NMNC 3210 EXAM #3 QUESTIONS | EVERY QUESTION
SOLVED | EVERY SCORE SECURED!
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 - Answer: - 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." - Answer: - "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.
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,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. - Answer: - 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. - Answer: - 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
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,- Absence of genital lesions
- Reduction of genital warts
- No drainage from chancre sore - Answer: - 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 - Answer: - 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 -
Answer: - Active herpes simplex virus type 2 vesicles on her cervix at the time of
delivery
Rationale:
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, 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. - Answer: -
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."
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
SOLVED | EVERY SCORE SECURED!
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 - Answer: - 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." - Answer: - "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.
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,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. - Answer: - 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. - Answer: - 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
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,- Absence of genital lesions
- Reduction of genital warts
- No drainage from chancre sore - Answer: - 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 - Answer: - 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 -
Answer: - Active herpes simplex virus type 2 vesicles on her cervix at the time of
delivery
Rationale:
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, 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. - Answer: -
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."
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
