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  • 11 de agosto de 2024
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  • 2024/2025
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  • ch 54 sexually transmitted infections
  • ch 54 sexually transmitted infections questions

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STUVIA 2024/2025
Ch 54: Sexually Transmitted Infections
A nursing student encounters a patient newly diagnosed with gonorrhea. The students' preceptor
asks what the recommended treatment would be for this patient. Which statement by the nursing
student is correct?
a. "Ceftriaxone IM is prescribed."
b. "Erythromycin ointment is prescribed."
c. "IM ceftriaxone and oral azithromycin are prescribed."
d. "Oral doxycycline is prescribed." - ✔✔ANS: C

A single dose of IM ceftriaxone and a single dose of azithromycin are prescribed for gonorrhea. The
use of two drugs improves treatment efficacy and slows the development of drug resistance.
Erythromycin ophthalmic ointment is used on the neonate.

A patient is taking azithromycin to treat a chancroid infection. Which of the following would be
important counseling to the patient?
a. Apply a bacteriostatic ointment to the lesions twice daily.
b. Avoid washing the lesions to prevent spread of the infection.
c. Cover the lesions with gauze at all times to minimize discomfort.
d. Any sexual partners within the 10 days preceding the onset of symptoms should be examined and
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treated. - ✔✔ANS: D

Sex partners of patients who have chancroid should be examined and treated if they had sexual
contact with the patient during the 10 days preceding the patient's onset of symptoms. It is not
necessary to apply bacteriostatic ointment or to cover the lesions with gauze. Washing the lesions is
recommended.

A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl). What will
the nurse teach the patient about this medication?
a. "Abstain from sexual intercourse while taking this medication."
b. "Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription."
c. "Take this medication on an empty stomach to increase absorption."
d. "Topical preparations are ineffective for treating bacterial vaginosis." - ✔✔ANS: B

Metronidazole can cause a disulfiram-like reaction when taken with alcohol, so patients should be
cautioned against using foods or drug products that contain alcohol. There is no need to abstain from
sexual intercourse. Metronidazole should be taken with food. The topical preparation is effective
against bacterial vaginosis.




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