Chapter 07 Sexually Transmitted and Other Infections

Chapter 07  Sexually Transmitted and Other Infections

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Syphilis is a complex disease that can lead to serious systemic illness and even death if left untreated. Which manifestation differentiates primary syphilis from secondary syphilis?
a.
Fever, headache, and malaise
b.
Widespread rash
c.
Identified by serologic testing
d.
Appearance of a chancre 2 months after infection

ANS: D
Primary syphilis is characterized by a primary lesion (the chancre), which appears 5 to 90 days after infection. The chancre begins as a painless papule at the site of inoculation and erodes to form a nontender, shallow, and clean ulcer several millimeters to centimeters in size. Secondary syphilis occurs 6 weeks to 6 months after the appearance of the chancre and is characterized by a widespread maculopapular rash. The individual may also experience fever, headache, and malaise. Latent syphilis are those infections that lack clinical manifestations; however, they are detected by serologic testing.

DIF: Cognitive Level: Understand REF: p. 151
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

2. The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans, with an estimated number of 14 million new infections each year. The highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent the HPV is now available. Which statement regarding this vaccine is inaccurate?
a.
Only one vaccine for the HPV is available.
b.
The vaccine is given in three doses over a 6-month period.
c.
The vaccine is recommended for both boys and girls.
d.
Ideally, the vaccine is administered before the first sexual contact.

ANS: A
Two vaccines for HPV are available—Cervarix and Gardasil—and other vaccines continue to be investigated. These vaccines protect against HPV types 6, 11, 16, and 18. They are most effective if administered before the first sexual contact. Recommendations are that vaccines be administered to 11- and 12-year-old girls and boys. The vaccine can be given to girls as young as 9 years of age and young women ages 13 to 26 years in three doses over a 6-month period.

DIF: Cognitive Level: Remember REF: p. 154
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

3. Which sexually transmitted infection (STI) is the most commonly reported in American women?
a.
Gonorrhea
b.
Syphilis
c.
Chlamydia
d.
Candidiasis

ANS: C
Chlamydia is the most common and fastest spreading STI among American women, with an estimated 3 million new cases each year. Infection rates are two and a half times that of men. Gonorrhea is probably the oldest communicable disease in the United States and second to Chlamydia in reported conditions. Syphilis is the earliest described STI. Candidiasis is a relatively common fungal infection.

DIF: Cognitive Level: Remember REF: p. 149
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

4. The Centers for Disease Control and Prevention (CDC) recommends which therapy for the treatment of the HPV?
a.
Miconazole ointment
b.
Topical podofilox 0.5% solution or gel
c.
Two doses of penicillin administered intramuscularly (IM)
d.
Metronidazole by mouth

ANS: B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is used to treat athlete’s foot. Penicillin IM is used to treat syphilis. Metronidazole is used to treat bacterial vaginosis.

DIF: Cognitive Level: Remember REF: p. 148
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity

5. A client exhibits a thick, white, lumpy, cottage cheese–like discharge, along with white patches on her labia and in her vagina. She complains of intense pruritus. Which medication should the nurse practitioner order to treat this condition?
a.
Fluconazole
b.
Tetracycline
c.
Clindamycin
d.
Acyclovir

ANS: A
The client is experiencing a candidiasis infection. Fluconazole, metronidazole, and clotrimazole are the drugs of choice to treat this condition. Tetracycline is used to treat syphilis. Clindamycin is used to treat bacterial vaginosis. Acyclovir is used to treat genital herpes.

DIF: Cognitive Level: Apply REF: p. 163
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity