Chapter 69: Concepts of Care for Patients
with Sexually Transmitted Infections
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client has been treated for syphilis with IM penicillin. The next day the client calls
the clinic to report fever, chills, achy muscles, and a worsening rash. What statement
by the nurse is most appropriate?
a. “You must be allergic to penicillin; over the counter antihistamines will help.”
b. “Please go to the nearest emergency department if you develop shortness of
breath.”
c. “You can take acetaminophen or ibuprofen for the pain and achiness.”
d. “I think you should come in to the clinic either today or tomorrow and be
checked.”
ANS: C
This client has signs of a Jarisch-Herxheimer reaction which is caused when the
organisms’ cell walls are disrupted and cellular contents are released rapidly. It is
usually self-limiting and benign. Antipyretics and mild analgesics treat the symptoms.
The client does not need to monitor for shortness of breath, come in to the clinic, or
get antihistamines for an allergic reaction.
DIF: Applying TOP: Integrated Process: Nursing Process:
Implementation KEY: Sexually transmitted infections, Medication
adverse reactions MSC: Client Needs Category: Physiological Integrity:
Reduction of Risk Potential
, 2. A 24 year-old female has been diagnosed with genital warts. Which action by the
nurse is best?
a. Encourage the client to complete STI screening.
b. Recommend an over-the-counter wart treatment for genital tissue.
c. Report the case to the Centers for Infection Control and Prevention (CDC).
d. Discuss popular options for contraception.
ANS: A
Clients with HPV should be fully screened for other STIs since co-infection is
common. Over the counter treatments should not be applied to genital tissue. HPV is
not reportable. Contraception is not related.
DIF: Applying TOP: Integrated Process: Nursing Process:
Implementation KEY: Sexually transmitted infections, HPV
MSC: Client Needs Category: Health Promotion and Maintenance
3. A female client returned to the clinic with a yellow vaginal discharge after being
treated for Chlamydia infection 3 weeks ago. Which statement by the client alerts the
nurse that there may be a recurrence of the infection?
a. “I did practice abstinence while taking the medication.”
b. “I took doxycycline two times a day for a week.”
c. “I never told my boyfriend about the infection.”
d. “I did drink wine when taking the medication for Chlamydia.”
ANS: C
There is a good possibility that the boyfriend reinfected the client after the medication
regimen was finished. Both the client and the boyfriend need to be treated. The other
statements were in compliance with the recommendations of abstinence and the usual
medication regimen with doxycycline. Wine should not interfere with the treatment.
with Sexually Transmitted Infections
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client has been treated for syphilis with IM penicillin. The next day the client calls
the clinic to report fever, chills, achy muscles, and a worsening rash. What statement
by the nurse is most appropriate?
a. “You must be allergic to penicillin; over the counter antihistamines will help.”
b. “Please go to the nearest emergency department if you develop shortness of
breath.”
c. “You can take acetaminophen or ibuprofen for the pain and achiness.”
d. “I think you should come in to the clinic either today or tomorrow and be
checked.”
ANS: C
This client has signs of a Jarisch-Herxheimer reaction which is caused when the
organisms’ cell walls are disrupted and cellular contents are released rapidly. It is
usually self-limiting and benign. Antipyretics and mild analgesics treat the symptoms.
The client does not need to monitor for shortness of breath, come in to the clinic, or
get antihistamines for an allergic reaction.
DIF: Applying TOP: Integrated Process: Nursing Process:
Implementation KEY: Sexually transmitted infections, Medication
adverse reactions MSC: Client Needs Category: Physiological Integrity:
Reduction of Risk Potential
, 2. A 24 year-old female has been diagnosed with genital warts. Which action by the
nurse is best?
a. Encourage the client to complete STI screening.
b. Recommend an over-the-counter wart treatment for genital tissue.
c. Report the case to the Centers for Infection Control and Prevention (CDC).
d. Discuss popular options for contraception.
ANS: A
Clients with HPV should be fully screened for other STIs since co-infection is
common. Over the counter treatments should not be applied to genital tissue. HPV is
not reportable. Contraception is not related.
DIF: Applying TOP: Integrated Process: Nursing Process:
Implementation KEY: Sexually transmitted infections, HPV
MSC: Client Needs Category: Health Promotion and Maintenance
3. A female client returned to the clinic with a yellow vaginal discharge after being
treated for Chlamydia infection 3 weeks ago. Which statement by the client alerts the
nurse that there may be a recurrence of the infection?
a. “I did practice abstinence while taking the medication.”
b. “I took doxycycline two times a day for a week.”
c. “I never told my boyfriend about the infection.”
d. “I did drink wine when taking the medication for Chlamydia.”
ANS: C
There is a good possibility that the boyfriend reinfected the client after the medication
regimen was finished. Both the client and the boyfriend need to be treated. The other
statements were in compliance with the recommendations of abstinence and the usual
medication regimen with doxycycline. Wine should not interfere with the treatment.
