Chapter 42. Infections: Bacterial and Spirochetal
1. Which statement made by an adolescent girl indicates an understanding about the
prevention of sexually transmitted diseases (STDs)?
a. I know the only way to prevent STDs is not to be sexually
active. b. I practice safe sex because I wash myself right after sex.
c. I wont get any kind of STD because I take the
pill. d. I have sex only if my boyfriend wears a
condom.
ANS: A
Abstinence is the only foolproof way to prevent an STD. STDs are transmitted through
body fluids (semen, vaginal fluids, blood). Perineal hygiene will not prevent an STD. Oral
contraceptives do not protect women from contracting STDs. A condom can reduce but not
eliminate an individuals chance of acquiring an STD.
2. Which sexually transmitted disease would the nurse suspect when an adolescent girl comes
to the clinic because she has a vaginal discharge that is white with a fishy smell?
, a. Human papillomavirus
b. Bacterial vaginosis
c. Trichomonas
d. Chlamydia
ANS: B
Bacterial vaginosis is characterized by a profuse, white, malodorous (fishy smelling) vaginal
discharge that sticks to the vaginal walls. Manifestations of the human papillomavirus are
anogenital warts that begin as small papules and grow into clustered lesions. Infections with
Trichomonas are frequently asymptomatic. Symptoms in females may include dysuria,
vaginal itching, burning, and a frothy, yellowish-green, foul-smelling discharge. Many
people with chlamydial infections have few or no symptoms. Urethritis with dysuria, urinary
frequency, or mucopurulent discharge may indicate chlamydial infection.
4. A nurse is conducting a health education class for a group of school-age children. Which
statement, made by the nurse, is correct about the bodys first line of defense against infection
in the innate immune system?
a. Nutritional status
b. Skin integrity
c. Immunization status
d. Proper hygiene practices
ANS: B
The first lines of defense in the innate immune system are the skin and intact mucous
membranes. Nutritional status is an indicator of overall health, but it is not the first line of
defense in the innate immune system. Immunizations provide artificial immunity or resistance
to harmful diseases. Practicing good hygiene may reduce susceptibility to disease, but it is not
a component of the innate immune system.
7. Which statement made by a parent indicates incorrect information about an intervention for
a childs fever?
1. Which statement made by an adolescent girl indicates an understanding about the
prevention of sexually transmitted diseases (STDs)?
a. I know the only way to prevent STDs is not to be sexually
active. b. I practice safe sex because I wash myself right after sex.
c. I wont get any kind of STD because I take the
pill. d. I have sex only if my boyfriend wears a
condom.
ANS: A
Abstinence is the only foolproof way to prevent an STD. STDs are transmitted through
body fluids (semen, vaginal fluids, blood). Perineal hygiene will not prevent an STD. Oral
contraceptives do not protect women from contracting STDs. A condom can reduce but not
eliminate an individuals chance of acquiring an STD.
2. Which sexually transmitted disease would the nurse suspect when an adolescent girl comes
to the clinic because she has a vaginal discharge that is white with a fishy smell?
, a. Human papillomavirus
b. Bacterial vaginosis
c. Trichomonas
d. Chlamydia
ANS: B
Bacterial vaginosis is characterized by a profuse, white, malodorous (fishy smelling) vaginal
discharge that sticks to the vaginal walls. Manifestations of the human papillomavirus are
anogenital warts that begin as small papules and grow into clustered lesions. Infections with
Trichomonas are frequently asymptomatic. Symptoms in females may include dysuria,
vaginal itching, burning, and a frothy, yellowish-green, foul-smelling discharge. Many
people with chlamydial infections have few or no symptoms. Urethritis with dysuria, urinary
frequency, or mucopurulent discharge may indicate chlamydial infection.
4. A nurse is conducting a health education class for a group of school-age children. Which
statement, made by the nurse, is correct about the bodys first line of defense against infection
in the innate immune system?
a. Nutritional status
b. Skin integrity
c. Immunization status
d. Proper hygiene practices
ANS: B
The first lines of defense in the innate immune system are the skin and intact mucous
membranes. Nutritional status is an indicator of overall health, but it is not the first line of
defense in the innate immune system. Immunizations provide artificial immunity or resistance
to harmful diseases. Practicing good hygiene may reduce susceptibility to disease, but it is not
a component of the innate immune system.
7. Which statement made by a parent indicates incorrect information about an intervention for
a childs fever?
