STIs

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A patient comes to the outpatient clinic and is diagnosed with gonorrhea. What initial treatment would the nurse anticipate will be initiated?
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A patient comes to the outpatient clinic and is diagnosed with gonorrhea. What initial treatment would the nurse anticipate will be initiated?
Doxycycline (Vibramycin) and ceftriaxone (Rocephin).
A patient with syphilis is seen at the clinic and complains of body aches, pustules, fever, and sore throat. Which stage of syphilis should the nurse recognize these symptoms identify?
secondary
A nurse in the outpatient clinic notes that a patient has been treated for syphilis three separate times in the past 2 years. What should the antibiotic treatment for this patient consist of this time?
Penicillin G today and 3 months of oral tetracycline antibiotic medications
The nurse will be administering tetracycline hydrochloride (Achromycin) to a patient who has syphilis. What should the nurse remember about this treatment? (Select all that apply.)
-Review the entire medication list.
-The drug may cause discoloration of developing teeth.
A patient has been diagnosed with primary syphilis. What should be the HIGHEST priority nursing action related to the administration of the medication used to treat this disease?
Observe the patient for 30 minutes for allergic reactions.
What is characteristic of the primary stage syphilis?
Reddish ulcer. (Chancre)
A nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?
- Obtain information about the client's recent sexual partners.
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching?
Take temperature once a day
A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The nurse should monitor this client for which of the following conditions?
bacterial infection
The nursing supervisor becomes concerned after overhearing a nurse state, "People who get sexually transmitted infections deserve whatever happens to them. They shouldn't have been engaging in promiscuous behavior." Which statement best describes the reason the nursing supervisor is concerned?
Patients may be reluctant to seek care when they fear being judged.
Which infections are classified as sexually transmitted infections?- Chlamydia, gonorrhea, cytomegalovirus, and hepatitis B.A nurse is caring for a patient with Trichomonas. What should a nurse caution a patient taking metronidazole (Flagyl) for Trichomonas to do?Abstain from alcohol while taking this drug.A nurse is reinforcing teaching with a client who has genital herpes. Which of the following client statements should the nurse identify as understanding of the teaching?"The lesions can spread to other areas of my body."A nurse is reinforcing teaching with an adolescent regarding administration of the Gardasil vaccine. The vaccine provides immunity against which of the following sexually transmitted infections?Human papillomavirus (HPV)A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?Vaginitis is a side effectWhich method is used to identify organisms of gonorrhea?Smears and culturesWhat body areas might systemic (disseminated) gonorrhea involve? (Select all that apply.)-Heart -Meninges -Skin -JointsA patient is diagnosed with Chlamydia. What should the nurse recognize as the priority for optimizing the patient's health?Diagnostic testing for other STIsWhat does chlamydial infection place a person at greater risk for?HIV if exposed to itWhat is characteristic of the secondary stage syphilis?PustulesA patient diagnosed with Human Papillomavirus (HPV) has been prescribed imiquimod (Aldara) for genital warts. The patient asks the outpatient clinic nurse how long she must use the medication. The nurse replies that she must apply the medication for _____ weeks.16Specimens collected during a pelvic exam are handled as:Infective materialA nurse is conducting educational information at community health faire. The nurse would be correct in stating what percentage of all cases of STIs involves people between the ages of 15 and 24 years old?50%After a patient with primary or secondary syphilis has completed their treatment; how long should they be advised not to engage in sexual activity?30 daysWhich of the following is the drug choice for treating HSV?Acyclovir (Zovirax)The nurse at a community health clinic should be knowledgeable of which emergency drugs to have on hand in the event a client experiences a hypersensitivity reaction to drug therapy for STIs? Select all that apply-Diphenhydramine HCl (Benadryl) -Corticosteroids -EpinephrineThe nurse is taking care of a patient with genital warts. Which medical treatments should the nurse expect the physician to use for this patient? Select all that apply.-cryotherapy -surgical removal -injection of interferonWhich of the following statements are related to Bacterial vaginosis? Select all that apply:-Characterized by genital irritation -a fishy odor, and thin gray discharge -Characterized by dysuriaA nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)28A patient at the outpatient clinic is reluctant to identify her sexual contacts. The healthcare provider gives the patient additional drugs without examining her contacts; this approach is called:Expedited partner therapyDoxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. What instruction should the nurse provide to the patient before beginning the medication?Follow up to see if the treatment was effective.Which of the following diagnostic screening test along with the Venereal Disease Research Laboratory test (VDRL) is used to confirm a person has syphilis?Rapid plasma reagin test (RPR)Condylomatas acuminata is caused by:Human papillomavirusA nurse is caring for a client who has recurrent herpes simplex type 1 lesions. The nurse should perform a focused assessment of which of the following areas of the client's body?Mouth