Chapter 49: Sexually Transmitted Infections MULTIPLE CHOICE 1. The nurse in the out patient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years. The nurse explains that the antibiotic treatment this time will consist of: 1. one injection of penicillin G. 2. one injection of penicillin G today, and a follow-up with another injection in 1 month. 3. one injection of penicillin G today and 3 months of oral tetracyclines. 4. one injection of penicillin G today and a 2-month protocol of oral antiviral agents. ANS: 3 The patient who has had syphilis more than 1 year will need long-term antimicrobial remedy as well as an initial dose of penicillin G. Antiviral agents are not used in the treatment of a bacterial disease. PTS: 1 DIF: Cognitive Level: Application REF: 1107, Drug Therapy table OBJ: 5 TOP: Drug Protocol for Syphilis KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. The nurse, completing a history of present illnesses for a young woman who suspects she may have a STI, will ask specifically about whether the patient has experienced: 1. lethargy and fatigue. 2. genital discharge. 3. abdominal cramps. 4. heavy menses. ANS: 2 With an STI, the patient usually presents with a complaint of genital discharge. PTS: 1 DIF: Cognitive Level: Analysis REF: 1116 OBJ: 8 TOP: Collecting Data KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 3. A patient has been diagnosed with herpes simplex virus 2 (HSV type 2). The nurse should instruct the patient to: 1. avoid telling anyone about the condition. 2. wear close-fitting undergarments. 3. wash towels and personal items daily. 4. soak the sores with peroxide every day. ANS: 3 Inform the patient that the virus can survive on objects such as towels. PTS: 1 DIF: Cognitive Level: Application REF: 1114, Table 49-4
OBJ: 9 TOP: Herpes Simplex Type 2 KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 4. The nurse who is caring for a patient who is taking acyclovir (Zovirax) is alert for the side effects of this drug, which include: 1. fever and bone marrow suppression. 2. vaginal burning and skin irritation. 3. dizziness, headache, and nausea. 4. leukopenia and peripheral neuropathy. ANS: 3 Side effects include dizziness, headache, nausea, vomiting, renal failure, and seizures. PTS: 1 DIF: Cognitive Level: Application REF: 1109, Drug Therapy table OBJ: 7 TOP: Drugs to Treat STIs KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 5. The woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI. The nurse explains that gonorrhea: 1. shows no symptoms at all in half of the victims. 2. always produces a foul vaginal discharge. 3. causes a vaginal chancre that is not easily detected.
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