both treated, but having Chlamydia does not give the patient gonorrhea.
Each time a patient is treated for Chlamydia, a full course of treatment is required.
In working with teenagers, what should the nurse include when teaching about
prevention of STIs?
- Spermicidal jellies reduce the risk of getting STIs.
- Douches for women and cleaning the penis will prevent STIs.
- Abstinence and then latex barriers, such as condoms, are the best prevention.
- Getting an STI is embarrassing so you will want to use preventive measures. -
Answers - - Abstinence and then latex barriers, such as condoms, are the best
prevention.
Rationale:
Abstinence and then latex barriers, such as condoms, are the best prevention of STIs.
Spermicidal jellies or creams do not reduce the risk of contracting STIs. Most STIs are
curable, but complications are serious and costly if they are not cured. Douches may
spread the infection, undermine local immune responses, and do not prevent STIs.
Cleansing of the penis will provide comfort after an STI has been diagnosed but will not
prevent STIs. Nurses should provide supportive counseling and not reinforce feelings of
embarrassment.
The history and physical of a 29-year-old female patient are indicative of human
papillomavirus (HPV) infection. What treatment option should be discussed with the
patient?
- Gardasil
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.
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."
- "I will have my sexual partner come in for treatment."
- "After I start the antibiotic, it is safe to have sex again."
- "After treatment, I do not need to return to the clinic for retesting." - Answers - - "After
I start the antibiotic, it is safe to have sex again."
Rationale:
Patients should avoid sexual intercourse for 7 days after completing treatment with
antibiotics. All sexual contact of patients with gonorrhea must be evaluated and treated
to prevent reinfection. Patients should abstain from sexual intercourse and alcohol
during treatment. Sexual intercourse allows the infection to spread and can delay
healing. Alcohol is irritating to the healing urethral walls. Patients with uncomplicated
gonorrhea who are treated do not need to return to the clinic to confirm the disease has
been cured.
A 30-yr-old woman reports the recent appearance of itchy, slightly painful lesions on her
vulva, some of which have recently burst. Which STI should the nurse suspect first?
, - Gonorrhea
- Chlamydia
- Genital warts
- Genital herpes - Answers - - Genital herpes
Rationale:
A primary episode of genital herpes is often marked by multiple small, vesicular lesions
on the genitals. This symptomatology is not associated with genital warts, gonorrhea, or
Chlamydia.
The patient is being treated for a recurrent episode of Chlamydia. What should the
nurse include in patient teaching?
- If you are treated, your sexual partner will not need to be treated.
- Abstain from sexual intercourse for 7 days after finishing the treatment.
- You will probably get gonorrhea if you have another recurrence of Chlamydia.
- Because you have been treated before, you do not need to take all the medication this
time. - Answers - - Abstain from sexual intercourse for 7 days after finishing the
treatment.
Rationale:
Patients treated for Chlamydia infections should abstain from sexual intercourse for 7
days after treatment until all sexual partners have completed a full course of treatment
to prevent recurrence, and a follow-up culture is done. A single-dose treatment is also
available. Because Chlamydia and gonococcal infections are closely associated, they
are frequently both treated, but having Chlamydia does not give the patient gonorrhea.
Each time a patient is treated for Chlamydia, a full course of treatment is required.
In working with teenagers, what should the nurse include when teaching about
prevention of STIs?
- Spermicidal jellies reduce the risk of getting STIs.
- Douches for women and cleaning the penis will prevent STIs.
- Abstinence and then latex barriers, such as condoms, are the best prevention.
- Getting an STI is embarrassing so you will want to use preventive measures. -
Answers - - Abstinence and then latex barriers, such as condoms, are the best
prevention.
Rationale:
Abstinence and then latex barriers, such as condoms, are the best prevention of STIs.
Spermicidal jellies or creams do not reduce the risk of contracting STIs. Most STIs are
curable, but complications are serious and costly if they are not cured. Douches may
spread the infection, undermine local immune responses, and do not prevent STIs.
Cleansing of the penis will provide comfort after an STI has been diagnosed but will not
prevent STIs. Nurses should provide supportive counseling and not reinforce feelings of
embarrassment.
The history and physical of a 29-year-old female patient are indicative of human
papillomavirus (HPV) infection. What treatment option should be discussed with the
patient?
- Gardasil
