TEST BANK MEDICAL-SURGICAL NURSING
10TH EDITION TEST BANK IGNATAVICIUS -
ALL CHAPTERS | COMPLETE GUIDE 2023
, abirb.com/test
Chapter : Concepts of Care for Patients With Sexually Transmitted Infections
Ignatavicius: Medical-Surgical abirb.com/test
Nursing, 10th Edition
MULTIPLE CHOICE abirb.com/test
1. A nurse is assessing a client who presents with a scaly rash over the palms and soles of the
feet and the feeling of muscle aches and malaise. Which action by the nurse is most
appropriate? abirb.com/test
a. Reassure the client that these lesions are not infectious.
b. Assess the client for hearing loss and generalized weakness.
abirb.com/test
c. Don gloves and further assess the client’s lesions.
d. Take a history regarding any cardiovascular symptoms.
ANS: C
abirb.com/test
The client is displaying symptoms similar to secondary syphilis, with flulike symptoms and
rash due to the spirochetes circulating throughout the bloodstream. Therefore, the nurse needs
to further assess the client’s lesions with gloves since the client is highly contagious at this
stage. Tertiary syphilis may display in the form of cardiovascular or central nervous system
abirb.com/test
symptoms. Neurosyphilis can appear at any time, in any state, and can include hearing loss.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
abirb.com/test
KEY: Sexually transmitted infections, Syphilis
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A male client is diagnosed with primary syphilis. Which question by the nurse is a priority at
this time? abirb.com/test
a. “Have you been using latex condoms?”
b. “Are you allergic to penicillin?”
c. “When was your last sexual encounter?”
abirb.com/test
d. “Do you have a history of sexually transmitted infections?”
ANS: B
Benzathine penicillin G is the evidence-based treatment for primary, secondary, and early
abirb.com/test
latent syphilis. The client needs to be assessed for allergies before treatment. The other
questions would be helpful in the client’s history of sexually transmitted infections but not as
important as knowing whether the client is allergic to penicillin.
DIF: Applying
abirb.com/test
TOP: Integrated Process: Nursing Process: Assessment
KEY: Sexually transmitted infections, Medications
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
abirb.com/test
3. A client with genital herpes has painful blisters on her vulva. After teaching the client
self-care measures, which statement indicates the need for further education?
abirb.com/test
a. “Pouring water over my genitals will decrease the pain of urinating.”
b. “I will wash my hands carefully after applying ointment.”
c. “When I don’t have lesions, I am not contagious to my sexual partner.”
d. “I should increase my fluid intake when I have open lesions.”
ANS: C
abirb.com/test
abirb.com/test
abirb.com/test
, abirb.com/test
A client with genital herpes can still spread the disease when asymptomatic through viral
abirb.com/test
shedding. The client is taught to use condoms with all sexual activity. Pouring water over the
genitals (or urinating in the shower) will help decrease the pain of urine passing over open
lesions. Good handwashing is important. Open lesions can lead to fluid loss so the client is
abirb.com/test
taught to increase fluid intake.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Sexually transmitted infections, Genital herpes
abirb.com/test
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A 30-year-old male client is asking the nurse about the vaccine for human papilloma virus
(HPV). Which statement by the nurse is accurate?
abirb.com/test
a. “Gardasil protects against all HPV strains.”
b. “You are too old to receive the vaccine.”
c. “Only females can receive the vaccine.”
abirb.com/test
d. “You will only need 1 dose of the vaccine.”
ANS: D
Gardasil is used to provide immunity for HPV types 6, 11, 16, and 18 and Gardasil 9 protects
abirb.com/test
against 5 more strains. The vaccine is recommended for people aged 9 to 26 years of age, but
Gardasil 9 can be given up to age 45. Both males and females can get the vaccine. Depending
on the timing and type of vaccine, either 2 to 3 doses are required.
DIF: Understanding abirb.com/test
TOP: Integrated Process: Teaching/Learning
KEY: Sexually transmitted infections, HPV
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
abirb.com/test
5. A client with multiple sexual partners has been assessed for symptoms of dysuria and green,
malodorous vaginal discharge. The nurse administers and injection of ceftriaxone and gives
the client a prescription for doxycycline. The client asks why two drugs are needed. What
answer by the nurse is best? abirb.com/test
a. “It is very common to be infected with both gonorrhea and chlamydia.”
b. “Giving two medications increases the chance of curing the infection.”
abirb.com/test
c. “Some people are not affected by the injection and need more medication.”
d. “This will prevent you from needing a 3-month follow-up test.”
ANS: A
abirb.com/test
This client has signs of gonorrhea. Co-infection with gonorrhea and chlamydia is common, so
the client being treated for gonorrhea also needs treatment for chlamydia with oral antibiotics.
It is fairly accurate to say two medications increases the chance of cure, but does not really
explain the situation. Giving the client two medications is not because some people are not
abirb.com/test
affected by the injection nor is it to prevent needing a 3-month follow-up test. Testing for
re-infection with chlamydia is recommended by the CDC.
