NUR 255 MEDICAL SURGICAL EXAM UESTIONS AND
1
ANSWERS 100% CORRECTLY/VERIFIED RATED A+
LATEST UPDATE 2022
Chapter 74: Care of Patients with Sexually Transmitted Diseases
MULTIPLE CHOICE
1. A nurse instructor is teaching a student nurse about the factors that have increased the number of people
with sexually transmitted diseases (STDs) seen in practice. Which statement by the student indicates a lack
of understanding?
a. There are improved techniques to diagnose an STD used in practice.
b. There is increased incidence of sexual abuse and sexual trafficking.
c. Females feel safe using oral agents rather than a condom as contraception.
d. The organisms causing STDs are all becoming more virulent.
ANS: D
There is no evidence that the organisms that cause STDs are becoming more virulent, but a client may need to
use another anti-infective if allergic or the protocol was not effective. Extensive histories are taken in the
clinic of clients of all ages, as well as assessment of laboratory data such as cervical, urethral, oral, or rectal
specimens and lesion samples for microbiology and virology. There are changes in sexual attitudes and
practices, cultural factors, migration, and international travel. Women often think that the oral contraceptives
protect them from an STD.
NOT: Client Needs Category: Health Promotion and Maintenance
2. A nurse is assessing a client who presents with a scaly rash over the palms and soles of the feet and the
feeling of muscle aches and malaise. The nurse suspects syphilis. Which action by the nurse is appropriate?
a. Reassure the client that this stage is not infectious unless she is pregnant.
b. Assess the client for hearing loss and generalized weakness.
c. Don gloves and further assess the clients lesions.
d. Take a history regarding any cardiovascular symptoms.
ANS: C
The client is displaying symptoms similar to secondary syphilis, with flu-like symptoms and rash due to the
spirochetes circulating throughout the bloodstream. Therefore, the nurse needs to further assess the clients
lesions with gloves since the client is highly contagious at this stage. Late latent syphilis is not infectious
except to a fetus. Tertiary syphilis may display in the form of cardiovascular or central nervous system
symptoms.
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NUR 255 MEDICAL SURGICAL EXAM UESTIONS AND
2
ANSWERS 100% CORRECTLY/VERIFIED RATED A+
LATEST UPDATE 2022
DIF: Applying/Application REF: 1506
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
3. A male client is diagnosed with primary syphilis. Which question by the nurse is a priority at this time?
a. Have you been using latex condoms?
b. Are you allergic to penicillin?
c. When was your last sexual encounter?
d. Do you have a history of sexually transmitted disease?
ANS: B
Benzathine penicillin G is the evidence-based treatment for primary syphilis. The client needs to be assessed
for allergies before treatment. The other questions would be helpful in the clients history of sexually
transmitted diseases but not as important as knowing whether the client is allergic to penicillin.
NUR 255 MEDICAL SURGICAL EXAM UESTIONS AND
3
ANSWERS 100% CORRECTLY/VERIFIED RATED A+
LATEST UPDATE 2022
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. An African-American female with blisters on the vagina is being treated with acyclovir (Zovirax) for genital
herpes. She is angry at her partner for transmitting the infection. Which action by the nurse is best?
a. Encourage the client to engage in sexual activity since she is on medication.
b. Be sensitive to the clients feelings and refer her to a support group.
c. Reinforce that the disease can no longer be spread to other partners.
d. Reassure the client that sexual activity will not be painful while on acyclovir.
ANS: B
The nurse needs to be sensitive and supportive of the client since infected clients may feel angry, lonely, and
isolated. Allow the client to verbalize her feelings and refer her to a local support group, such as the National
Herpes Resource Center. Sexual activity should not occur while the lesions are present because of discomfort
and viral transmission. Genital herpes is an incurable viral disease, and the antiviral drugs minimize the
infection but do not cure it. Condoms should be used to avoid the spread of the disease.
5. A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV). Which
statement by the nurse is accurate?
a. Gardasil protects against all HPV strains.
b. You are too young to receive the vaccine.
c. Only females can receive the vaccine.
d. This will lower your risk for cervical cancer.
ANS: D
Gardasil is used to provide immunity for HPV types 6, 11, 16, and 18 that are high risk for cervical cancer and
warts. The vaccine is recommended for people ages 10 to 26 years.
NOT: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
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NUR 255 MEDICAL SURGICAL EXAM UESTIONS AND
4
ANSWERS 100% CORRECTLY/VERIFIED RATED A+
LATEST UPDATE 2022
6. A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal
discharge. Because the results from the culture of the cervical cells are not available, the client will be
treated for both Chlamydia and gonorrhea. Which explanation by the nurse is best?
a. This early treatment will prevent obstruction to the fallopian tubes.
b. Only azithromycin (Zithromax) is prescribed for both sexually transmitted diseases.
c. The treatment will prevent aortic valve disease and aneurysms.
d. Oral antibiotic treatment will prevent frequent occurrences of meningitis.
ANS: A
Both gonorrhea and Chlamydia can cause pelvic inflammatory disease and scarring of the fallopian tubes,
resulting in infertility problems. Azithromycin is the treatment of choice for both sexually transmitted
diseases, but ceftriaxone (Rocephin) is also recommended for treatment of gonorrhea. Aortic valve disease
and aneurysms usually occur with tertiary syphilis. Meningitis occurs rarely with a gonorrhea infection and is
usually treated with intravenous antibiotic therapy in the hospital setting.
7. While evaluating a male client for treatment of gonorrhea, which question is the most important for the
nurse to ask?
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