Chapter 74: Care of Patients with Sexually Transmitted Diseases Questions And Answers.

1. A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STDs) seen in practice. Which statement by the student indicates a lack of understanding? a. There are improved techniques to diagnose an STD used in practice. b. There is increased incidence of sexual abuse and sexual trafficking. c. Females feel safe using oral agents rather than a condom as contraception. d. The organisms causing STDs are all becoming more virulent. ANS: D There is no evidence that the organisms that cause STDs are becoming more virulent, but a client may need to use another anti-infective if allergic or the protocol was not effective. Extensive histories are taken in the clinic of clients of all ages, as well as assessment of laboratory data such as cervical, urethral, oral, or rectal specimens and lesion samples for microbiology and virology. There are changes in sexual attitudes and practices, cultural factors, migration, and international travel. Women often think that the oral contraceptives protect them from an STD. DIF: Applying/Application REF: 1505 KEY: Reproductive problems| evidence-based practice| teaching| secondary prevention MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 2. 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. The nurse suspects syphilis. Which action by the nurse is appropriate? a. Reassure the client that this stage is not infectious unless she is pregnant. b. Assess the client for hearing loss and generalized weakness. c. Don gloves and further assess the clients lesions. d. Take a history regarding any cardiovascular symptoms