question

Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time?

answer

Herpes infection

question

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?

answer

Alprostadil

question

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?

answer

Palpate each testicle separately, following a warm shower.

question

The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?

answer

Are you allergic to penicillin?

question

Which pharmacologic agents pose the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?

answer

Antihistamines

question

Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?

answer

You must inform all sexual partners.

question

A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?

answer

Vasectomies should be considered a permanent means of birth control.

question

Following a vasectomy, which is the most important instruction to provide to the client?

answer

Use another form a birth control until further notice.

question

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

answer

Abandon biases that older adults are sexually inactive.

question

Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?

answer

Medication use

question

A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?

answer

"What concerns you most about having surgery?"

question

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

answer

"What do you do to prevent sexually transmitted infections?"

question

Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?

answer

Using a reliable method of contraception for several weeks until sperm is no longer present

question

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

answer

Ensure immunizations against infectious diseases such as mumps.

question

The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?

answer

Prepare for a cesarean section.

question

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.

answer

Do not delay the urge to void., Schedule digital rectal exams.

question

Which of the following should nurses teach men, especially those with a history of cryptorchidism?

answer

How to perform a testicular self-examination

question

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?

answer

Painful swelling, paraphimosis

question

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?

answer

Tabes dorsalis, ataxia, and Charcot's joints

question

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?

answer

Cryptorchidism as an infant

question

A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching?

answer

"The penis will appear longer than usual."

question

The nurse is providing discharge instructions to a female client following inpatient therapy for a gonorrhea infection. The client is being discharged on doxycycline (Vibramycin) for 7 days. Which nursing instruction is essential for a therapeutic outcome?

answer

Complete all prescribed medication

question

Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase (PDE5) inhibitor such as sildenafil (Viagra)?

answer

Use of nitrates

question

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?

answer

12 ng/mL

question

The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?

answer

Use a latex condom with a spermicide.

question

The nurse has just obtained a newborn for admission and assessment in the newborn nursery. Which of the following nursing actions is done as a result of potential contamination of the neonate when descending down the birth canal?

answer

Instilling erythromycin ointment in the eyes

question

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point would the nurse place in bold letters?

answer

Many people are asymptomatic and show no symptoms contributing to the spread of the disease.

question

Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted disease?

answer

Perform thorough handwashing.

question

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

answer

Tetracycline

question

The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications?

answer

Apomorphine (Uprima)

question

The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?

answer

The client has dementia and cannot care for himself or herself.

question

A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?

answer

Transillumination of the scrotum

question

Which of the following types of condoms is appropriate only if the client is in a long-standing relationship?

answer

Natural membrane condom

question

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?

answer

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI)

question

The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection?

answer

Chlamydia

question

A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?

answer

Escherichia coli

question

The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?

answer

Human papilloma viral (HPV)

question

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

answer

"Inform all potential sexual partners about the infection, even if it is inactive."

question

A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse?

answer

Keep the client NPO.

question

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?

answer

"I'm temporarily not contagious once the warts are destroyed."

Med Surg 55-56 – Flashcards

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