DIF: Applying TOP: Integrated Process: Teaching/Learning
abirb.com/test
KEY: Sexually transmitted infections, Medications
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
abirb.com/test
6. While evaluating a client for treatment of gonorrhea, which question is the most important for
the nurse to ask?
a. “Do you have a history of sexually transmitted infection?”
abirb.com/test
abirb.com/test
, abirb.com/test
b. “When was your last sexual encounter?”
abirb.com/test
c. “When did your symptoms begin?”
d. “Can you remember your partners and contact them to get treated?”
ANS: D
abirb.com/test
Sexual partners, as well as the client, should be tested and treated for gonorrhea. Asking about
sexually transmitted infection history, last sexual encounter, and onset of symptoms would be
helpful with the history taking, but the priority is treating the client’s sexual partners to limit
the spread of the infection. abirb.com/test
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Sexually transmitted infections, Gonorrhea
abirb.com/test
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
7. A client has been treated for syphilis with IM penicillin. The next day the client calls the
clinic to report fever, chills, achy muscles, and a worsening rash. What statement by the nurse
is most appropriate? abirb.com/test
a. “You must be allergic to penicillin; over the counter antihistamines will help.”
b. “Please go to the nearest emergency department if you develop shortness of
breath.” abirb.com/test
c. “You can take acetaminophen or ibuprofen for the pain and achiness.”
d. “I think you should come in to the clinic either today or tomorrow and be
checked.”
abirb.com/test
ANS: C
This client has signs of a Jarisch-Herxheimer reaction which is caused when the organisms’
cell walls are disrupted and cellular contents are released rapidly. It is usually self-limiting
abirb.com/test
and benign. Antipyretics and mild analgesics treat the symptoms. The client does not need to
monitor for shortness of breath, come in to the clinic, or get antihistamines for an allergic
reaction.
DIF: Applying
abirb.com/test
TOP: Integrated Process: Nursing Process: Implementation
KEY: Sexually transmitted infections, Medication adverse reactions
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
abirb.com/test
8. A 24 year-old female has been diagnosed with genital warts. Which action by the nurse is
best?
abirb.com/test
a. Encourage the client to complete STI screening.
b. Recommend an over-the-counter wart treatment for genital tissue.
c. Report the case to the Centers for Infection Control and Prevention (CDC).
d. Discuss popular options for contraception.
ANS: A
abirb.com/test
Clients with HPV should be fully screened for other STIs since co-infection is common. Over
the counter treatments should not be applied to genital tissue. HPV is not reportable.
Contraception is not related. abirb.com/test
DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Sexually transmitted infections, HPV
abirb.com/test
MSC: Client Needs Category: Health Promotion and Maintenance
abirb.com/test
abirb.com/test
10TH EDITION TEST BANK IGNATAVICIUS -
ALL CHAPTERS | COMPLETE GUIDE 2023
, abirb.com/test
Chapter : Concepts of Care for Patients With Sexually Transmitted Infections
Ignatavicius: Medical-Surgical abirb.com/test
Nursing, 10th Edition
MULTIPLE CHOICE abirb.com/test
1. A nurse is assessing a client who presents with a scaly rash over the palms and soles of the
feet and the feeling of muscle aches and malaise. Which action by the nurse is most
appropriate? abirb.com/test
a. Reassure the client that these lesions are not infectious.
b. Assess the client for hearing loss and generalized weakness.
abirb.com/test
c. Don gloves and further assess the client’s lesions.
d. Take a history regarding any cardiovascular symptoms.
ANS: C
abirb.com/test
The client is displaying symptoms similar to secondary syphilis, with flulike symptoms and
rash due to the spirochetes circulating throughout the bloodstream. Therefore, the nurse needs
to further assess the client’s lesions with gloves since the client is highly contagious at this
stage. Tertiary syphilis may display in the form of cardiovascular or central nervous system
abirb.com/test
symptoms. Neurosyphilis can appear at any time, in any state, and can include hearing loss.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
abirb.com/test
KEY: Sexually transmitted infections, Syphilis
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A male client is diagnosed with primary syphilis. Which question by the nurse is a priority at
this time? abirb.com/test
a. “Have you been using latex condoms?”
b. “Are you allergic to penicillin?”
c. “When was your last sexual encounter?”
abirb.com/test
d. “Do you have a history of sexually transmitted infections?”
ANS: B
Benzathine penicillin G is the evidence-based treatment for primary, secondary, and early
abirb.com/test
latent syphilis. The client needs to be assessed for allergies before treatment. The other
questions would be helpful in the client’s history of sexually transmitted infections but not as
important as knowing whether the client is allergic to penicillin.
DIF: Applying
abirb.com/test
TOP: Integrated Process: Nursing Process: Assessment
KEY: Sexually transmitted infections, Medications
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
abirb.com/test
3. A client with genital herpes has painful blisters on her vulva. After teaching the client
self-care measures, which statement indicates the need for further education?
abirb.com/test
a. “Pouring water over my genitals will decrease the pain of urinating.”
b. “I will wash my hands carefully after applying ointment.”
c. “When I don’t have lesions, I am not contagious to my sexual partner.”
d. “I should increase my fluid intake when I have open lesions.”
