MDC 3 Module 2 Exam STIReproductive Infections NCLEX

MDC 3 Module 2 Exam – STI/Reproductive Infections NCLEX Practice

The nurse is counseling a client who has tested positive for syphilis. What teaching will the nurse provide regarding the client's partner?

a."You must notify your sexual partners and encourage them to seek treatment." b."Please share accurate information about your partners so prophylactic, expedited care can be initiated." c."Syphilis is not reportable to the local health agency and follow-up is voluntary." d."The clinic will provide information about you to potential partners until you have completed treatment". - b."Please share accurate information about your partners so prophylactic, expedited care can be initiated."

What teaching will the nurse provide to a client newly diagnosed with gonorrhea?

a."Do not engage in sexual activity for 48 hours after treatment has been initiated." b."You are contagious even if you have no outward symptoms." c."Close follow-up is required because treatment failure is common." d."You are only infectious while the lesions are draining." - b."You are contagious even if you have no outward symptoms."

The nurse is providing expedited partner treatment (EPT) to a client who is newly diagnosed with chlamydia. What is the appropriate nursing action?

a.Give the drug and directions to the client for the partner.b.Provide condoms for the client and partner to use.c.Confirm the partner's diagnosis through appropriate testing.d.Make an appointment at the clinic for the partner. - a.Give the drug and directions to the client for the partner.

The nurse is discussing the prevention of sexually transmitted infections (STIs) with a group of young adults. What information does the nurse include?

a.Spermicidal agents, when used with condoms, prevent the transmission of STIs.b.Female condoms are ineffective in preventing the transmission of STIs.c.The risk of STIs increases with the number of sexual partners.d.Use of latex condoms always keeps STIs from spreading and infecting others. - c.The risk of STIs increases with the number of sexual partners.

The nurse is counseling a client and the client's sexual partner on safer sex practices. Which client comment indicates a need for further education?

a."Condoms are for vaginal and anal sex, but not for oral sex." b."We heard that latex condoms were better than natural membrane condoms." c."We only use condoms once, and then throw them away." d."If a condom breaks, we should immediately stop and replace it." - a."Condoms are for vaginal and anal sex, but not for oral sex."

The nurse is collecting a client history prior to a gynecologic examination. Which comment by the nurse needs to be reworded to show respect for the client's personal values and beliefs??

a."Have you participated in homosexual relationships?" b."How many sexual partners do you currently have?" c."What type of protection do you use when you have sex?" d."How often do you have intercourse?" - a."Have you participated in homosexual relationships?"

The nurse is teaching a group of men about sexually transmitted infections. What sign does the nurse identify that may appear in the primary stage of syphilis?

a.Painless chancre b.Urethral discharge c.Scrotal swelling d.Rash in the genital area - a.Painless chancre

The nurse is evaluating a client's response to antibiotic treatment for pelvic inflammatory disease (PID). Which assessment finding indicates that the treatment is effective?

a.Decreased vaginal discharge b.Returning libido c.Lessened pelvic tenderness d.Increased appetite - c.Lessened pelvic tenderness

The nurse is teaching a female client about antibiotic treatment for pelvic inflammatory disease (PID). Which client statement indicates that teaching has been effective?

a."I can resume having sex 24 hours after the first dose of antibiotics." b."Antibiotics are always to be taken with food." c."These antibiotics must be taken for 14 days." d."When I take the antibiotic, I also need to take an antacid." - c."These antibiotics must be taken for 14 days."

The nurse is assessing a male client with Chlamydia trachomatis. What assessment finding does the nurse anticipate?

a.Dysuria b.Pustules on the glans of the penis c.Maculopapular perineal rash d.Testicular edema - a.Dysuria

The nurse is creating a plan of care for a client with newly diagnosed pelvic inflammatory disease (PID). Which problem does the nurse identify as the client's highest priority?

a.Decreased sexual drive b.Impaired self-esteem c.Bacterial infection d.Possible infertility - c.Bacterial infection

The nurse is administering benzathine penicillin G intramuscularly to a client with primary syphilis. What precaution does the nurse implement when the client reports never having received penicillin before?

a.Applies an ice pack to the injection site to minimize skin trauma.b.Keeps the client in the clinic for 30 minutes after drug administration.c.Administers ibuprofen to decrease the pain associated with the injection.d.Teaches to refrain from all sexual activities for a minimum of 72 hours. - b.Keeps the client in the clinic for 30 minutes after drug administration.

The nurse is teaching a 19-year-old female with genital warts. Which client statement requires further education from the nurse?

a."The warts may actually disappear or resolve without any treatment at all." b."There is no known treatment that will cure genital warts." c."Wart remover treatment from the drugstore will help me get rid of them." d."Genital warts may reappear at the same site." - c."Wart remover treatment from the drugstore will help me get rid of them."

The nurse is teaching a group of young women about screening for chlamydia. Which client statement demonstrates that nursing teaching has been effective?

a."If I am a 40-year-old woman with a 'new' partner, I need to be screened again." b."As a sexually active 19 year old, I need to be screened every 2 years." c."At age 30, I need yearly testing, even if I have been monogamous for several years." d."My partner got tested and treated for an STI so I don't need to be tested." - a."If I am a 40- year-old woman with a 'new' partner, I need to be screened again."

A client with newly diagnosed pelvic inflammatory disease (PID) is prescribed an antibiotics as an outpatient. What teaching does the nurse provide about the treatment regimen?

a."If you engage in sexual activity, be certain to use a latex condom." b."A rise in your temperature is expected for the first several days." c."Return to the clinic in 7 to 10 days after completing treatment for a checkup." d."Rest in a semi-Fowler position to help with the infection and pain." - d."Rest in a semi- Fowler position to help with the infection and pain."

The nurse is planning care for a client who has a sexually transmitted infection (STI). Which intervention addresses the client's psychosocial needs? (Select all that apply.) Select all that apply.

a.Ensure that the client's sexual partner is aware of the diagnosis.b.Refer the client to the appropriate support groups.c.Approach the client with a nonjudgmental attitude.d.Report the STI to the public health department.e.Allow the client to express fears and anxieties.f.Share experiences about working with clients with STIs. - b.Refer the client to the appropriate support groups.c.Approach the client with a nonjudgmental attitude.e.Allow the client to express fears and anxieties.

Which sexually transmitted infection does the nurse identify that can result in a vaginal infection? (Select all that apply.) Select all that apply.

a.Endometritis b.Syphilis c.Chlamydia d.Epididymitis e.Proctitis f.Gonorrhea - b.Syphilis c.Chlamydia f.Gonorrhea

Which intervention does the nurse suggest for a sexually active client to reduce chances of getting an STI? (Select all that apply.) Select all that apply.

a.Polyurethane condoms b.Spermicidal cream c.Abstinence d.Mutual monogamy