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In assessing patients for STIs, the nurse needs to know that many STIs can be
asymptomatic. Which STIs can be asymptomatic? (select all that apply)
a. Syphilis
b. Gonorrhea
c. Genital warts
d. Genital herpes
e. Chlamydial infection - CORRECT ANSWER-A,B,C,D,E
To prevent the infection and transmission of STIs, the nurse's teaching plan
would include an explanation of
a. the appropriate use of oral contraceptives.
b. the need for annual Pap tests for women with HPV.
c. sexual positions that can be used to avoid infection.
d. sexual practices that are considered high-risk behaviors. - CORRECT
ANSWER-D.
Provide emotional support to a patient with an STI by
a. offering information on how safer sexual practices can prevent STIs.
b. showing concern when listening to the patient who expresses negative
feelings.
, c. reassuring the patient that the disease is highly curable with appropriate
treatment.
d. helping the patient who received an STI from their sexual partner in forgiving
the partner. - CORRECT ANSWER-B.
Explain to the patient with gonorrhea that treatment will include both
ceftriaxone and azithromycin because
a. azithromycin helps prevent recurrent infections.
b. some patients do not respond to oral drugs alone.
c. coverage with more than one antibiotic will prevent reinfection. d. the
increasing rates of drug resistance requires using at least 2 drugs. - CORRECT
ANSWER-D.
A primary HSV infection differs from recurrent HSV episodes in that (select all
that apply)
a. only primary infections are sexually transmitted.
b. symptoms are less severe during recurrent episodes.
c. transmission of the virus to a fetus is less likely during primary infection.
d. systemic manifestations, such as fever and myalgia, are more common in
primary infection.
e. lesions from recurrent HSV are more likely to transmit the virus than lesions
from primary HSV. - CORRECT ANSWER-B,D
The nurse is obtaining a subjective data assessment from a woman reported as
a sexual contact of a man with chlamydial infection. The nurse understands
that symptoms of chlamydial infection in women a. are often absent.
b. are similar to those of genital herpes.
c. include a macular palmar rash in the later stages.
,d. may involve chancres inside the vagina that are not visible. - CORRECT
ANSWER-A.
Which populations have a higher risk for acquiring sexually transmitted
infections (STIs)? (select all that apply)
a. Transgender persons
b. Young adults (age < 25)
c. Men who have sex with men
d. Men in long-term care facilities e. Women in correctional facilities -
CORRECT ANSWER-A,B,C,E.
To prevent or decrease age-related changes that occur after menopause in a
patient who chooses not to take hormone therapy, the most important self-
care measure to teach is
a. maintaining usual sexual activity. b. increasing the intake of dairy products.
c. performing regular aerobic, weight-bearing exercise.
d. taking vitamin E and B-complex vitamin supplements. - CORRECT
ANSWER-C.
Postoperative care for the patient who had an abdominal hysterectomy
includes (select all that apply)
a. monitoring urine output.
b. changing position frequently.
c. restricting all food for 24 hours. d. observing perineal pad for bleeding. e.
encouraging leg exercises to promote circulation - CORRECT ANSWER-A,B,E.
Postoperatively, a patient who has had a laser prostatectomy has continuous
bladder irrigation with a 3- way urinary catheter with a 30-mL balloon. When
he reports bladder spasms with the catheter in place, the nurse should
, a. deflate the balloon to 10 mL to decrease bulk in the bladder.
b. deflate the balloon and then reinflate to ensure that the catheter is patent.
c. explain that this feeling is normal and that he should not try to urinate
around the catheter.
d. stop the irrigation, assess the patient's vital signs, and notify the HCP of
possible obstruction. - CORRECT ANSWER-
Which factors would place a patient at a higher risk for prostate cancer (select
all that apply)?
a. Older than 65 years
b. Asian or Native American
c. Long-term use of an indwelling urethral catheter
d. Father diagnosed and treated for early-stage prostate cancer
e. Previous history of undescended testicle and testicular cancer - CORRECT
ANSWER-A,D.
The nurse should explain to the patient who has erectile dysfunction (ED) that
(select all that apply)
a. the most common cause is benign prostatic hypertrophy.
b. ED may be due to medications or conditions such as diabetes.
c. only men who are 65 years or older benefit from PDE5 inhibitors. d. there are
medications and devices that can be used to help with erections.
e. this condition is primarily due to anxiety and best treated with
psychotherapy. - CORRECT ANSWER-B,D.
A patient with intracranial pressure monitoring has a pressure of 12 mm Hg.
The nurse understands that this pressure reflects
a. a severe decrease in cerebral perfusion pressure.