ANS: C
abirb.com/test
abirb.com/test
abirb.com/test
, abirb.com/test
A client with genital herpes can still spread the disease when asymptomatic through viral
abirb.com/test
shedding. The client is taught to use condoms with all sexual activity. Pouring water over the
genitals (or urinating in the shower) will help decrease the pain of urine passing over open
lesions. Good handwashing is important. Open lesions can lead to fluid loss so the client is
abirb.com/test
taught to increase fluid intake.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Sexually transmitted infections, Genital herpes
abirb.com/test
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A 30-year-old male client is asking the nurse about the vaccine for human papilloma virus
(HPV). Which statement by the nurse is accurate?
abirb.com/test
a. “Gardasil protects against all HPV strains.”
b. “You are too old to receive the vaccine.”
c. “Only females can receive the vaccine.”
abirb.com/test
d. “You will only need 1 dose of the vaccine.”
ANS: D
Gardasil is used to provide immunity for HPV types 6, 11, 16, and 18 and Gardasil 9 protects
abirb.com/test
against 5 more strains. The vaccine is recommended for people aged 9 to 26 years of age, but
Gardasil 9 can be given up to age 45. Both males and females can get the vaccine. Depending
on the timing and type of vaccine, either 2 to 3 doses are required.
DIF: Understanding abirb.com/test
TOP: Integrated Process: Teaching/Learning
KEY: Sexually transmitted infections, HPV
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
abirb.com/test
5. A client with multiple sexual partners has been assessed for symptoms of dysuria and green,
malodorous vaginal discharge. The nurse administers and injection of ceftriaxone and gives
the client a prescription for doxycycline. The client asks why two drugs are needed. What
answer by the nurse is best? abirb.com/test
a. “It is very common to be infected with both gonorrhea and chlamydia.”
b. “Giving two medications increases the chance of curing the infection.”
abirb.com/test
c. “Some people are not affected by the injection and need more medication.”
d. “This will prevent you from needing a 3-month follow-up test.”
ANS: A
abirb.com/test
This client has signs of gonorrhea. Co-infection with gonorrhea and chlamydia is common, so
the client being treated for gonorrhea also needs treatment for chlamydia with oral antibiotics.
It is fairly accurate to say two medications increases the chance of cure, but does not really
explain the situation. Giving the client two medications is not because some people are not
abirb.com/test
affected by the injection nor is it to prevent needing a 3-month follow-up test. Testing for
re-infection with chlamydia is recommended by the CDC.
DIF: Applying TOP: Integrated Process: Teaching/Learning
abirb.com/test
KEY: Sexually transmitted infections, Medications
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
abirb.com/test
6. While evaluating a client for treatment of gonorrhea, which question is the most important for
the nurse to ask?
a. “Do you have a history of sexually transmitted infection?”
abirb.com/test
abirb.com/test
, abirb.com/test
b. “When was your last sexual encounter?”
abirb.com/test
c. “When did your symptoms begin?”
d. “Can you remember your partners and contact them to get treated?”
ANS: D
abirb.com/test
Sexual partners, as well as the client, should be tested and treated for gonorrhea. Asking about
sexually transmitted infection history, last sexual encounter, and onset of symptoms would be
helpful with the history taking, but the priority is treating the client’s sexual partners to limit
the spread of the infection. abirb.com/test
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Sexually transmitted infections, Gonorrhea
abirb.com/test
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
7. A client has been treated for syphilis with IM penicillin. The next day the client calls the
clinic to report fever, chills, achy muscles, and a worsening rash. What statement by the nurse
is most appropriate? abirb.com/test
a. “You must be allergic to penicillin; over the counter antihistamines will help.”
b. “Please go to the nearest emergency department if you develop shortness of
breath.” abirb.com/test
c. “You can take acetaminophen or ibuprofen for the pain and achiness.”
d. “I think you should come in to the clinic either today or tomorrow and be
checked.”
abirb.com/test
ANS: C
This client has signs of a Jarisch-Herxheimer reaction which is caused when the organisms’
cell walls are disrupted and cellular contents are released rapidly. It is usually self-limiting
abirb.com/test
and benign. Antipyretics and mild analgesics treat the symptoms. The client does not need to
monitor for shortness of breath, come in to the clinic, or get antihistamines for an allergic
reaction.
DIF: Applying
abirb.com/test
TOP: Integrated Process: Nursing Process: Implementation
KEY: Sexually transmitted infections, Medication adverse reactions
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
abirb.com/test
8. A 24 year-old female has been diagnosed with genital warts. Which action by the nurse is
best?
abirb.com/test
a. Encourage the client to complete STI screening.
b. Recommend an over-the-counter wart treatment for genital tissue.
c. Report the case to the Centers for Infection Control and Prevention (CDC).
d. Discuss popular options for contraception.
ANS: A
abirb.com/test
Clients with HPV should be fully screened for other STIs since co-infection is common. Over
the counter treatments should not be applied to genital tissue. HPV is not reportable.
Contraception is not related. abirb.com/test
DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Sexually transmitted infections, HPV
abirb.com/test
MSC: Client Needs Category: Health Promotion and Maintenance
abirb.com/test
abirb.com/test
