A nurse instructor is teaching a student nurse about the factors ...

[lracut11]

A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STDs) seen in practice. Which statement by the student indicates a lack of understanding?
 
  a. There are improved techniques to diagnose an STD used in practice.
  b. There is increased incidence of sexual abuse and sexual trafficking.
  c. Females feel safe using oral agents rather than a condom as contraception.
  d. The organisms causing STDs are all becoming more virulent.

Question 2

A male client is diagnosed with primary syphilis. Which question by the nurse is a priority at this time?
 
  a. Have you been using latex condoms?
  b. Are you allergic to penicillin?
  c. When was your last sexual encounter?
  d. Do you have a history of sexually transmitted disease?

[LP]

Answer to Question 1

ANS: D
There is no evidence that the organisms that cause STDs are becoming more virulent, but a client may need to use another anti-infective if allergic or the protocol was not effective. Extensive histories are taken in the clinic of clients of all ages, as well as assessment of laboratory data such as cervical, urethral, oral, or rectal specimens and lesion samples for microbiology and virology. There are changes in sexual attitudes and practices, cultural factors, migration, and international travel. Women often think that the oral contraceptives protect them from an STD.

Answer to Question 2

ANS: B
Benzathine penicillin G is the evidence-based treatment for primary syphilis. The client needs to be assessed for allergies before treatment. The other questions would be helpful in the client's history of sexually transmitted diseases but not as important as knowing whether the client is allergic to penicillin.

[lracut11]

TYSM

[shewald78]

Excellent