Med Surg Chapter 44 NURSING CARE OF PATIENTS WITH SEXUALLY TRANSMITTED DISEASES

Med Surg Chapter 44 NURSING CARE OF PATIENTS WITH SEXUALLY TRANSMITTED DISEASES 1. Wart-like Correct Answer: CONDYLOMATOUS 2. An older man is admitted to the hospital with mental status changes. As the nurse begins the shift assessment, the patient begins to cry and says his doctor thinks his problems stem from an untreated syphilis infection when he was in the military as a young man. Which response by the nurse is the best? a. "Why didn't you have it treated when it occurred?" b. "What's done is done; it's unfortunate that treatment is too late now." c. "That must be upsetting for you. Do you want to talk about it?" d. "Don't cry; I am sure there is treatment that can help now." Correct Answer: c. The man's statement indicates that he would like to talk. Selection c is a therapeutic response that gives the man permission to talk further 3. Inflammation of the cervix Correct Answer: CERVICITIS 4. A hard, syphilitic primary ulcer, the first sign of syphilis, appearing approximately 2 to 3 weeks after infection Correct Answer: CHANCRE 5. Genital warts; common sexually transmitted viral disease Correct Answer: CONDYLOMATA ACUMINATA 6. Inflammation of the conjunctiva of the eye Correct Answer: CONJUCTIVITIS 7. Destructive to cells Correct Answer: CYTOTOXIC 8. A nurse has completed instruction related to STD risk reduction with a 17-year-old woman. Which statement by the patient indicates that teaching has been effective? a. "I should avoid drinking alcohol when I will be in situations with potential sex partners." b. "If I make sure my partners wear condoms, I will be protected from STDs." c. "Use of a barrier method of birth control will prevent infection with an STD." d. "As long as I know my partner well, I am safe." Correct Answer: a. Alcohol can cloud judgement 9. Cauterization using platinum wires heated to red or white heat by an electric current, either direct or alternating Correct Answer: ELECTROCAUTERY 10. Coagulation of tissue by means of a high-requency electric current Correct Answer: ELECTROCOAGULATED 11. Inflammation/infection of the endometrium Correct Answer: ENDOMETRITIS 12. Study of the distribution and determinants of health related states and events in populations and the application of this study to the control of health problems Correct Answer: EPIDEMIOLOGICAL 13. Tumors of a rubbery consistency that can break down and ulcerate, leaving holes in body tissues Correct Answer: GUMMAS 14. Enlargement of the liver and spleen Correct Answer: HEPATOSPLENOMEGALY 15. Pertaining to herpes Correct Answer: HERPETIC 16. Any disorder of the lymph nodes Correct Answer: LYMPHADENOPATHY 17. Inflammation of the cervix producing mucus and purulent discharge Correct Answer: MUCOPURULENT CERVICITIS 18. Inflammation of the conjunctivae and deeper parts of the eye and can ultimately result in blindness Correct Answer: OPHTHALMIA NEONATORUM 19. A home care nurse is preparing to change a dressing on a patient who had genital warts removed the previous day. Which intervention should be completed first? a. Clean the wounds b. Remove the old dressing c. Assess for drainage d. Administer an analgesic Correct Answer: d. An analgesic is necessary. Wart removal is very painful. 20. Inflammation of the rectum nad anus that may be due to either nonsexually transmitted microbes or to STDs Correct Answer: PROCTITIS 21. Concerning the puerperium, or period of 42 days after childbirth Correct Answer: PUERPERAL 22. A young woman is seen at a walk-in clinic and is diagnosed with an STD. She says, "How could I have an STD? I only have sex with my boyfriend. I don't sleep around!" Which of the following responses by the nurse is best? a. "You are right, that should have kept you safe. There just are no guarantees." b. "If your boyfriend is not infected, then it is apparent that you have had sex with someone else." c. "You or your boyfriend could be infected from past sexual encounters. He should also be tested at this time for STDs." d. "Even lifelong monogamy cannot prevent many STDs." Correct Answer: c. Having a sexual relationship with someone is the epidemiological equivalent of engaging in sexual activity with all of that person's previous partners 23. Damage of the sacral spinal nerves Correct Answer: SACRAL RADICULOPATHY 24. Inflammation/infection of the fallopian tubes Correct Answer: SALPINGITIS 25. Study of substances present in blood serum Correct Answer: SEROLOGICAL 26. What signs and symptoms of STDs should nurses assess for in all patients? Select all that apply.