A client reports abnormal vaginal discharge, dysuria, and lower abdominal pain.
The nurse suspects an STI and gathers further information.
Which of the following statements from the client supports the suspicion of an STI?

Choice A rationale:

This statement is incorrect.

Syphilis is not primarily transmitted through sharing needles.

While syphilis can be transmitted through blood-to-blood contact, it is primarily spread through sexual contact or from mother to fetus during pregnancy.

Choice B rationale:

This is the correct answer.

Direct contact with syphilis sores, known as chancres, can indeed transmit the infection.

Syphilis is a sexually transmitted infection, and contact with syphilis sores during sexual activity is a common mode of transmission.

Choice C rationale:

Syphilis is not mainly spread through respiratory droplets in the air.

It is not an airborne infection, and respiratory transmission is not a common mode of transmission for syphilis.

Choice D rationale:

Using barrier methods like condoms can reduce the risk of syphilis transmission but does not completely prevent it.

Condoms are effective in reducing the risk of many STIs, including syphilis, but they are not 100% foolproof.

"Neisseria gonorrhoeae enters the body through sexual contact and binds to host cells."

Choice A rationale:

Gonorrhea primarily infects mucous membranes, such as those found in the genital and rectal areas.

It does not primarily infect the skin and does not cause superficial lesions.

Therefore, choice A is not an accurate description of the infection process of Neisseria gonorrhoeae.

Choice B rationale:

While gonorrhea can spread to other parts of the body in rare cases, the primary mode of transmission is through sexual contact with an infected individual.

It is not primarily spread through the lymphatic system, making choice B an inaccurate description of the infection process.

Choice C rationale:

Neisseria gonorrhoeae is indeed transmitted through sexual contact and enters the body through mucous membranes, where it binds to host cells.

This accurate description aligns with the typical mode of transmission and pathogenesis of gonorrhea.

Choice D rationale:

Gonorrhea does not primarily cause infection by releasing toxins into the bloodstream.

Instead, it infects mucous membranes and causes inflammation and tissue damage through direct invasion by the bacterium.

Choice D does not accurately describe the infection process of Neisseria gonorrhoeae.