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Exam (elaborations)

STD-s

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Exam of 13 pages for the course STD's at STD's (STD-s)

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STD's Q&A
A client who has localized herpes simplex virus (HSV) infection is admitted to the
maternity unit. The nurse knows the client should ideally be placed in which of the
following?

a. any available room

b. a single, unoccupied room

c. a double room with a client who underwent a c section 3 days prior

d. a double room with a curtain divider - (correct answer)b



the nurse cares for a client with genital herpes. After

the client is informed of the diagnosis, the client begins crying.

Which of the following responses by the nurse is the best

a. we have support groups that may help you talk about some of your feelings

b. i see that your upset. Share with me your thoughts

c. while herpes is a difficult disease, at least you dont have AIDS

d. i think the physician should explain more to you about genital herpes` - (correct
answer)b. reflects feelings and allows the client to verbalize concerns


the current incidence of STD's is related in part to

a. increased social acceptance of homosexuality
b increased virulence of organisms causing STD's

c. the use of oral agents rather than condoms as contraceptives

d. development of resistance of microorganisms to common antibiotics - (correct
answer)c



a female patient with a purulent vaginal discharge is seen at the outpatient clinic. The
nurse would expect a diagnosis of gonorrhea to

a. be treated with benzathine penicillin G

b. be confirmed with a Gram stain smear of the exudate

, c. indicate the presence of PID

d. be treated with cefixime (Suprax) and doxycycline (Vibramycin) - (correct answer)d



a 22 year old woman with multiple sex partners seeks care after several weeks of
experiencing painful frequent urination and vaginal discharge. although the results of a
culture of cervical secretions are not yet available, the nurse explains to the patient that
she will be treated as if she has gonorrhea and chlamydia to prevent

a. obstruction of the fallopian tubes
b. endocarditis and aortic aneurysms

c. disseminated gonoccal infection

d. polyarthritis and generalized adenopathy - (correct answer)a



during evaluation and treatment of gonorrhea in a young man at the health clinic, it is
most important that the nurse question the patient about

a. a prior history of STD

b. when the symptoms began

c. the date of his last sexual activity

d. the names of his recent sexual partners - (correct answer)d



a premarital blood test for syphilis reveals that a woman has a positive Venereal
Disease Research Laboratory (VDRL) test. the nurse advises the patient that
a. a single dose of penicillin will cure the syphilis

b. she should question her fiancée about prior sexual contacts
c. a lumbar puncture to evaluate CSF is necessary to rule out active syphilis

d. additional testing to detect specific antitreponemal antibodies is necessary - (correct
answer)d



the nurse encourages serologic testing for the HIV in the patient with syphilis primarily
because

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