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Chapter 52 (NURS 4521) Sexually Transmitted Infections

John Marsh
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Chapter 52 Sexually Transmitted Infections

University of Houston

Community Health Nursing (NURS 4521 )

Chapter 52: Sexually Transmitted Infections
Test Bank
1. A 32-year-old man who has a profuse, purulent urethral discharge with painful urination is seen at the clinic.
Which information will be most important for the nurse to obtain?
a. Contraceptive use
b. Sexual orientation
c. Immunization history
d. Recent sexual contacts

2. A 20-year-old woman who is being seen in the family medicine clinic for an annual physical exam reports
being sexually active. The nurse will plan to teach the patient about
a. testing for Chlamydia infection.
b. immunization for herpes simplex.
c. infertility associated with the human papillomavirus (HPV).
d. the relationship between the herpes virus and cervical cancer.

3. A 22-year-old patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given
a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse explains to the patient that this
combination of antibiotics is prescribed to

a. prevent reinfection during treatment.
b. treat any coexisting chlamydial infection.
c. eradicate resistant strains of N. gonorrhoeae.
d. prevent the development of resistant organisms.

4. A 46-year-old man who has had blood drawn for an insurance screening has a positive Venereal Disease
Research Laboratory (VDRL) test. Which action should the nurse take next?
a. Ask the patient about past treatment for syphilis.
b. Explain the need for blood and spinal fluid cultures.
c. Obtain a specimen for fluorescent treponemal antibody absorption (FAT-Abs) testing.
d. Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.

5. A 48-year-old male patient who has been diagnosed with gonococcal urethritis tells the nurse he had recent
sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the
nurse explains that
a. women do not develop gonorrhea infections but can serve as carriers to spread the disease to
b. women may not be aware they have gonorrhea because they often do not have symptoms of
c. women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical



 Chapter 52 (NURS 4521) Sexually Transmitted Infections

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